Faculty of Humanities (ETDs)

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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.
Depression Demographic Profiling of Young Adults in South Africa
(University of the Witwatersrand, Johannesburg, 2024) Bambo, Matsidiso Princess; Hassem, Tasneem
In young people aged 15 and 29 years, mental illnesses accounted for 23% of Years Lived with Disability (YLD) and among mental disorders, depressive disorders emerged as the second largest worldwide contributor to YLD at approximately 5.6%. In addition, one in every six individuals suffered from depression in South Africa. However, there is limited recent research about the demographic characteristics of South African emerging adults who may be vulnerable to depression. This research aimed to conduct demographic profiling of emerging adults (N=819) in South Africa who present with depressive symptoms. Additionally, using Pearson’s Product-Moment Correlation, T-test, and ANOVA, this cross- sectional research analysed secondary data from the Africa Long Life Study to determine relationships as well as statistical differences among demographic variables and depressive symptoms. Results indicated a low presence of depression in the sample. Significant relationships were found between depressive symptoms and demographic variables (socioeconomic status and religiosity). While no significant differences were found among language groups, a higher presence of depressive symptoms was found among females and those experiencing moderate to great financial difficulties. The findings emphasised the critical need for mental health policies and initiatives that promote prevention or early detection, prevention, and enhanced access to quality mental healthcare, particularly among vulnerable emerging adults like females and individuals who are economically disadvantaged. Mental health interventions should adopt comprehensive approaches that incorporate aspects of religiosity and spirituality to buffer against the presence of depressive symptoms among emerging adults
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
The Expressive Semantic Skills of Sesotho-Speaking Toddlers (28 and 30 months): A Comparison using the Sesotho Picture-Naming Vocabulary Task and the Preliminary Version of the Sesotho Communicative Development Inventory
(University of the Witwatersrand, Johannesburg, 2024) Naidoo, Kerchia; Moonsamy, Sharon; Southwood, Frenette; Mupawose,Anniah
Background: At present, there exists little to no standardised methods of assessing language- related skills which have been normed within the South African population. This makes it difficult for a Speech-Language Pathologist to accurately diagnose language or communication difficulties within this context, and has resulted in inappropriate interventions and the stigma of disability associated with a child with a language impairment. It is therefore imperative that Speech-Language Pathologists use assessment tools that are fit for purpose, i.e. culturally appropriate and linguistically relevant for the diverse child populations in South Africa. The intention for this research study is to assist the South African Communicative Development Inventory team in addressing the concerns of culturally and contextually inappropriate assessment methods. Aims: The key aim of this research study was to compare the results of a Basotho child’s expressive, semantic language skills using the caregiver-report Communicative Development Inventory and the picture-naming vocabulary task. The objectives were to: (i) describe the contextual background of Sesotho-speaking child participants which may have influenced their communication development; (ii) describe the child participants’ semantic communication abilities using the Sesotho Communicative Development Inventory; and (iii) describe the child participants’ expressive semantic abilities using the picture-naming vocabulary task. Method: This research study employed a mixed methods approach using multiple case studies. The case studies comprised of caregiver-child dyads. Both quantitative and qualitative paradigms were utilised to achieve the mixed methods approach. The non-probability, purposive sampling method assisted in selecting participants for this study. The data collection was conducted in a predominantly monolingual Sesotho-speaking population in Tweeling, Free State. A total sample size of 20 – 10 adult and 10 child participants – was chosen for this study. The adult participants were the adult caregivers of the child participants. The child participants were chosen between 28 and 30 months of age who are monolingual Sesotho speakers. Three data collection instruments were administered on the chosen participants: a family background questionnaire; a Sesotho picture-naming vocabulary task; and the Sesotho Communicative Development Inventory. The analysis of the assessment instruments used descriptive statistics, inferential statistics, and semantic analysis. Results: A significant correlation was found between the Sesotho Communicative Development Inventory and the Sesotho picture-naming vocabulary task. The Communicative Development Inventory highlighted maternal-headed households and socioeconomic status as the major sociocultural factors impacting the child participants’ language development outside of the individual factors. Furthermore, the Communicative Development Inventory revealed that 70% of adult participants were more likely to report that their child would have language skills below the 50th percentile. However, the majority (60%) of child participants’ scores on the picture-naming vocabulary task were above the 50th percentile. Adult participants also noted that their child would perform higher in semantic categories related to verbs, food, adjectives, household items, and games and routines. However, the child participants scored higher in only two of the same categories reported by their adult caregivers: household items and games and routines. Conclusion/Implications: The research study found that the Communicative Development Inventory did in fact measure what it was intended for – the expressive language skills of the Sesotho child participant. The implications for this lay in the South African Communicative Development Inventory team’s mandate to validate inventories in all South African indigenous languages. These indigenous inventories can then be used to more accurately assess indigenous speakers’ language skills which can eventually lead to the collection and development of language norms
Protecting Independent Local Contemporary Fashion: An exploration of policies that shaped the South African fashion industry and approaches to protect local independent South African contemporary fashion as cultural heritage
(University of the Witwatersrand, Johannesburg, 2024) Atkinson, Kendall Lee; Desando, Marcus
Local independent South African contemporary fashion designers face a challenging market when entering the South African fashion industry to sell their products. Local independent contemporary designers are forced to compete with the overwhelmingly popular international fast fashion brands that populate malls nationwide with little to no support. This has created challenging and convoluted entry points for local independent contemporary designers and continuous challenges to stay in the market. Independent local contemporary fashion designers offer something different than chain stores: a specific creative and cultural design perspective. People are naturally influenced by their environments and identity; therefore, local independent contemporary fashion designers instinctively design from their cultural perspective. We are losing aspects of cultural identity and history by not supporting or protecting local independent contemporary fashion designers’ businesses. This paper investigates the challenges both the designers and consumers face in the industry and different methods of protecting local independent South African contemporary fashion designers to preserve their art and support the local fashion sector. The research methodology used was hermeneutical phenomenology, and my experience as a consumer of the South African fashion industry was not omitted due to the study method. Five interviews were conducted, three individuals participated in photovoice, and 84 participants were surveyed. The results show evidence of the innate interconnection of culture and cultural heritage with South African contemporary designers and the challenges that the designers face due to policy decisions by the South African government. In order to protect local contemporary fashion designers to allow them the opportunity for success, fashion should be declared as a cultural heritage by the South African government.
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.
Stakeholder perceptions of the job skills and job roles required by Industrial psychologists in South Africa
(University of the Witwatersrand, Johannesburg, 2024) Kekana, Lerato Valencia; Isreal, Nicky
The Fourth Industrial Revolution and recent Covid-19 pandemic have brought large changes to the way work is defined and enacted, and these transitions have placed a unique demand on Industrial/Organisational Psychologists (IOPs) to help organisations and employees manage these workplace changes. This has further emphasised the need for the clarification and reassessment of the job roles and job skills required of Industrial/Organisational psychologists (IOPs) in South Africa. This study explored and compared the perceptions held by I/O psychology students and trainers (i.e., lecturers and supervisors) with regards to the job role and job skills required of IOPs in South Africa. Based on the review of literature, an online survey was designed and distributed to a group of 60 (59.4%) I/O psychology students and 41 (40.6%) I/O psychology trainers (n = 101) who voluntarily completed the survey. The survey collected both quantitative and qualitative data and this was analysed using a combination of statistics and content analysis. Both students and trainers in the sample emphasised the psychological and facilitative roles of IOPs in the workplace, with their facilitative functions taking precedence. Both groups distinguished IOPs from human resource practitioners based primarily on daily processes. Students rated most roles as significantly more important than trainers however both groups identified organisational development, employee wellbeing and work life, change management, training, psychological assessments, motivation and rewards, and research as the most important roles that IOPs fulfil in the workplace. There was agreement from both groups that the roles of IOPs would change at least moderately in the next five years. With regards to the job skills required of IOPs, a degree of congruence was observed in the top five skills that both groups noted, which included the four key skills of critical thinking; responsibility and reliability; honesty and integrity; and communication. Students prioritised people management as their fifth top skill while trainers prioritised emotional intelligence. Both groups emphasised practical work experience as the most important skill to be adequately prepared for the workplace and also identified interpersonal, communication and social skills; emotional intelligence; problem-solving; analytical and critical thinking; boldness; and business acumen as important. The findings of the study provide greater insight and possible directions for education and training of IOPs in South Africa, although further research in a broader range of stakeholders is needed.

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