School of Social Sciences (ETDs)

Permanent URI for this communityhttps://hdl.handle.net/10539/37995

Browse

Search Results

Now showing 1 - 10 of 22

Could Not Sing in the Dead Heat: Liner Notes Under the Sun
(University of the Witwatersrand, Johannesburg, 2022) Ramphalile, Molemo Karabo; Schuhmann, Antje
On the one hand we place blackness as a historical if inconsistent category inextricable with morbidity, disfavour, depravity, mystery, wretchedness, penumbra, opacity or absence of light, and the abyssal – in both secular and religious metaphysical symbolism. On the other hand we place space as a historical and physical category denoting area, range, clearance, scope, volume, expanse, lacunae, aperture, margin, and in its instance as verb – opening, arranging, ordering, placing, separating, and locating; which in cosmography, geography and cartography finds its varied imaginative and applied interpretation. We coalesce what is in both hands in order to envisage how blackness persistently becomes and comes to be the extractable property of sub-Saharan Africans. Through various ontological-cosmographic- geographic designations such as Torrid Zone, ‘land of the blacks’ or even terra nullius, we encounter visualisations of a territory and expanse that is always either completely devoid of people or inadequately peopled, that is, the territory whence blackness as inextricably embodied (or fleshened) exists and is cultivated. Blackness: not only does it determine our modes of being, or non-being, in this world, but for us in this study, it is also an experiential, experimental and analytical lens permitting the suggestion and scribing of historical narratives and discourses that centre the inveterate decentring of blacks. In the tradition of liner notes, this study is written in a performative relation to the subject or object at hand; there under the sun, in the dead heat.
The social contexts of childhood malnutrition in South Africa
(University of the Witwatersrand, Johannesburg, 2024) Sello, Matshidiso Valeria; Odimegwu, Clifford; Adedini, Sunday
Background: Childhood malnutrition is a major public health challenge of global importance. It may result from either excessive or deficient nutrients. Despite investments and several efforts made by the South African government and civil society organizations to improve child health, the prevalence of childhood malnutrition remains high in South Africa. South Africa is still lagging in in achieving the sustainable development goals 1-3 (i.e., 1- no poverty, 2 – zero hunger and 3 –good health and wellbeing). This is because the indicators of childhood malnutrition are significantly higher with one in four children being stunted, 13% overweight, and 7.5% underweight. These figures highlight a troubling trend that is echoed in many other African nations, where malnutrition rates are similarly concerning. For instance, while countries like Nigeria and Ethiopia face severe challenges with stunting rates exceeding 30%, South Africa’s rates are comparatively lower but still indicative of a significant public health challenge. In contrast, developed nations such as the United States report much lower stunting rates—around 3.4%—and face different nutritional issues, such as rising obesity rates among children. The current malnutrition status is worrisome in South Africa given that these conditions have not changed much in nearly three decades. Among other factors recognised as the leading causes of poor nutrition outcomes is food insecurity in households -defined as the lack of regular access to safe, sufficient, and nutritious foods, disrupted eating patterns and reduced food intakes. Despite South Africa being a net exporter of food, it is characterised by high poverty, reduced opportunities for higher education, employment challenges, environmental hazards, substandard housing, and health disparities, still have challenges in access to affordable safe nutritious foods. Furthermore, due to the complexity of childhood malnutrition, an integrated multisectoral approach among families, communities, and government systems is critical to ensuring positive child health and nutritional outcomes. Addressing poor nutritional outcomes among under-5 children requires policy-relevant evidence. While the literature shows that childhood malnutrition is a multifaceted issue influenced by poverty and poor socio-economic outcomes, evidence is sparse on how structural and environmental factors operating at different levels influence childhood malnutrition. Therefore, an understanding of social contexts of childhood malnutrition is required to improve children’s health outcomes in South Africa. Hence, this study examined the social context of childhood malnutrition in South Africa with a focus on individual child, 15 caregiver, and household-level characteristics. The study addressed five specific objectives: i) to determine the levels and patterns of childhood malnutrition in South Africa, (ii) to examine the individual child, caregiver, and household factors associated with childhood malnutrition in South Africa, (iii) to investigate the influence of food insecurity on childhood malnutrition, (iv) to explore the extent to which the socio-cultural and childcare practices of caregivers predispose under-5 children to malnutrition in selected low-income communities in South Africa, and (v) to investigate the role of a multi-sectorial approach in improving child nutritional outcomes in SA. This study was guided by the 2020 UNICEF conceptual Framework on Maternal and Child Nutrition as well as the Food and Nutrition Security Theory. Methods: This study adopted an explanatory sequential mixed methods design (i.e., analysis of quantitative data followed by qualitative data collection and analysis). The research methodology was broken into the quantitative and qualitative study. The quantitative study entailed analysing the quantitative secondary data from the 2017 South Africa National Income Dynamics Study (NIDS Wave 5). The NIDS data was nationally representative. The sample was weighted using post-stratified weights. Data of 2 966 children and their mothers were analysed. These children were selected on the basis that they had complete anthropometric measurements (height and weight measurements) and were suitable and selected for the investigation of childhood malnutrition (stunting, overweight, and underweight). We also conducted qualitative in-depth interviews with Early Childhood Development (ECD) practitioners to gain a deeper understanding of their experiences in childcare and perceptions of feeding practices. They were key informants since under-5 children spent a lot of time at ECD centres. Data were analysed at the univariate level to obtain descriptive statistics, and at the bivariate level using the chi-square test of association. At the multivariate level, multi-level binary logistic regression was employed, and odds ratios were reported. The multilevel analysis involved two levels – the individual level (child and mother characteristics) and the household-level characteristics. Data were analysed using Stata software (version 17). The selection of the independent variables was guided by the literature review and conceptual framework of the study. The second part of the study was qualitative and was collected between June and August 2022. Twenty in-depth interviews, and five focus group discussions with mothers of under-5 children, and five in-depth interviews with early childhood development practitioners (ECD practitioners) were conducted. Interviews were conducted using semi-structured questionnaires in selected low-income communities in urban 16 Gauteng (i.e., Thulani in Soweto), and in rural Limpopo (i.e., GaMasemola in Sekhukhune District). These communities were selected based on high poverty and unemployment rates, had substandard houses, insufficient infrastructure and environmental issues. The qualitative data provided deeper understanding about ethe quantitative findings and explored questions that were not available to the researcher in the NIDS dataset. The focus group discussions and key-in- depth interviews further provided a follow-up and an explanation of the quantitative findings. Thematic analysis was used to analyse qualitative data. Key findings from objective 1: In terms of descriptive findings, found that 22.16% of children were stunted, 16.40% were overweight, and 5.04% were underweight. The distribution of children among female and male children in the study population was almost the same. About 40% of the children had a low birth weight (<3 kg), 80.59% relied on the child support grant, and 67.22% were cared for at home during the day. Different patterns of malnutrition were observed. The highest percentage of children ages 12-23 months were stunted (33.43%) and overweight (32.69%), while the highest proportion of children ages 0-11 months and 48-59 months were underweight. Among children with a low birth weight of 1-2.9 kg, the highest percentage of stunting (30.07%) (p = 0.001, χ² = 71.2) and underweight (7.05%) (p = 0.026, χ² = 16.9) was observed. There was a relationship between access to medical aid, access to the child support grant, and childhood stunting (p < 0.05), while being cared for at home during the day was associated with stunting (24.98%) and overweight (18.99%) (p = 0.002, χ² = 36.3). Caregivers’ religion was associated with overweight (p = 0.007, χ² = 25.6) among under-5 children, while caregiver’s ethnicity (p = 0.024, χ² = 18.4) was associated with underweight. Key findings from objective 2: Female children had a lower likelihood (0.63 times) of being stunted compared to males. Children aged 12-23 months face a 60% higher risk of being overweight than those aged 0-11 months (AOR = 1.6). However, the risk of overweight declines steadily as age increases. Children aged 48-59 months are 83% less likely to be overweight compared to the youngest group of 0-11 months (AOR = 0.17). Children with a birthweight of 3 kg are 63% less likely to be underweight compared to those weighing 1-2 kg at birth (AOR = 0.37). Children attending crèches/day moms are 69% less likely to be underweight compared to those cared for at home (AOR = 0.31). Children cared for at home are 1.5 times more likely to be stunted (AOR=1.49) compared to children at a creche/day mom. Caregivers who were Nguni 17 had a 26% lower likelihood of having stunted children. Caregivers of other religions had 2 times higher likelihood of having overweight children compared to Christian caregivers (AOR=1.21). Middle-income households were associated with having overweight children (AOR=1.35) compared to low-income households. Children from structurally sound households had a 54% of high risk of being overweight compared to children from dilapidated household structures. The study found that a significant portion of the variation in child malnutrition (stunting, overweight, and underweight) occurred within communities. This is evident from the intraclass correlation of stunting (ICC) values from 27.9% to 30.2% variation, 34.3% to 38.2% overweight variation and 19.6% to 33,9% underweight variation within communities. The increase in ICC after adding additional variables suggest that these factors explain more of the variation within communities. Key findings from objective 3: The results showed that nearly 30% of the households were below the lower-bound food poverty line of R890 per person per month in South Africa, and just about half of the households did not always have enough available foods all the time. The qualitative findings show that the COVID-19 pandemic exacerbated the food insecurity during the COVID-19 lockdown, when many caregivers lost their income sources due to job losses. Food affordability and availability in the households became a major issue, forcing households to make hard decisions between deciding on foods with high nutrition that should be eaten against diverting financial resources and paying for other household expenses such as rent or electricity. Caregivers understood that they should be feeding their children nutritious foods but due to financial constraints, they were forced to give children the available but less nutritious foods in the households. Key findings from objective 4: Qualitative findings further showed that caregivers had various socio-cultural and childcare practices which influenced children’s nutritional and health outcomes. Socio-cultural practices that influenced childhood malnutrition included dietary choices – these were not necessarily affected by cultural beliefs, but they were rather influenced by the lack of income. Traditional beliefs on food- such as foods like eggs and dairy products such as milk or yoghurts were not given to girls. This was from a belief that this food would make girls more fertile and grow much faster. Traditional healing practices influence the dietary restrictions, limiting access to some nutritious foods, which are based on superstitions and lead to stigma. With regards to the childcare practices, there was also a lack of clarity by caregivers 18 on the duration of exclusive breastfeeding as well as the duration when the children should stop breastfeeding. Caregivers did not have adequate knowledge about when to resume weaning. Some caregivers highlighted that the last time they received nutrition knowledge was when their children were infants, and they had taken the children for vaccinations. Caregivers were not aware of how responsive caregiving such as child feeding frequency and portion sizes could improve children’s nutritional outcomes. Key findings from objective 5: From the qualitative interviews with early childhood development (ECD) practitioners, findings indicated a growing disintegration of childcare systems, including the family, health, and social systems, where a lack of parental support in nutrition programmes, a lack of support in health services and other social services when making referrals. Furthermore, various systems of care were working in silos in childcare service provision, resulting in children facing multiple adversities. Conclusions: The study demonstrated that individual-level child characteristics appear to exacerbate childhood malnutrition more than the mother and household-level characteristics. For example, the child level characteristics showed high significance, with age, sex, and child support grant, compared to the caregiver characteristics such as education, employment, and income. At the household level, variables such as household size and income did not show any significance. While this is the case, it does not necessarily mean that the mother and household-level characteristics were not important. This gap can be explained by the small sample, which can cause challenges of limited statistical power, making it harder to detect statistically significant differences. Furthermore, the qualitative assessment filled some gaps regarding these findings and gave an in-depth understanding on how the income disparities among caregivers and households result from high unemployment rates, highlighting the importance of socio-economic status and food security in child nutritional outcomes. From the ECD practitioners’ interviews, given the disintegration of childcare systems, the coordination and multisectoral collaboration of different sectors of care for children is urgently needed to improve children’s nutritional outcomes. Understanding the social context in which a child is brought up is important for the design of programmes and policies that will be effective in addressing this public health challenge. This understanding will enable efficient and effective service referral and service delivery to improve childhood nutrition in South Africa. This study highlights the need for a good 19 coordination of food, family, health, and social systems to ensure a positive childhood nutritional outcome.
An analysis of the relationship between HIV-testing and cervical cancer screening uptake among females of reproductive age (15-49 years old) in South Africa
(University of the Witwatersrand, Johannesburg, 2024) Madubye, Koketšo Tholo; Wet-Billings, Nicole De
Background: Higher income countries (HIC) have threefold testing coverage over lower to middle income countries (LMIC). Cervical cancer is the 4th most prevalent cancer among females globally, and a key contributor to mortality in Southern Africa. In LMIC, including South Africa, only 9% of the eligible screening cohort had ever undergone cervical cancer screening. This study examined the gap in understanding the relationship between HIV testing behaviours and the uptake of cervical cancer screening. Methods: The study was conducted in South Africa, utilising the 2016 South African Demographic and Health Survey (SADHS), as a secondary data source. The sample size of this study was a weighted (n) distribution of 4,199 females. The study design is cross-sectional, the outcome variable of interest in this study was the uptake of cervical cancer screening and the predictor variable is HIV Testing. The data by SADHS (2016) was analysed through the three phases: univariate, bivariate and multivariate. At the bivariate level, contingency tables were employed, using the Pearson chi-square test of association which examined the strength of crude relationships between cervical cancer screening and the study of independent variables. In addition, a multivariate analysis through the employment of a binary logistic regression as the outcome of the study was categorised with ‘yes’ and ‘no’ binary responses. Results: The findings of this study indicated that 33% of females of reproductive age had ever undergone cervical cancer screening, while 62.5% responded affirmatively to having tested for HIV. Females who tested for HIV displayed a higher propensity to having undergone cervical cancer screening, 37.43% female respondents who tested for HIV had undergone screened for cervical cancer, as opposed to those who didn’t test, which only 10.19 % screened for cervical cancer. Conclusions: 37.43% female respondents who tested for HIV had undergone screened for cervical cancer. Among those who did not test for HIV, 10.19 % screened for cervical cancer. There is still much to be done to improve cervical cancer screening among females, while HIV testing remains high, cervical cancer screening is alarmingly low. The 2017 Cervical Cancer Prevention and Control Policy functions as a mediating apparatus, additional supplementations targeting females below the age of 30 remain a necessity
A relational history of space, administration and economic extractivism in the Mogalakwena Local Municipality in Limpopo, South Africa (1948-2000)
(University of the Witwatersrand, Johannesburg, 2024) Pearson, Joel David
This dissertation seeks to contribute to existing local government scholarship by presenting a situated and relational historical study of the Mogalakwena Local Municipality in present-day Limpopo Province of South Africa. By adapting and extending Gill Hart’s spatial-relational methodology, this study draws out key mechanics of change over time in the Mogalakwena area since the early 20 th century. This historical analysis reveals that the shifting array of power relations which together structured the field of rural local governance came to be enacted and concretised through specific and identifiable processes of spatial transformation, administrative government, and economic extractivism. While existing scholarship has elaborated on aspects of these processes, the present study insists on analysing all three together, in relation to each other, attentive to forms of both mutual constitution and contradiction, and cognisant of how these processes feed into political dynamics of varying scales – local, regional, and national. As such, the thesis argues that these three sets of processes should be understood as axes of rural local governance. This analysis draws off an empirical foundation compiled from archival and oral history sources, and which points to three broad historical conjunctures of local governance in Mogalakwena over the apartheid and early democratic eras. The first, spanning the period between the early 1950s and early 1970s, is identified as an era of state-building and remaking the countryside under the ascendant National Party (NP), one in which the white central state initiated massive and sweeping transformations of rural areas to bring to life its “Bantustan strategy”. The second conjuncture, defined as the terminal phase of apartheid from the late 1970s through to the end of the 1980s, was one in which rural local governance came to be dominated by forms of resistance, reform and repression when bottom-up political forces challenged the reach and authority of the apartheid central state in rural localities. And during the third conjuncture, the transitional period of national negotiations and democratisation between 1990 and 2000, rural local governance came to be defined by uneven and contested initiatives towards institutional amalgamation, deracialisation and redress. In considering the field of rural local governance within which the Mogalakwena Local Municipality operates today, this study concludes that the three axes together remain key determinants in structuring local and regional power relations. While dramatic new power relations have unfolded within and around the municipality since its creation in the year 2000, this study concludes that these have continued to be materialised through intertwined spatial, administrative and extractivist processes which extend back into history. As such, it suggests a new systematic approach for the study of local government institutions, histories of the state in rural areas, and studies of the state more broadly.
Hugging the Crocodile: South Africa’s (RSA’s) tense relationship with the International Criminal Court (ICC)
(University of the Witwatersrand, Johannesburg, 2024) Bux – Williamson, Fatima Bee Bee
This qualitative research delves into the Republic of South Africa's (RSA) foreign policy framework concerning its involvement in the International Criminal Court (ICC), focusing on the cases of Uhuru Kenyatta and Omar al-Bashir. Rooted in the constructivist paradigm, from Sikkink and Finnemore's (1998) theoretical framework, the study examines the interplay of RSA’s domestic political considerations, regional dynamics, international pressures, and legal and political considerations, and domestic intricacies that have shaped RSA’s dynamic position vis-à-vis the ICC. The research scrutinises RSA’s initial compliance with and advocacy for the ICC trial, utilising the context of the Uhuru Kenyatta case. It conducts an analysis of the roles played by norm entrepreneurs, civil society actors, and the intricate domestic sociopolitical landscape. The study, equally, engages in a thorough exploration of diplomatic missions and negotiations, critically assessing their effectiveness and influence on RSA’s foreign policy paradigm. Moreover, the research assesses broader regional dynamics, with an acute focus on the African Union (AU) and its pivotal role in guiding (RSA’s) strategic decision-making processes. On the contrary, the inquiry into the Omar al-Bashir case ventures into RSA’s intricate web of domestic political considerations, regional dynamics, international pressures, and legal and political variables. This discussion aims to identify similarities and differences between the cases, shedding light on their implications for the fluctuating relationship between South Africa and the ICC. This research study enriches the academic dialogue by conducting a comprehensive qualitative analysis of (RSA’s) engagements with the ICC. Meticulously examining (RSA’s) diplomatic evolution within the ICC framework, the study offers valuable insights into the dynamics that have influenced its foreign policy development over time. By addressing existing literature gaps, this research contributes to a more nuanced understanding of the factors shaping South Africa’s evolving relationship with the ICC.
Ensemble study and struggle: A history of the Yu Chi Chan Club and the National Liberation Front
(University of the Witwatersrand, Johannesburg, 2024) Gamedze, Asher Simiso; Nieftagodien, Noor
This dissertation is a history of the relationship between study and struggle in the lives and afterlives of two formations that were part of the South African and Namibian national liberation struggles – the Yu Chi Chan Club (YCCC) and the National Liberation Front (NLF) – which were founded in the early 1960s in the turn to armed struggle. The YCCC was a study group on guerrilla warfare with a commitment to fighting for socialist democracy and the NLF, founded by the YCCC, was an underground network of cells of guerrillas, a series of overlapping ensembles that sought to unite the various armed forces of the liberation movement. Their personnel, modes of analysis, orientations, tendencies and strategies were present in the earlier and subsequent decades of struggle, finding expression in a wide range of political and intellectual forms –united fronts, underground study groups, education projects, publications, and independent political actions. The project’s scope extends from the late 1950s until the late 1980s, and explores various responses to the changing conditions of apartheid and capitalism in South Africa and Namibia. This radical trajectory of study and struggle was formed outside of a single or stable political home and it evolved through continual experimentation and collaboration with other political organisations. While some of these experiments, and the individuals that constituted them, have been written about in isolated ways, a longer trajectory of these formations that attempts to understand its development over time, has not, up until this point, been written. To research this topic, the dissertation’s process has undertaken semi-structured interviews and done archival work in both officially constituted collections, and personal and private collections of individuals and families who were participant in the history. The work makes an original contribution to the existing literature in three ways. Firstly, by writing this history – the longer tradition of the YCCC/NLF’s study and struggle – for the first time. Secondly, by illuminating their alternative perspectives and alternative approaches within major conjunctures in the liberation struggle, it contests the often-assumed inevitability of the political dispensation of the present moment which is based on a teleological account of the liberation struggle. Thirdly, the dissertation elaborates and develops, as organisational form and a method of historical research, the concept of ensemble. Bands in the black creative music tradition are taken as the paradigmatic expression of ensemble and this is transposed to consider the evolution of the minoritarian tradition of the YCCC/NLF over time. This opens up an affinity for narrative 3 | P a g e and the contradictions that emerge in the course of struggle, understanding the process, and an attentiveness to it, as important in the experimentation with and elaboration of an alternative approach to writing and thinking about history that is informed by the need for ongoing struggle. The dissertation argues that the significance of the history of the YCCC and the NLF cannot be understood only within the moment of their existence and instead needs to be considered in relation to the longer trajectory of their political ideas and practices.
The Relationship Between Sensory Disability Status and Contraceptive Use Among Women Aged 15- 49 Years Old In South Africa
(University of the Witwatersrand, Johannesburg, 2024) Sifora, Kutlwano Katlego Kimberly; De Wet-Billings, Nicole
Background: Studies suggest that disability significantly hinders access to reproductive health services, particularly family planning, in low- and middle-income countries. Women with disabilities have a low contraceptive use rate, leading to increased risks of unintended pregnancies and health complications. This study examined the relationship between sensory disability status and contraceptive use in South Africa. A sensory disability is a condition that affects one or more of the body's sensory functions like sight, hearing, touch, taste, or smell. In this study, sensory disabilities focused on hearing and visual impairments. Methods: The study employed a cross-sectional design using the 2016 South Africa Demographic and Health Survey. The study focused on women of reproductive age (15–49 years old) in South Africa, who were sexually active and provided information on both their contraceptive use and sensory disability status. The outcome variable of this study was contraceptive use, and the main independent variable was sensory disability status. The control variables included demographic characteristics namely age, race, marital status, province, and place of residence, as well as socioeconomic characteristics such as employment status, wealth status, education, family planning messages, and contraceptive knowledge. The analysis was conducted using Stata 17.0 on a weighted sample of 6 683 sexually active women aged 15–49 years old who answered questions on contraceptive use. The data analysis was done in three phases. For the first phase, cross-tabulations and chi-square analysis were used to demonstrate the levels of contraceptive use as well as all characteristics of women. For the second phase, bivariate binary logistic regression models were used to determine the relationship between each of the independent variables and the outcome variable of contraceptive use. Lastly, for the third phase, a stepwise multivariate binary logistic regression was utilised to determine the relationship between sensory disability status and contraceptive use among women aged 15– 49 years old in South Africa. Results: Among South African women of reproductive age, 55.4% were using contraceptives. Women with sensory disabilities were shown to have lower odds of using contraceptives than those without sensory disabilities, even after adjusting for all other variables [OR: 0.78, CI: 0.63873 - 0.95227]. Significant associations with contraceptive use were observed for factors xi including age, race, marital status, education and province. Compared to women aged 15–24, women aged 35–39 had a much lower likelihood of using contraceptives. [OR: 0.46, CI: 0.38150 - 0.55364]. Women from races other than black were also observed to have lower odds for contraceptive use compared to black women [OR: 0.75, CI: 0.61098 - 0.92237]. Conversely, married women were significantly more likely to use contraceptives than women who were never married [OR: 1.23, CI: 1.05328 - 1.42899]. Additionally, women with secondary [OR: 1.98, CI: 1.28089 - 3.07512] or higher education [OR: 2.40, CI: 1.49931 - 3.83750] exhibited a significantly higher likelihood of contraceptive usage compared to those lacking formal education. Women residing in Western Cape [OR: 1.83, CI: 1.29743 - 2.57637], Eastern Cape [OR: 1.66, CI: 1.27747 - 2.15886], Northern Cape [OR: 1.61, CI: 1.18574 - 2.19087], KwaZulu Natal [OR: 1.51, CI: 1.17797 - 1.92456], North West [OR: 1.43, CI: 1.01266 - 2.01228], and Mpumalanga [OR: 1.50, CI: .15808 - 1.93439] were found to have a higher likelihood of using contraceptives compared to women residing in Limpopo. Conclusions: Low contraceptive use among women with sensory disabilities in South Africa highlights the need for inclusive reproductive health services, addressing communication, information access, and societal attitudes to ensure informed decisions.
What are the reasons behind the poor access of Covid-19 vaccines in Africa?
(University of the Witwatersrand, Johannesburg, 2023-09) Xaba, Lumkile Thobile; Moore, Candice
Despite the pandemic and initiatives such as COVAX that were put in place for fair and equal distribution of vaccines, the African continent remains the least vaccinated continent in the world. Incorporating evidence from articles, journals and policies, this study demonstrates that the African continent had the least and poorest access to vaccines. This research paper aims to understand why Africa has received the least vaccines and is the least vaccinated continent. The paper looks at the availability of vaccines in Africa and the appropriate options available in healthcare settings to receive Covid-19 vaccines. Literature is used by various scholars to understand the reasons behind the poor access to vaccines which have resulted to low vaccine uptake in Africa. It aims to look at the various contributing factors to this phenomenon, “why has the African continent been the least vaccinated?” To respond to these issues, this study uses the theories of classical realism and institutional liberalism to discover why Africa was the least vaccinated continent. Data has been collected from March 2022 and subjected to discourse analysis to help further understand the reasons behind the poor access of vaccinations during Covid-19 in Africa. We find that there are both internal and external reasons behind the poor access in Africa and both national and international factors have contributed to poor vaccine access.
Classical Liberalism and the Distribution of Benefits and Burdens with respect to Health-Care
(University of the Witwatersrand, Johannesburg, 2023-08) Tsengiwe, Siyabulela Thomas; Allais, Lucy
The South African government is proposing major health policy reforms, the National Health Insurance (NHI), in response to extreme inequalities in healthcare, where the middle and upper classes have access to quality healthcare in the private sector and the majority is subjected to poor healthcare in the public sector. The debate is fierce among South Africans as to what should be the appropriate healthcare policy for the country. Fundamentally, healthcare is an ethical issue of how benefits and burdens should be distributed in society and can better be understood through moral reflection. At the heart of this study is a critical review of one of the influential theories of justice, namely, classical liberalism that normally finds its expression in social and economic policies and in this case the focus is on healthcare. The question that this study seeks to answer is: can classical liberalism produce the right distribution of benefits and burdens with respect to healthcare? The suggestion of this study is that classical liberalism gives an inadequate account of how to distribute benefits and burdens with respect to healthcare. For more coherent accounts, the study proposes that we need to look in the direction of John Rawls and social equality. Government’s approach seems to borrow from elements of Rawls and social equality.
Experiences of Youth in Agrarian Transformation in Rural South Africa: A Case of Greenplanet Primary Cooperative in Orange Farm
(University of the Witwatersrand, Johannesburg, 2022-03) Chibonore, Wilma Claris; Kariuki, Samuel
This thesis advanced a qualitative approach to analyse the practices, structures and rationalities that inform youth engagement in agriculture drawing on evidence from Orange Farm in Gauteng Province of South Africa. The study takes off on the premise that there is low generational renewal in agriculture as the older and ageing generation makes the majority of active farmers yet farming holds great potential for creating youth employment whilst youth engagement in agriculture secures food of the future. The study finds that youth (dis)engagement and (dis)interest in farming is directly related to the availability and easy access to everyday support structures particularly those provided by the state and observes that many young people are in fact interested in farming but are currently operating in a structurally disabling environment amidst poor state support which does not allow for growth or access to key resources. The study finds that youth interest in farming exists although these interests are largely skewed towards technologically advanced farming systems and against backward manual farming systems therefore contradicting existing discourse as well as challenging the general narrative and consensus that youths are not interested in farming or that youth interest in farming is waning. The thesis reveals that young farmers understanding, interpretation and engagement with agricultural technology is based on their levels of exposure, location and access to resources. Poverty, structural limitations and marginalization experienced by the youth contribute significantly to their reception and perception of agriculture as a whole. The thesis argues for an agrarian developmental state approach towards the strengthening of agricultural opportunities and the relevant institutional structures and resources such as land, stipends, extension services, training, technology and market allocation to support youth farming in rural South Africa where the economies are generally stagnant and youth unemployment very high. This study observes that young people as active citizens and through utilising individual agency have the capacity to drive their own innovations within the agricultural sector when awarded the platform, opportunity and support to do so. The study reveals that the young farmers are ‘millennials’ who use their youth agency to engage in social networking facilitated by use of social media as a powerful tool for unity and resistance against unfavourable farming environments. Lastly, two contradictory perspectives on the impact of COVID-19 emerge in this study, one of COVID-19 having presented opportunities for growth and success for the young farmers and another of the pandemic having further marginalized and disrupted the already struggling young farmers with both narratives being shaped directly and indirectly by the pre-existing structural challenges. Methodologically, empirical data was mostly gathered through face to face semi-structured interviews, focus groups and conversations with the young farmers with the remainder of interviews having been conducted virtually via Skype, WhatsApp chats and WhatsApp calls upon the emergence of COVID-19 which converged with this study. Participant observation occurred through attending farmers meetings, agriculture tours, engaging in some farming activities on some sites as well as being part of the young farmers WhatsApp group. The thesis also relied on published journals, statistical reports, media reports, policy documents as well as videos from the public hearings regarding the amendment of the South African Constitution to allow for expropriation of land without compensation in order to bolster the empirical findings.

School of Social Sciences (ETDs)

Browse

Filters

Settings

Sort By

Results per page

Search Results