Sample records for johannesburg south africa

  1. Alcohol consumption in adolescent homicide victims in the city of Johannesburg, South Africa.

    PubMed

    Swart, Lu-Anne; Seedat, Mohamed; Nel, Juan

    2015-04-01

    To describe the blood alcohol concentration (BAC) of adolescent homicide victims in Johannesburg, South Africa and to identify the victim and event characteristics associated with a positive BAC at the time of death. Logistic regression of mortality data collected by the National Injury Mortality Surveillance System (NIMSS). Johannesburg, South Africa. A total of 323 adolescent (15-19 years) homicide victims for the period 2001-9 who had been tested for the presence of alcohol. Data on the victims' BAC level, demographics, weapon or method used, scene, day and time of death were drawn from NIMSS. Alcohol was present in 39.3% of the homicide victims. Of these, 88.2% had a BAC level equivalent to or in excess of the South African limit of 0.05 g/100 ml for intoxication. Multivariate logistic analysis showed that a positive BAC in homicide victims was associated significantly with the victim's sex [male: odds ratio (OR) = 2.127; 95% confidence interval (CI) = 1.012-4.471], victim's age (18-19 years: OR = 2.364; CI = 1.343-4.163); weapon used (sharp instruments: OR = 2.972; CI = 1.708-5.171); and time of death (weekend: OR = 3.149; CI = 1.842-5.383; night-time: OR = 2.175; CI = 1.243-3.804). Excessive alcohol consumption is associated with a substantial proportion of adolescent homicides in Johannesburg, South Africa, and is more prevalent among male and older adolescent victims and in victims killed with sharp instruments over the weekends and during the evenings. © 2015 Society for the Study of Addiction.

  2. Pneumonic Plague in Johannesburg, South Africa, 1904

    PubMed Central

    Egan, Joseph R.; Hall, Ian

    2018-01-01

    Plague is a potentially dangerous reemerging disease. Because modern outbreaks are relatively infrequent, data for epidemiologic study are best found in historical accounts. In 1905, the Rand Plague Committee published a report describing an explosive outbreak of 113 cases of pneumonic plague that occurred in Johannesburg, South Africa, in 1904. Using these data, we investigated social, spatial, and temporal dynamics and quantified transmissibility as measured by the time-varying reproduction number. Risk for transmission was highest when friends, family members, and caregivers approached the sick. Reproduction numbers were 2–4. Transmission rates rapidly diminished after implementation of control measures, including isolation and safer burial practices. A contemporaneous smaller bubonic plague outbreak associated with a low-key epizootic of rats also occurred. Clusters of cases of pneumonic plague were mostly limited to the Indian community; cases of bubonic plague were mostly associated with white communities and their black African servants.

  3. The Situational Context of Adolescent Homicide Victimization in Johannesburg, South Africa.

    PubMed

    Swart, Lu-Anne; Seedat, Mohamed; Nel, Juan

    2018-02-01

    Although studies have described the incidence and epidemiology of adolescent homicide victimization in South Africa, little is known about the situational contexts in which they occur. This study aimed to describe the victim, offender, and event characteristics of adolescent homicide and to generate a typology based on the particular types of situational contexts associated with adolescent homicide in South Africa. Data on homicides among adolescents (15-19 years) that occurred in Johannesburg (South Africa) during the period 2001-2007 were obtained from the National Injury Mortality Surveillance System (NIMSS) and police case records. Of the 195 cases available for analysis, 81% of the victims were male. Most of the offenders were male (90%), comprising of strangers (42%) and friends/acquaintances (37%). Arguments (33%) were the most common precipitating circumstances, followed by revenge (11%), robbery (11%), and acts of vigilantism/retribution for a crime (8%). Through the use of cluster analysis, the study identified three categories of adolescent homicide: (a) male victims killed by strangers during a crime-related event, (b) male victims killed by a friend/acquaintance during an argument, and (c) female victims killed by male offenders. The results can serve to inform the development of tailored and focused strategies for the prevention of adolescent homicide.

  4. Challenging urban health: towards an improved local government response to migration, informal settlements, and HIV in Johannesburg, South Africa

    PubMed Central

    Vearey, Joanna

    2011-01-01

    This article is a review of the PhD thesis undertaken by Joanna Vearey that explores local government responses to the urban health challenges of migration, informal settlements, and HIV in Johannesburg, South Africa. Urbanisation in South Africa is a result of natural urban growth and (to a lesser extent) in-migration from within the country and across borders. This has led to the development of informal settlements within and on the periphery of urban areas. The highest HIV prevalence nationally is found within urban informal settlements. South African local government has a ‘developmental mandate’ that calls for government to work with citizens to develop sustainable interventions to address their social, economic, and material needs. Through a mixed-methods approach, four studies were undertaken within inner-city Johannesburg and a peripheral urban informal settlement. Two cross-sectional surveys – one at a household level and one with migrant antiretroviral clients – were supplemented with semi-structured interviews with multiple stakeholders involved with urban health and HIV in Johannesburg, and participatory photography and film projects undertaken with urban migrant communities. The findings show that local government requires support in developing and implementing appropriate intersectoral responses to address urban health. Existing urban health frameworks do not deal adequately with the complex health and development challenges identified; it is essential that urban public health practitioners and other development professionals in South Africa engage with the complexities of the urban environment. A revised, participatory approach to urban health – ‘concept mapping’ – is suggested which requires a recommitment to intersectoral action, ‘healthy urban governance’ and public health advocacy. PMID:21686331

  5. Dietary diversity of formal and informal residents in Johannesburg, South Africa

    PubMed Central

    2013-01-01

    Background This paper considers the question of dietary diversity as a proxy for nutrition insecurity in communities living in the inner city and the urban informal periphery in Johannesburg. It argues that the issue of nutrition insecurity demands urgent and immediate attention by policy makers. Methods A cross-sectional survey was undertaken for households from urban informal (n = 195) and urban formal (n = 292) areas in Johannesburg, South Africa. Foods consumed by the respondents the previous day were used to calculate a Dietary Diversity Score; a score < 4 was considered low. Results Statistical comparisons of means between groups revealed that respondents from informal settlements consumed mostly cereals and meat/poultry/fish, while respondents in formal settlements consumed a more varied diet. Significantly more respondents living in informal settlements consumed a diet of low diversity (68.1%) versus those in formal settlements (15.4%). When grouped in quintiles, two-thirds of respondents from informal settlements fell in the lowest two, versus 15.4% living in formal settlements. Households who experienced periods of food shortages during the previous 12 months had a lower mean DDS than those from food secure households (4.00 ± 1.6 versus 4.36 ± 1.7; p = 0.026). Conclusions Respondents in the informal settlements were more nutritionally vulnerable. Achieving nutrition security requires policies, strategies and plans to include specific nutrition considerations. PMID:24088249

  6. In-migration and Living Conditions of Young Adolescents in Greater Johannesburg, South Africa

    PubMed Central

    Richter, Linda M.; Norris, Shane A.; Swart, Tanya M.; Ginsburg, Carren

    2007-01-01

    While migration in South Africa has been studied on a broad canvas, there have been few accounts of children's migration and the effects on living conditions and wellbeing. This article compares the access to services, housing and household amenities, and family characteristics of children born in the Greater Johannesburg metropolis with those of in-migrant children. The article also examines other indicators of child wellbeing related to parental care and schooling. In-migrant children, particularly children who have lived previously in rural areas and/or have recently migrated into the city, are significantly disadvantaged in comparison to long-term resident children in terms of parental education and occupation, housing type and ownership, access to electricity, refuse removal, water and sanitation. In-migrant children also live in households that are less likely to have amenities such as a refrigerator, television, washing machine, telephone and motor vehicle. In terms of child indicators, in-migrant children enjoy less frequent parental contact and are twice as likely to start school later than resident children. Whilst urbanisation to South Africa's metropolitan centres is generally associated with several widely recognised benefits, for children, these benefits may be tempered by the disadvantages of in-migrant families known to be associated with child wellbeing. PMID:18273401

  7. Highlights from Johannesburg, Gauteng Province, South Africa

    NASA Technical Reports Server (NTRS)

    2002-01-01

    the cooler highveld to the south. The large round feature near the north-west corner indicates an ancient volcanic crater in the Pilanesberg National Park. Many bright, buff-colored rectangular patches around Johannesburg are associated with mining activities, and at least two of these areas (situated 40 kilometers southeast of the city) hold large amounts of water. The Sterkfontein Caves (now included within the recently created 'Cradle of Humankind' World Heritage Site) are located about 35 kilometers northwest of Johannesburg. In the southern portion of the images, a section of the Vredefort Hills are apparent to the west, and to the east the Vaal River and a large water body contained by the Vaal Dam delineate the border between the Gauteng and Free State provinces.

    The Multi-angle Imaging SpectroRadiometer observes the daylit Earth continuously from pole to pole, and views almost the entire globe every 9 days. This image is a portion of the data acquired during Terra orbit 13266, and covers an area of about 190 kilometers x 221 kilometers. It utilizes data from blocks 111 to 112 within World Reference System-2 path 170.

    MISR was built and is managed by NASA's Jet Propulsion Laboratory, Pasadena, CA, for NASA's Office of Earth Science, Washington, DC. The Terra satellite is managed by NASA's Goddard Space Flight Center, Greenbelt, MD. JPL is a division of the California Institute of Technology.

  8. From apartheid to integration: the role of the Witwatersrand Medical library in health care services in Johannesburg, South Africa.

    PubMed Central

    Myers, G

    1995-01-01

    Adapting to change is always difficult; all the more so when changes in the administrative structure of health care are part of a national political transformation toward democracy. As South Africa moves from apartheid to integration in its health services, the Witwatersrand Medical Library (WML) will have to adopt innovative strategies to cope with increasing demands on its resources by sub-Saharan African medical libraries and with expected decreases in state funding for health and education. WML also will have to address the lack of hospital library services in the Johannesburg region by expanding its academic branches at University of the Witwatersrand Medical School's teaching hospitals to serve both hospital and academic health care staff. This article discusses these challenges in the context of rapidly changing academic health care services in Johannesburg. PMID:7703943

  9. Exploring perceptions of HIV risk and health service access among Zimbabwean migrant women in Johannesburg: a gap in health policy in South Africa?

    PubMed

    Munyewende, Pascalia; Rispel, Laetitia C; Harris, Bronwyn; Chersich, Matthew

    2011-01-01

    We present qualitative data from a 2005 exploratory study, recently published studies, and an analysis of the Department of Health's strategic plan to highlight the need for a broader policy debate on health-care access for migrants in South Africa. We conducted in-depth interviews with 15 Zimbabwean women living in inner-city Johannesburg to document the special characteristics of this group of migrants, enquiring about their perceptions of HIV risk, and experiences of health services in South Africa. We identified access barriers, namely perceptions of relatively low HIV risk, severely constrained financial circumstances, uncertain legal status, and experiences of unresponsive health workers. We recommend that migrant-health rights be placed on South Africa's policy agenda, migrants be included in HIV prevention programs and that health workers be sensitized to the needs of migrants.

  10. The Extent, Nature and Environmental Health Implications of Cottage Industries in Johannesburg, South Africa

    PubMed Central

    Teare, June; Kootbodien, Tahira; Naicker, Nisha; Mathee, Angela

    2015-01-01

    Cottage industries comprise a sub-group of informal sector income generation activities which are conducted in the home environment and organized around families or households. Cottage industry workers may be at risk of exposure to harmful substances associated with their work, and given the lack of separation of cottage industry activities from living spaces, their families and neighbors may similarly be at risk of exposure. This study was undertaken to determine the extent and nature of cottage industries in five neighborhoods in Johannesburg (South Africa) A cross-sectional survey was conducted across five communities in Johannesburg in 2012. Data on metal-related cottage industry activities were collected through the administration of a pre-structured questionnaire. Metal-related cottage industry activities were defined as car repairs, spray painting, scrap metal recycling, electrical appliance repairs, welding, hairdressing and metal jewelry making. One fifth of the households interviewed were operating one or more cottage industries associated with the use of toxic substances. Therefore, the potential exists for associated ill health effects in a considerable proportion of the population. Further research is needed to fully assess exposure to the harmful aspects of cottage industry, as are scaled up campaigns to increase awareness of the risks and correct handling of toxic substances. PMID:25664698

  11. The extent, nature and environmental health implications of cottage industries in Johannesburg, South Africa.

    PubMed

    Teare, June; Kootbodien, Tahira; Naicker, Nisha; Mathee, Angela

    2015-02-05

    Cottage industries comprise a sub-group of informal sector income generation activities which are conducted in the home environment and organized around families or households. Cottage industry workers may be at risk of exposure to harmful substances associated with their work, and given the lack of separation of cottage industry activities from living spaces, their families and neighbors may similarly be at risk of exposure. This study was undertaken to determine the extent and nature of cottage industries in five neighborhoods in Johannesburg (South Africa) A cross-sectional survey was conducted across five communities in Johannesburg in 2012. Data on metal-related cottage industry activities were collected through the administration of a pre-structured questionnaire. Metal-related cottage industry activities were defined as car repairs, spray painting, scrap metal recycling, electrical appliance repairs, welding, hairdressing and metal jewelry making. One fifth of the households interviewed were operating one or more cottage industries associated with the use of toxic substances. Therefore, the potential exists for associated ill health effects in a considerable proportion of the population. Further research is needed to fully assess exposure to the harmful aspects of cottage industry, as are scaled up campaigns to increase awareness of the risks and correct handling of toxic substances.

  12. South Africa

    NASA Technical Reports Server (NTRS)

    2002-01-01

    contained within South Africa's boundaries. In the upper righthand corner of the image is the Bay of Maputo, where sits Maputo, the capital of Mozambique. Fires are visible in the northeast corner of the image, near Maputo. Just north of Maputo is where the Limpopo River empties into the Indian Ocean. Tracing the Limpopo inland back toward the west, this river defines the northern boundary of South Africa with both Zimbabwe and Botswana. Johannesburg, the commercial capital of South Africa, can be seen as the greyish pixels in the northeastern region of the country. The country's legislative capital, Pretoria, is about 50 miles north of Johannesburg and 250 miles west of Maputo, in the heart of the Northern Province (formerly known as Transvaal). (Image courtesy Jacques Descloitres, MODIS Land Group, NASA Goddard Space Flight Center)

  13. The epidemiology of homicidal strangulation in the City of Johannesburg, South Africa.

    PubMed

    Suffla, Shahnaaz; Seedat, Mohamed

    2016-01-01

    Studies that provide accurate descriptions of the occurrence of fatal strangulation events are limited, both in South Africa and elsewhere in the world. The current study describes the extent and distribution of female and male homicidal strangulation in the City of Johannesburg for the period 2001-2010. The study is a register-based cross sectional study of homicidal strangulation that draws on data recorded by the National Injury Mortality Surveillance System. Crude, unadjusted strangulation rates, and proportions of strangulation across specific circumstances of occurrence were computed for each year and aggregated in some instances. Results indicated fatal strangulation to be the fourth leading cause of homicide in the City of Johannesburg. A total of 334 strangulation homicides were recorded, representing an average annual strangulation homicide rate of 0.90 per 100,000 population. Gender disproportionality in victimisation was reflected in the average annual rate of 1.03 per 100,000 population for females and 0.74 per 100,000 population for males. The highest rates were recorded among the elderly, and amongst coloured females and white males. Temporal and spatial descriptions indicated that victims were strangled primarily during the day, over the weekday period, and in private locations. When the scene of death was considered by race and age group, results indicated the victimisation of white females and males in private places, and the elderly in private settings. The majority of strangulation victims tested negative for alcohol. The results highlight the need for multi-level prevention strategies that target specific risk groups and situations. Copyright © 2015 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  14. Treatment initiation among persons diagnosed with drug resistant tuberculosis in Johannesburg, South Africa

    PubMed Central

    Schnippel, Kathryn; Govathson, Caroline; Sineke, Tembeka; Black, Andrew; Long, Lawrence; Berhanu, Rebecca; Rosen, Sydney

    2017-01-01

    Background In South Africa, roughly half of the drug-resistant TB cases diagnosed are reported to have been started on treatment. We determined the proportion of persons diagnosed with rifampicin resistant (RR-) TB who initiated treatment in Johannesburg after the introduction of decentralized RR-TB care in 2011. Methods We retrospectively matched adult patients diagnosed with laboratory-confirmed RR-TB in Johannesburg from 07/2011-06/2012 with records of patients initiating RR-TB treatment at one of the city’s four public sector treatment sites (one centralized, three decentralized). Patients were followed from date of diagnosis until the earliest of RR-TB treatment initiation, death, or 6 months’ follow-up. We report diagnostic methods and outcomes, proportions initiating treatment, and median time from diagnosis to treatment initiation. Results 594 patients were enrolled (median age 34 (IQR 29–42), 287 (48.3%) female). Diagnosis was by GenoType MTBDRplus (Hain-Life-Science) line probe assay (LPA) (281, 47.3%), Xpert MTB/RIF (Cepheid) (258, 43.4%), or phenotypic drug susceptibility testing (DST) (30, 5.1%) with 25 (4.2%) missing a diagnosis method. 320 patients (53.8%) had multi-drug resistant TB, 158 (26.6%) rifampicin resistant TB by Xpert MTB/RIF, 102 (17.2%) rifampicin mono-resistance, and 14 (2.4%) extensively drug-resistant TB. 256/594 (43.0%) patients initiated treatment, representing 70.7% of those who were referred for treatment (362/594). 338/594 patients (57.0%) did not initiate treatment, including 104 (17.5%) who died before treatment was started. The median time from sputum collection to treatment initiation was 33 days (IQR 12–52). Conclusion Despite decentralized RR-TB treatment, fewer than half the patients diagnosed in Johannesburg initiated appropriate treatment. Offering treatment at decentralized sites alone is not sufficient; improvements in linking patients diagnosed with RR-TB to effective treatment is essential. PMID:28746344

  15. HIV testing and burden of HIV infection in black cancer patients in Johannesburg, South Africa: a cross-sectional study.

    PubMed

    Sengayi, Mazvita; Babb, Chantal; Egger, Matthias; Urban, Margaret I

    2015-03-18

    HIV infection is a known risk factor for cancer but little is known about HIV testing patterns and the burden of HIV infection in cancer patients. We did a cross-sectional analysis to identify predictors of prior HIV testing and to quantify the burden of HIV in black cancer patients in Johannesburg, South Africa. The Johannesburg Cancer Case-control Study (JCCCS) recruits newly-diagnosed black cancer patients attending public referral hospitals for oncology and radiation therapy in Johannesburg . All adult cancer patients enrolled into the JCCCS from November 2004 to December 2009 and interviewed on previous HIV testing were included in the analysis. Patients were independently tested for HIV-1 using a single ELISA test . The prevalence of prior HIV testing, of HIV infection and of undiagnosed HIV infection was calculated. Multivariate logistic regression models were fitted to identify factors associated with prior HIV testing. A total of 5436 cancer patients were tested for HIV of whom 1833[33.7% (95% CI=32.5-35.0)] were HIV-positive. Three-quarters of patients (4092 patients) had ever been tested for HIV. The total prevalence of undiagnosed HIV infection was 11.5% (10.7-12.4) with 34% (32.0-36.3) of the 1833 patients who tested HIV-positive unaware of their infection. Men >49 years [OR 0.49(0.39-0.63)] and those residing in rural areas [OR 0.61(0.39-0.97)] were less likely to have been previously tested for HIV. Men with at least a secondary education [OR 1.79(1.11-2.90)] and those interviewed in recent years [OR 4.13(2.62 - 6.52)] were likely to have prior testing. Women >49 years [OR 0.33(0.27-0.41)] were less likely to have been previously tested for HIV. In women, having children <5 years [OR 2.59(2.04-3.29)], hormonal contraceptive use [OR 1.33(1.09-1.62)], having at least a secondary education [OR:2.08(1.45-2.97)] and recent year of interview [OR 6.04(4.45-8.2)] were independently associated with previous HIV testing. In a study of newly diagnosed black

  16. Insights of health district managers on the implementation of primary health care outreach teams in Johannesburg, South Africa: a descriptive study with focus group discussions.

    PubMed

    Moosa, Shabir; Derese, Anselme; Peersman, Wim

    2017-01-21

    Primary health care (PHC) outreach teams are part of a policy of PHC re-engineering in South Africa. It attempts to move the deployment of community health workers (CHWs) from vertical programmes into an integrated generalised team-based approach to care for defined populations in municipal wards. There has little evaluation of PHC outreach teams. Managers' insights are anecdotal. This is descriptive qualitative study with focus group discussions with health district managers of Johannesburg, the largest city in South Africa. This was conducted in a sequence of three meetings with questions around implementation, human resources, and integrated PHC teamwork. There was a thematic content analysis of validated transcripts using the framework method. There were two major themes: leadership-management challenges and human resource challenges. Whilst there was some positive sentiment, leadership-management challenges loomed large: poor leadership and planning with an under-resourced centralised approach, poor communications both within the service and with community, concerns with its impact on current services and resistance to change, and poor integration, both with other streams of PHC re-engineering and current district programmes. Discussion by managers on human resources was mostly on the plight of CHWs and calls for formalisation of CHWs functioning and training and nurse challenges with inappropriate planning and deployment of the team structure, with brief mention of the extended team. Whilst there is positive sentiment towards intent of the PHC outreach team, programme managers in Johannesburg were critical of management of the programme in their health district. Whilst the objective of PHC reform is people-centred health care, its implementation struggles with a centralising tendency amongst managers in the health service in South Africa. Managers in Johannesburg advocated for decentralisation. The implementation of PHC outreach teams is also limited by

  17. Measuring and Understanding the Well-Being of South Africans: Everyday Quality of Life in South Africa

    ERIC Educational Resources Information Center

    Higgs, Neil T.

    2007-01-01

    South Africa has a Gini co-efficient of 62, one of the world's highest (Finmark: Project FinScope 2004 and 2005, FinMark Trust, Johannesburg). Hence, measures of wealth are ubiquitous social indicators in South Africa. However, a growing emphasis in government towards measurable service delivery targets and remedial action to redress the…

  18. Adolescent homicide victimization in Johannesburg, South Africa: incidence and epidemiological characteristics (2001-2009).

    PubMed

    Swart, Lu-Anne; Seedat, Mohamed; Nel, Juan

    2016-09-01

    This study describes the incidence and epidemiological characteristics of adolescent homicides (15-19 years) in Johannesburg, South Africa. A retrospective population-based study was conducted on cases drawn from the National Injury Mortality Surveillance System. A total of 590 adolescent homicides were registered for 2001-2009 corresponding to an average annual homicide rate of 23.4/100,000. The average annual rate was 39.8/100,000 for males and 7.9/100,000 for females. Black and coloured adolescents had the highest homicide rates. There was a considerable decline in the firearm homicide rates over the study period. In contrast, sharp instrument and blunt force homicides increased. Public places were the predominant scenes for male deaths, while female homicides occurred primarily in residential locations. Most male homicides took place over weekend nights. Alcohol was a prominent feature of homicides. The high homicide rates reported in this study underscore the need to develop interventions directed specifically at adolescents. Prevention efforts are required to pay particular attention to black and coloured adolescent males, and to address the availability of weapons and alcohol use among adolescents.

  19. Proved and potential vectors of yellow fever in South Africa

    PubMed Central

    De Meillon, Botha

    1954-01-01

    This paper, based on records obtained from the Entomology Department of the South African Institute for Medical Research, Johannesburg, gives a summary of the distribution, adult habits, and breeding-places of the proved and potential vectors of yellow fever in South Africa. PMID:13209304

  20. Indoor Temperatures in Low Cost Housing in Johannesburg, South Africa.

    PubMed

    Naicker, Nisha; Teare, June; Balakrishna, Yusentha; Wright, Caradee Yael; Mathee, Angela

    2017-11-18

    Ambient and indoor temperature affects thermal comfort and human health. In a changing climate with a predicted change in temperature extremes, understanding indoor temperatures, both hot and cold, of different housing types is important. This study aimed to assess the hourly, daily and monthly variation in indoor temperatures in different housing types, namely formal houses, informal houses, flats, government-built low-cost houses and old, apartheid era low-cost housing, in five impoverished urban communities in Johannesburg, South Africa. During the cross-sectional survey of the Health, Environment and Development study data loggers were installed in 100 homes (20 per suburb) from February to May 2014. Indoor temperature and relative humidity were recorded on an hourly basis. Ambient outdoor temperatures were obtained from the nearest weather station. Indoor and outdoor temperature and relative humidity levels were compared; and an inter-comparison between the different housing types were also made. Apparent temperature was calculated to assess indoor thermal comfort. Data from 59 retrieved loggers showed a significant difference in monthly mean indoor temperature between the five different housing types ( p < 0.0001). Low cost government-built houses and informal settlement houses had the greatest variation in temperature and experienced temperatures between 4 and 5 °C warmer than outdoor temperatures. Housing types occupied by poor communities experienced indoor temperature fluctuations often greater than that observed for ambient temperatures. Families living in government-built low-cost and informally-constructed homes are the most at risk for indoor temperature extremes. These types of housing should be prioritised for interventions aimed at assisting families to cope with extreme temperatures, gaining optimal thermal comfort and preventing temperature-related health effects.

  1. "Twilight Children": The Street Children of Johannesburg.

    ERIC Educational Resources Information Center

    Hickson, Joyce; Gaydon, Vanessa

    1989-01-01

    Interviewed approximately 25 street children in Johannesburg, South Africa, and social services and educational personnel providing services to these children. Street children had experienced stress within their family, school, and society. Many came from structurally disadvantaged homes. Approximately 90 percent were identified as learning…

  2. A GIS approach to seismic risk assessment with an application to mining-related seismicity in Johannesburg, South Africa

    NASA Astrophysics Data System (ADS)

    Liebenberg, Keagen; Smit, Ansie; Coetzee, Serena; Kijko, Andrzej

    2017-08-01

    The majority of seismic activity in South Africa is related to extensive mining operations, usually in close proximity to densely populated areas where a relatively weak seismic event could cause damage. Despite a significant decrease in mining operations in the Witwatersrand area, the number of seismic events appears to be increasing and is attributed to the acid mine drainage problem. The increased seismicity is raising concern amongst disaster management centres and in the insurance industry. A better understanding is required of the vulnerability and the size of the potential loss of people and infrastructure in densely populated Johannesburg and its surrounding areas. Results of a deterministic seismic risk, vulnerability, and loss assessment are presented by making use of a geographic information system (GIS). The results illustrate the benefits of using GIS and contribute to a better understanding of the risk, which can assist in improving disaster preparedness.

  3. Africa's middle class women bring entrepreneurial opportunities in breast care medical tourism to South Africa.

    PubMed

    Ahwireng-Obeng, Frederick; van Loggerenberg, Charl

    2011-01-01

    Africa's distribution of specialized private health services is severely disproportionate. Mismatch between South Africa's excess supply and a huge demand potential in an under-serviced continent represents an entrepreneurial opportunity to attract patients to South Africa for treatment and recuperative holidays. However, effective demand for intra-African medical tourism could be constrained by sub-Saharan poverty. Results from interviewing 320 patients and five staff at the Johannesburg Breast care Centre of Excellence, however, reject this proposition, Africa's middle class women being the target market estimated to grow annually by one million while breast cancer incidence increases with middle-class lifestyles. Uncovering this potential involves an extensive marketing strategy. Copyright © 2010 John Wiley & Sons, Ltd.

  4. Sexual and reproductive health outcomes among female sex workers in Johannesburg and Pretoria, South Africa: Recommendations for public health programmes.

    PubMed

    Slabbert, Mariette; Venter, Francois; Gay, Cynthia; Roelofsen, Corine; Lalla-Edward, Samanta; Rees, Helen

    2017-07-04

    The sexual and reproductive health (SRH) status of female sex workers is influenced by a wide range of demographic, behavioural and structural factors. These factors vary considerably across and even within settings. Adopting an overly standardised approach to sex worker programmes may compromise its impact on some sub-groups in local areas. Records of female sex workers attending clinic-, community-, or hotel-based health services in Johannesburg (n = 1422 women) and Pretoria (n = 408 women), South Africa were analysed. We describe the population's characteristics and identified factors associated with sexual and reproductive health outcomes, namely HIV status; previous symptomatic sexually transmitted infection (STI); modern contraceptive use and number of child dependents. The women in Johannesburg were less likely than those in Pretoria to have HIV (42.2% vs 52.9%), or previous symptomatic STIs (44.3% vs. 8.3%), and were 1.4 fold less likely to have child dependents (20.1% vs. 15.3%). About 43% of women in Johannesburg were Zimbabwean and 40% in Pretoria. Of concern, only about 15% of women in both sites were using modern contraceptives. Johannesburg women were also more likely to access health services at a hotel (85.0% vs. 80.6%) or clinic (5.7% vs. 0.5%), to have completed secondary education (57.1% vs. 36.0%), and moved house more than twice during the past year (19.6 vs. 2.0%). In both cities, risk of HIV rose rapidly with age (23.8%-58.2% vs. 22.0%-64.8%). Of interest, HIV prevalence was considerably higher in those with consistent condom use with one's main partner than inconsistent users. Sex worker populations are heterogeneous. Local health programmes must prioritise services that reflect the variety and complexity of sex worker needs and behaviours, and should be designed in consultation with sex workers. Segmenting sex worker populations according to age, country of origin and place of service delivery, and training healthcare providers

  5. AIDS in South Africa. Puppet power.

    PubMed

    Friedman, G

    1992-01-01

    Blacks in South Africa see the government campaign promoting condom use to prevent AIDS as a political ruse to control population growth among Blacks. The City Health Department of Johannesburg does not use a government created poster targeted to Blacks because it implies that only Blacks have AIDS. Even though the number of AIDS cases in South Africa is lower (700 reported cases) than that of its neighbors, the number of HIV infected individuals is growing. So nongovernmental organizations are trying to overcome the division between the government and Blacks by finding alternative ways to stem the AIDS epidemic. The African Research and Educational Puppetry Programme uses Puppets Against AIDS to bridge racial, cultural, language, and educational barriers to thus educate Blacks about AIDS. It not only hopes to create and perform educational and socially valuable theater, but also to rediscover performing arts traditions in southern and central Africa. Since about 76% of the black population in rural South Africa is illiterate, the gray skinned puppets constitute an interactive and inoffensive way to communicate a serious message. Someone demonstrates how to put on a condom using a life size model which induces controversy among physicians and educated whites. Blacks in Johannesburg and surrounding townships are not offended, however. In fact, many have never seen condoms before the demonstration. The puppets emphasize that safe sex and having sex with only 1 partner can stop the spread of AIDS. Each performance also includes live African percussion and music. A narrator distributes free condoms and AIDS information brochures to the audience. Videotapes of each performance are used to evaluate audience reactions. Independent evaluation teams evaluate the impact of the performance. 1-4 day workshops on AIDS, puppet making, story development, and performing skills follow each performance.

  6. Examining attitudes and knowledge about HPV and cervical cancer risk among female clinic attendees in Johannesburg, South Africa.

    PubMed

    Francis, Shelley A; Nelson, Jennifer; Liverpool, Joan; Soogun, Soji; Mofammere, Nokuthula; Thorpe, Roland J

    2010-11-23

    Developing countries account for 85% of the nearly 500,000 yearly cases of cervical cancer worldwide with approximately 250,000 deaths occurring in Sub-Saharan Africa, South Asia, and Latin America. In South Africa, cervical cancer is the 3(rd) leading cause of death among women. Although cervical cancer can be screened for with regular Pap tests, access to preventive screenings may be nearly non-existent in resource poor settings that have limited public health infrastructure and where women may lack basic health education. Therefore, it is important to understand women's attitudes, knowledge, and beliefs about HPV, cervical cancer, and the HPV vaccine, and assess their access to preventive screening in order to mitigate their risk for developing the disease. Eighty-six women, ages 18-44 with at least one child who presented at an antenatal clinic in a township in Johannesburg were recruited to complete a brief questionnaire. Using both descriptive and multivariate statistics, we assessed knowledge of cervical cancer, HPV, and the vaccine; assessed maternal-child communication about sex and STDs, assessed willingness to vaccinate child; and identified barriers to assessing medical care and the vaccine. The majority of participants were unfamiliar with HPV and cervical cancer, were concerned about their child's and their own risk for HPV and cervical cancer, faced numerous barriers to accessing screening, and were willing to vaccinate their child. Our findings indicate that women in developing countries need increased access to screening and education about HPV and cervical cancer prevention. Copyright © 2010 Elsevier Ltd. All rights reserved.

  7. South Africa's Vocational Colleges Struggle to Do Their Job

    ERIC Educational Resources Information Center

    Brown, Ryan

    2012-01-01

    With youth unemployment in South Africa hovering around 50 percent and close to half the population living in poverty, a university degree has come to be seen by many as the only way out. And universities are straining under the burden: This admissions cycle, the University of Johannesburg alone rejected more than 70,000 applicants in filling an…

  8. Assessment of occupational exposure to BTEX compounds at a bus diesel-refueling bay: A case study in Johannesburg, South Africa.

    PubMed

    Moolla, Raeesa; Curtis, Christopher J; Knight, Jasper

    2015-12-15

    Of increasing concern is pollution by volatile organic compounds, with particular reference to five aromatic hydrocarbons (benzene, toluene, ethyl benzene and two isomeric xylenes; BTEX). These pollutants are classified as hazardous air pollutants. Due to the potential health risks associated with these pollutants, BTEX concentrations were monitored at a bus diesel-refueling bay, in Johannesburg, South Africa, using gas chromatography, coupled with a photo-ionization detector. Results indicate that o-xylene (29-50%) and benzene (13-33%) were found to be the most abundant species of total BTEX at the site. Benzene was within South African occupational limits, but above international occupational exposure limits. On the other hand, occupational concentrations of toluene, ethyl-benzene and xylenes were within national and international occupational limits throughout the monitoring period, based on 8-hour workday weighted averages. Ethyl-benzene and p-xylene concentrations, during winter, correspond to activity at the site, and thus idling of buses during refueling may elevate results. Overall, occupational air quality at the refueling bay is a matter of health concern, especially with regards to benzene exposure, and future reduction strategies are crucial. Discrepancies between national and international limit values merit further investigation to determine whether South African guidelines for benzene are sufficiently precautionary. Copyright © 2015 Elsevier B.V. All rights reserved.

  9. Health risks of travelers in South Africa.

    PubMed

    Waner, S

    1999-09-01

    Large numbers of tourists visit South Africa every year. Travelers to urban areas are at little risk of contracting an infectious disease, however the adventure traveler is at increased risk. Yellow fever is not known to occur in South Africa. Malaria is endemic in Mpumalanga and KwaZula-Natal. Schistosomiasis is endemic in large parts of the country. Although rabies is found throughout the country, only a small number of human cases is reported. High risk areas are KwaZulu-Natal, the eastern Cape and Mpumalanga provinces. The incidence of human immunodeficiency virus (HIV) infection is high and counseling regarding sexually transmitted diseases is important. Sanitation of water is excellent in most large cities and towns; however travelers to rural areas should exercise caution. Arbovirus infections do occur but relatively few cases are reported. The hiker is at risk for tick bite fever and should be counseled. Since the abolition of apartheid, South Africa has been seen as an inexpensive, high quality destination by many tourists. In 1997, a total of 5,436,848 travelers from many different countries visited the country. Areas most frequently visited include Johannesburg, Cape Town, Durban, the Garden Route, Kruger National Park, KwaZulu-Natal and Pretoria. The most common reason for visiting the country was holiday (44%), followed by visiting friends and relatives (23%), business travel (27%) other (6%).1 Travelers, to the larger cities such as Johannesburg, Cape Town and Durban are at little risk of acquiring an infectious disease. The adventure traveler however is at greater risk as parts of the country are endemic for malaria, schistosomiasis, rabies, food and waterborne diseases, sexually transmitted diseases and arbovirus infections. Accidental deaths due to motor vehicle accidents and interpersonal violence are important health risks in South Africa. Travelers visiting popular attractions are at significantly lower risk. However this has never been

  10. Guidelines for rainwater harvesting system design and assessment for the city of Johannesburg, South Africa

    NASA Astrophysics Data System (ADS)

    Ndiritu, John; Ilemobade, Adesola; Kagoda, Paulo

    2018-06-01

    As water demand increases rainwater harvesting (RWH) systems are increasingly being installed for water supply but comprehensive hydrologic design guidelines for RWH do not exist in many parts of the world. The objective of this study was to develop guidelines for the hydrologic design and assessment of rainwater harvesting (RWH) systems in the City of Johannesburg, South Africa. The data for developing the guidelines were mainly obtained from multiple daily simulations of potential RWH systems in the city. The simulations used daily rainfall from 8 stations and demands based on the probable non-potable uses of RWH systems - toilet flushing, air conditioning and irrigation. The guidelines were confined to systems that would typically fill up in the wet season and empty towards the end of the dry season of the same year. Therefore, supply-to-demand ratios ranging from 0.1 to 0.9 were applied. Two generalized design charts of dimensionless relationships were developed. One relates the yield ratio with supply-to-demand ratio and reliability while the other relates the yield ratio with the storage-to-demand ratio and reliability. Reliability was defined as the probability of exceedance of annual yield in order to incorporate the large inter-annual variability of rainfall experienced in the region. The analyses and design of an example RWH system is used to illustrate the application of the design charts.

  11. Good treatment outcomes among foreigners receiving antiretroviral therapy in Johannesburg, South Africa.

    PubMed

    McCarthy, K; Chersich, M F; Vearey, J; Meyer-Rath, G; Jaffer, A; Simpwalo, S; Venter, W D F

    2009-12-01

    Foreigners, including displaced persons, often have limited health-care access, especially to HIV services. Outcomes of antiretroviral therapy (ART) in South Africans and foreigners were compared at a Johannesburg non-governmental clinic. Records were reviewed of 1297 adults enrolled between April 2004 and March 2007 (568 self-identified foreigners, 431 South Africans citizens and 298 with unknown origin). Compared with citizens, foreigners had fewer hospital admissions (39%, 90/303 versus 51%, 126/244; P < 0.001), less missed appointments for ART initiation (20%, 39/200 versus 25%, 51/206; P < 0.001), faster median time to ART initiation (14 versus 21 days, P = 0.008), better retention in care (88%, 325/369 versus 69%, 155/226; P < 0.001) and lower mortality (2.5%, 14/568 versus 10%, 44/431; P < 0.001) after 426 person-years. In logistic regression, after controlling for baseline CD4 count and tuberculosis status, foreigners were 55% less likely to fail ART than citizens (95% CI = 0.23-0.87). These findings support United Nations High Commissioner for Refugees recommendations that ART should not be withheld from displaced persons.

  12. Female homicidal strangulation in urban South Africa

    PubMed Central

    Suffla, Shahnaaz; Van Niekerk, Ashley; Arendse, Najuwa

    2008-01-01

    Background Female strangulation in South Africa occurs in a context of pervasive and often extreme violence perpetrated against women, and therefore represents a major public health, social and human rights concern. South African studies that provide accurate descriptions of the occurrence of strangulation incidents among female homicide victims are limited. The current study describes the extent, distribution and patterns of homicidal strangulation of women in the four largest South African metropolitan centres, Tshwane/Pretoria, Johannesburg, Cape Town and Ethekwini/Durban. Methods The study is a register-based cross sectional investigation of female homicidal strangulation, as reported in the National Injury Mortality Surveillance System for the four cities, for the period 2001 to 2005. Crude, unadjusted female strangulation rates for age and population group, and proportions of strangulation across specific circumstances of occurrence were compiled for each year and aggregated in some cases. Results This study reports that female homicidal strangulation in urban South Africa ranges from 1.71/100 000 to 0.70/100 000. Rates have generally declined in all the cities, except Cape Town. The highest rates were reported in the over 60 and the 20 to 39 year old populations, and amongst women of mixed descent. Most strangulations occurred from the early morning hours and across typical working hours in Johannesburg and Durban, and to a lesser extent in Cape Town. Occurrences across Johannesburg, Durban and Pretoria were distributed across the days of the week; an exception was Cape Town, which reported the highest rates over the weekend. Cape Town also reported distinctly high blood alcohol content levels of strangulation victims. The seasonal variation in strangulation deaths suggested a pattern of occurrence generally spanning the period from end-winter to summer. Across cities, the predominant crime scene was linked to the domestic context, suggesting that

  13. Female homicidal strangulation in urban South Africa.

    PubMed

    Suffla, Shahnaaz; Van Niekerk, Ashley; Arendse, Najuwa

    2008-10-21

    Female strangulation in South Africa occurs in a context of pervasive and often extreme violence perpetrated against women, and therefore represents a major public health, social and human rights concern. South African studies that provide accurate descriptions of the occurrence of strangulation incidents among female homicide victims are limited. The current study describes the extent, distribution and patterns of homicidal strangulation of women in the four largest South African metropolitan centres, Tshwane/Pretoria, Johannesburg, Cape Town and Ethekwini/Durban. The study is a register-based cross sectional investigation of female homicidal strangulation, as reported in the National Injury Mortality Surveillance System for the four cities, for the period 2001 to 2005. Crude, unadjusted female strangulation rates for age and population group, and proportions of strangulation across specific circumstances of occurrence were compiled for each year and aggregated in some cases. This study reports that female homicidal strangulation in urban South Africa ranges from 1.71/100 000 to 0.70/100 000. Rates have generally declined in all the cities, except Cape Town. The highest rates were reported in the over 60 and the 20 to 39 year old populations, and amongst women of mixed descent. Most strangulations occurred from the early morning hours and across typical working hours in Johannesburg and Durban, and to a lesser extent in Cape Town. Occurrences across Johannesburg, Durban and Pretoria were distributed across the days of the week; an exception was Cape Town, which reported the highest rates over the weekend. Cape Town also reported distinctly high blood alcohol content levels of strangulation victims. The seasonal variation in strangulation deaths suggested a pattern of occurrence generally spanning the period from end-winter to summer. Across cities, the predominant crime scene was linked to the domestic context, suggesting that perpetration was by an intimate

  14. Global Concerns and Local Realities: The "Making Education Inclusive" Conference in Johannesburg

    ERIC Educational Resources Information Center

    Walton, Elizabeth

    2015-01-01

    Inclusive education is a global phenomenon expressed differently in various countries, and different contextual realities support or constrain the process of making education more inclusive. This column reports on an international conference on inclusive education in Johannesburg, South Africa, which provided the opportunity for delegates to share…

  15. Personal, interpersonal, and cultural predictors of stages of cigarette smoking among adolescents in Johannesburg, South Africa.

    PubMed

    Brook, J S; Morojele, N K; Brook, D W; Zhang, C; Whiteman, M

    2006-06-01

    This study examined the personal, parental, peer, and cultural predictors of stage of smoking among South African urban adolescents. A cross-sectional design was employed. A stratified random approach based on census data was used to obtain the sample. Analyses were conducted using logistic regression. The study took place in communities in and around Johannesburg, South Africa. Participants consisted of 731 adolescents in the age range of 12-17 years old. The sample was 47% male and 53% female, and contained four ethnic classifications: white, black, Indian, and "coloured" (a South African term for mixed ancestry). A structured, in-person interview was administered to each participant in private by a trained interviewer, after obtaining consent. The dependent variables consisted of three stages of smoking: non-smoking, experimental smoking, and regular smoking. The independent measures were drawn from four domains: personal attributes, parental, peer, and cultural influences. Factors in all four domains significantly predicted three different stages of smoking. Personal attributes (internalising and externalising) distinguished among the three stages. Parental factors (for example, affection) reduced the odds of being a regular smoker compared with an experimental smoker or non-smoker, but did not differentiate experimental smokers from non-smokers. Findings from the peer domain (for example, peer substance use) predicted an increase in the risk of being a regular smoker compared with an experimental smoker or non-smoker. In the cultural domain, ethnic identification predicted a decrease in the risk of being a regular smoker compared with an experimental smoker, whereas discrimination and victimisation predicted an increase in the risk of being an experimental smoker compared with a non-smoker. All the domains were important for all four ethnic groups. Four psychosocial domains are important in distinguishing among the three stages of smoking studied. Some

  16. Informal Caregiver Challenges for Advanced Cancer Patients During End-of-Life Care in Johannesburg, South Africa and Distinctions Based on Place of Death.

    PubMed

    O'Neil, Daniel S; Prigerson, Holly G; Mmoledi, Keletso; Sobekwa, Mfanelo; Ratshikana-Moloko, Mpho; Tsitsi, Jacob M; Cubasch, Herbert; Wong, Michelle L; Omoshoro-Jones, Jones A O; Sackstein, Paul E; Blinderman, Craig D; Jacobson, Judith S; Joffe, Maureen; Ruff, Paul; Neugut, Alfred I; Blanchard, Charmaine L

    2018-03-28

    In sub-Saharan Africa, late diagnosis with cancer is common. Many dying patients rely on family members for care; little is known about the challenges African informal caregivers face. To better understand the challenges of informal caregivers at the end of life in South Africa, both at home and in inpatient facilities. We included advanced cancer patients and caregivers from a public hospital in Johannesburg, South Africa. Study nurses interviewed patients and caregivers about their experiences. Using univariate and multivariate analyses, we determined the factors associated with greater caregiver difficulty, focusing on patients dying at home vs. in inpatient facilities. Among 174 informal caregivers, 62 (36%) reported "a lot" of challenges. These caregivers struggled most with keeping the patient clean (16%) and with patient interactions (34%). Symptoms associated with greater difficulty included pain (odds ratio [OR] 2.4 [95% CI 1.2-4.7]), urinary incontinence (OR 2.3 [95% CI 1.1-4.9]), fecal incontinence (OR 2.4 [95% CI 1.0-5.7]), insomnia (OR 2.9 [95% CI 1.3-6.9]), fatigue (OR 6.3 [95% CI 1.8-21.6]), extremity weakness (OR 2.9 [95% CI 1.3-6.9]), shame (OR 4.2 [95% CI 1.5-12.0]), and sadness (OR 2.3 [95% CI 1.1-4.8]). Caregivers of patients dying at home reported the greatest difficulty with patients' physical symptoms; caregivers of those dying in facilities reported the greatest difficulty with emotional symptoms. Informal caregivers of patients dying at home reported challenges with practical functional care; this effect was reduced in the inpatient setting. Skills training for these caregivers could relieve some of this burden. Copyright © 2018 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  17. Costs and Cost Effectiveness of Three Approaches for Cervical Cancer Screening among HIV-Positive Women in Johannesburg, South Africa

    PubMed Central

    Lince-Deroche, Naomi; Phiri, Jane; Michelow, Pam; Smith, Jennifer S.; Firnhaber, Cindy

    2015-01-01

    Background South Africa has high rates of HIV and HPV and high incidence and mortality from cervical cancer. However, cervical cancer is largely preventable when early screening and treatment are available. We estimate the costs and cost-effectiveness of conventional cytology (Pap), visual inspection with acetic acid (VIA) and HPV DNA testing for detecting cases of CIN2+ among HIV-infected women currently taking antiretroviral treatment at a public HIV clinic in Johannesburg, South Africa. Methods Method effectiveness was derived from a validation study completed at the clinic. Costs were estimated from the provider perspective using micro-costing between June 2013-April 2014. Capital costs were annualized using a discount rate of 3%. Two different service volume scenarios were considered. Threshold analysis was used to explore the potential for reducing the cost of HPV DNA testing. Results VIA was least costly in both scenarios. In the higher volume scenario, the average cost per procedure was US$ 3.67 for VIA, US$ 8.17 for Pap and US$ 54.34 for HPV DNA. Colposcopic biopsies cost on average US$ 67.71 per procedure. VIA was least sensitive but most cost-effective at US$ 17.05 per true CIN2+ case detected. The cost per case detected for Pap testing was US$ 130.63 using a conventional definition for positive results and US$ 187.52 using a more conservative definition. HPV DNA testing was US$ 320.09 per case detected. Colposcopic biopsy costs largely drove the total and per case costs. A 71% reduction in HPV DNA screening costs would make it competitive with the conservative Pap definition. Conclusions Women need access to services which meet their needs and address the burden of cervical dysplasia and cancer in this region. Although most cost-effective, VIA may require more frequent screening due to low sensitivity, an important consideration for an HIV-positive population with increased risk for disease progression. PMID:26569487

  18. Costs and Cost Effectiveness of Three Approaches for Cervical Cancer Screening among HIV-Positive Women in Johannesburg, South Africa.

    PubMed

    Lince-Deroche, Naomi; Phiri, Jane; Michelow, Pam; Smith, Jennifer S; Firnhaber, Cindy

    2015-01-01

    South Africa has high rates of HIV and HPV and high incidence and mortality from cervical cancer. However, cervical cancer is largely preventable when early screening and treatment are available. We estimate the costs and cost-effectiveness of conventional cytology (Pap), visual inspection with acetic acid (VIA) and HPV DNA testing for detecting cases of CIN2+ among HIV-infected women currently taking antiretroviral treatment at a public HIV clinic in Johannesburg, South Africa. Method effectiveness was derived from a validation study completed at the clinic. Costs were estimated from the provider perspective using micro-costing between June 2013-April 2014. Capital costs were annualized using a discount rate of 3%. Two different service volume scenarios were considered. Threshold analysis was used to explore the potential for reducing the cost of HPV DNA testing. VIA was least costly in both scenarios. In the higher volume scenario, the average cost per procedure was US$ 3.67 for VIA, US$ 8.17 for Pap and US$ 54.34 for HPV DNA. Colposcopic biopsies cost on average US$ 67.71 per procedure. VIA was least sensitive but most cost-effective at US$ 17.05 per true CIN2+ case detected. The cost per case detected for Pap testing was US$ 130.63 using a conventional definition for positive results and US$ 187.52 using a more conservative definition. HPV DNA testing was US$ 320.09 per case detected. Colposcopic biopsy costs largely drove the total and per case costs. A 71% reduction in HPV DNA screening costs would make it competitive with the conservative Pap definition. Women need access to services which meet their needs and address the burden of cervical dysplasia and cancer in this region. Although most cost-effective, VIA may require more frequent screening due to low sensitivity, an important consideration for an HIV-positive population with increased risk for disease progression.

  19. Grassroot Soccer Resiliency Pilot Program: Building Resiliency through Sport-Based Education in Zambia and South Africa

    ERIC Educational Resources Information Center

    Peacock-Villada, Paola; DeCelles, Jeff; Banda, Peter S.

    2007-01-01

    Grassroot Soccer (GRS), a U.S.-based nonprofit organization, designed a curriculum and sport-based teaching model to build resiliency, targeting boys and girls in Lusaka, Zambia, and Johannesburg, South Africa, where most children are reminded daily of the devastation caused by AIDS and where many face chronic and acute hardship. Collaborating…

  20. Higher Education Student Learning beyond the Classroom: Findings from a Community Music Service Learning Project in Rural South Africa

    ERIC Educational Resources Information Center

    Harrop-Allin, Susan

    2017-01-01

    Inspired by local arts community engagement initiatives and community music interventions internationally, Wits University (in Johannesburg, South Africa) developed a model of service learning that links the intentions, methodologies and purposes of these domains to promote student learning and benefit communities. This paper examines the quality…

  1. Astronomy Education & Outreach in South Africa

    NASA Astrophysics Data System (ADS)

    Throop, Henry B.

    2015-11-01

    Although South Africa has evolved greatly in the 20 years since the end of apartheid, it remains a very divided country. The highest-performing students are comparable in ability to those in the US and Europe, but nearly all of these students are from priveleged Afrikaaner (European) backgrounds. The vast majority of students in the country are native African, and school standards remain very low across the country. It is common that students have no textbooks, teachers have only a high school education, and schools have no telephones and no toilets. By high school graduation, the majority of students have never used a web browser -- even students in the capital of Johannesburg. And while a few students are inspired by home-grown world-class projects such as the Square Kilometer Array (SKA) and Southern African Large Telescope (SALT), most remain unaware of their existence.Despite the poor state of education in the country, students work hard, are curious, and desire information from the outside world. Astronomy is one subject in which students in rural Africa often show exceptional interest. Perhaps astronomy serves as a 'gateway science,' linking the physically observable world with the exotic and unknown.Here I report on many visits I have made to both rural and urban schools in South Africa during the 2013-2015 period. I have interacted with thousands of grade 7-12 students at dozens of schools, as well as taught students who graduated from this system and enrolled in local universities. I will present an assessment of the state of science education in South Africa, as well as a few broader suggestions for how scientists and educators in developed countries can best make an impact in Southern Africa.

  2. Exploratory Study into the Microbiological Quality of Spinach and Cabbage Purchased from Street Vendors and Retailers in Johannesburg, South Africa.

    PubMed

    Plessis, Erika M du; Govender, Sarasha; Pillay, Bala; Korsten, Lise

    2017-10-01

    Knowledge of the microbiological quality and prevalence of antibiotic resistance and virulence genes in bacterial isolates from leafy green vegetables supplied by formal suppliers (retailers) and informal suppliers (street vendors) in South Africa is limited. Because leafy vegetables have been implicated in foodborne disease outbreaks worldwide, 180 cabbage and spinach samples were collected from three major retailers and nine street vendors in Johannesburg, South Africa. Escherichia coli and coliforms were enumerated using Petrifilm plates. The prevalence of Listeria monocytogenes, Salmonella, and Shigella was determined using real-time PCR analysis. Identities of presumptive E. coli isolates from the fresh produce were confirmed using matrix-assisted laser desorption-ionization time of flight mass spectroscopy. Isolates were characterized using phenotypic (antibiotic resistance) and genotypic (phylogenetic and virulence gene) analysis. Hygiene indicator bacteria levels on spinach from formal and informal retailers exceeded the maximum level specified by the Department of Health guidelines for fresh fruit and vegetables. E. coli counts for street vendor spinach were higher (P < 0.0789) than those for retailer spinach. E. coli was present in only two cabbage samples, at 0.0035 CFU/g. L. monocytogenes and Salmonella were detected in 7.2 and 5% of the 180 samples, respectively, based on real-time PCR analysis; Shigella was not detected. Of the 29 spinach E. coli isolates, 37.9% were multidrug resistant. Virulence genes eae and stx 1 were present in 14 and 3% of the spinach E. coli isolates, respectively; the stx 2 gene was not detected. Eighty-six percent of these isolates belonged to phylogroup A, 3% belonged to group C, 7% belonged to group E, and 3% belonged to clade 1. The results from the current exploratory study on the microbiological quality of spinach bought from selected retailers highlight the need for continued surveillance on a larger scale, especially

  3. Emergency medical conference South Africa, October 1998--a report on proceedings and clinical visits.

    PubMed

    Hodgetts, T J

    1999-06-01

    The South Africans are keen to adopt the Major Incident Medical Management and Support course, developed in the UK. South Africa can provide an excellent training ground for military personnel in the triage, resuscitation and surgical management of the patient with penetrating trauma. Johannesburg General Hospital has a high quality training system under the direction of Dr Ken Boffard. The nearby Baragwaneth Hospital is the closest to military surgical practice one can probably get in a civilian setting. There is an unprecedented opportunity for clinical skills training, and a wealth of research opportunities.

  4. The proposed Nelson Mandela Children's Hospital, Johannesburg: providing the best care for children in the developing world.

    PubMed

    Bolton, Keith

    2011-01-01

    Construction will soon commence on the Nelson Mandela Children's Hospital (NMCH) in Johannesburg, South Africa. The Hospital will have 250-300 beds and will provide tertiary and quaternary care to children in specific Centers of Excellence. Admission to this referral facility will be based entirely on medical needs. The disciplines that are catered for include Paediatric surgery, oncology, nephrology, cardiology, intensive care and imaging. The NMCH will be South Africa's first "Private Hospital - Not for Gain". Funding for capital expenditure is currently being raised by the Trust. Operational expenditure will come from the Department of Health, private insurers and neighbouring governments.

  5. Surgeon and Safari: producing valuable bodies in Johannesburg.

    PubMed

    Mazzaschi, Andrew

    2011-01-01

    This essay explores how concepts of value and cheapness circulate around the bodies of clients of the Johannesburg-based cosmetic surgery tourism company Surgeon and Safari. I show how the production of a luxurious experience and the mitigation of risk take place within a transnational network enabled by the presence of medical tourism in multiple locales. By placing Surgeon and Safari's activities within the context of the neoliberalization of health care in South Africa, I explore how the division between private versus public health spaces functions as both a technique of valuing clients' bodies and as a process of racialization.

  6. Gender Repetition: School Access, Transitions and Equity in the "Birth-to-Twenty" Cohort Panel Study in Urban South Africa

    ERIC Educational Resources Information Center

    Fleisch, Brahm; Shindler, Jennifer

    2009-01-01

    Using data collected by the Birth-to-Twenty child cohort study in urban South Africa, this paper describes the patterns of schooling of a population of children born in the Greater Johannesburg area in April to June 1990. This paper examines the patterns of initial enrolment in Grade 1, transitions through grades, and trends in primary school…

  7. Exposing the illegal trade in cycad species (Cycadophyta: Encephalartos) at two traditional medicine markets in South Africa using DNA barcoding.

    PubMed

    Williamson, J; Maurin, O; Shiba, S N S; van der Bank, H; Pfab, M; Pilusa, M; Kabongo, R M; van der Bank, M

    2016-09-01

    Species in the cycad genus Encephalartos are listed in CITES Appendix I and as Threatened or Protected Species in terms of South Africa's National Environmental Management: Biodiversity Act (NEM:BA) of 2004. Despite regulations, illegal plant harvesting for medicinal trade has continued in South Africa and resulted in declines in cycad populations and even complete loss of sub-populations. Encephalartos is traded at traditional medicine markets in South Africa in the form of bark strips and stem sections; thus, determining the species traded presents a major challenge due to a lack of characteristic plant parts. Here, a case study is presented on the use of DNA barcoding to identify cycads sold at the Faraday and Warwick traditional medicine markets in Johannesburg and Durban, respectively. Market samples were sequenced for the core DNA barcodes (rbcLa and matK) as well as two additional regions: nrITS and trnH-psbA. The barcoding database for cycads at the University of Johannesburg was utilized to assign query samples to known species. Three approaches were followed: tree-based, similarity-based, and character-based (BRONX) methods. Market samples identified were Encephalartos ferox (Near Threatened), Encephalartos lebomboensis (Endangered), Encephalartos natalensis (Near Threatened), Encephalartos senticosus (Vulnerable), and Encephalartos villosus (Least Concern). Results from this study are crucial for making appropriate assessments and decisions on how to manage these markets.

  8. Validity of the Patient Health Questionnaire-9 to screen for depression in a high-HIV burden primary healthcare clinic in Johannesburg, South Africa.

    PubMed

    Cholera, R; Gaynes, B N; Pence, B W; Bassett, J; Qangule, N; Macphail, C; Bernhardt, S; Pettifor, A; Miller, W C

    2014-01-01

    Integration of depression screening into primary care may increase access to mental health services in sub-Saharan Africa, but this approach requires validated screening instruments. We sought to validate the Patient Health Questionnaire-9 (PHQ-9) as a depression screening tool at a high HIV-burden primary care clinic in Johannesburg, South Africa. We conducted a validation study of an interviewer-administered PHQ-9 among 397 patients. Sensitivity and specificity of the PHQ-9 were calculated with the Mini International Neuropsychiatric Interview (MINI) as the reference standard; receiver operating characteristic (ROC) curve analyses were performed. The prevalence of depression was 11.8%. One-third of participants tested positive for HIV. HIV-infected patients were more likely to be depressed (15%) than uninfected patients (9%; p=0.08). Using the standard cutoff score of ≥10, the PHQ-9 had a sensitivity of 78.7% (95% CI: 64.3-89.3) and specificity of 83.4% (95% CI: 79.1-87.2). The area under the ROC curve was 0.88 (95% CI: 0.83-0.92). Test performance did not vary by HIV status or language. In sensitivity analyses, reference test bias associated with the MINI appeared unlikely. We were unable to conduct qualitative work to adapt the PHQ-9 to this cultural context. This is the first validation study of the PHQ-9 in a primary care clinic in sub-Saharan Africa. It highlights the potential for using primary care as an access point for identifying depressive symptoms during routine HIV testing. The PHQ-9 showed reasonable accuracy in classifying cases of depression, was easily implemented by lay health workers, and is a useful screening tool in this setting. Copyright © 2014 Elsevier B.V. All rights reserved.

  9. Skin lighteners, Black consumers and Jewish entrepreneurs in South Africa.

    PubMed

    Thomas, Lynn M

    2012-01-01

    This article considers the rise and decline of South Africa's lucrative and controversial skin-lighteners market through examination of the business history of the largest manufacturers, Abraham and Solomon Krok, and their evolving personas as millionaires and philanthropists. Such examination reveals how the country's skin-lighteners trade emerged as part of the broader growth of a black consumer market after the Second World War and how elements of that market became the target of anti-apartheid protests in subsequent decades. It also demonstrates how the Kroks' experiences as second-generation Jewish immigrants shaped their involvement in the trade and how, later, their self-identification as Jewish philanthropists informed their efforts to rehabilitate their reputations following South Africa's 1990 ban on all skin lighteners. Such efforts include the building of Johannesburg's highly acclaimed Apartheid Museum, modelled after the United States Holocaust Memorial Museum. This article explores the profound ironies that some South Africans see in the fact that a museum dedicated to commemorating those who suffered under and, ultimately, triumphed against state racism was financed by a family fortune generated through the sale of skin lighteners to black consumers.

  10. Assessment of bioavailable fraction of POPS in surface water bodies in Johannesburg City, South Africa, using passive samplers: an initial assessment.

    PubMed

    Amdany, Robert; Chimuka, Luke; Cukrowska, Ewa; Kukučka, Petr; Kohoutek, Jiří; Tölgyessy, Peter; Vrana, Branislav

    2014-09-01

    In this study, the semipermeable membrane device (SPMD) passive samplers were used to determine freely dissolved concentrations of polycyclic aromatic hydrocarbons (PAHs), polychlorinated biphenyls (PCBs) and organochlorine pesticides (OCPs) in selected water bodies situated in and around Johannesburg City, South Africa. The devices were deployed for 14 days at each sampling site in spring and summer of 2011. Time weighted average (TWA) concentrations of the water-borne contaminants were calculated from the amounts of analytes accumulated in the passive samplers. In the area of interest, concentrations of analytes in water ranged from 33.5 to 126.8 ng l(-1) for PAHs, from 20.9 to 120.9 pg l(-1) for PCBs and from 0.2 to 36.9 ng l(-1) for OCPs. Chlorinated pesticides were mainly composed of hexachlorocyclohexanes (HCHs) (0.15-36.9 ng l(-1)) and dichlorodiphenyltrichloromethane (DDT) with its metabolites (0.03-0.55 ng l(-1)). By applying diagnostic ratios of certain PAHs, identification of possible sources of the contaminants in the various sampling sites was performed. These ratios were generally inclined towards pyrogenic sources of pollution by PAHs in all study sites except in the Centurion River (CR), Centurion Lake (CL) and Airport River (AUP) that indicated petrogenic origins. This study highlights further need to map up the temporal and spatial variations of these POPs using passive samplers.

  11. EHDI Africa: advocating for infants with hearing loss in Africa.

    PubMed

    Swanepoel, DeWet; Störbeck, Claudine

    2008-01-01

    Children with hearing loss who happen to reside in Africa deserve the chance to develop according to their potential as much as their peers living in more affluent regions. This leaves a moral obligation to pursue ways of initiating, developing,and growing early hearing detection and intervention services in Africa. For these reasons, the first EHDI Africa international conference was held in Johannesburg, South Africa, in 2007 (13-14 August). The theme was 'Building bridges in Africa: Early childhood development for children with hearing loss'. This special issue contains several reports from the EHDI Africa conference.

  12. From fear to resilience: adolescents' experiences of violence in inner-city Johannesburg, South Africa.

    PubMed

    Scorgie, Fiona; Baron, Deborah; Stadler, Jonathan; Venables, Emilie; Brahmbhatt, Heena; Mmari, Kristin; Delany-Moretlwe, Sinead

    2017-07-04

    For adolescents growing up in poor urban South African settings, violence is often a part of daily life and has lasting effects on physical and mental health outcomes in adulthood. We conducted a qualitative study to document and understand the forms of interpersonal violence experienced by adolescents living in Hillbrow, Johannesburg. In this article, we explore how violence is experienced differently by adolescent boys and girls, how they conceptualise 'dangerous' and 'safe' spaces in their neighbourhood and what gaps exist in available services for youth in Hillbrow. The article draws on data collected in the formative phase of the 'Wellbeing of Adolescents in Vulnerable Environments' (WAVE) Study of challenges faced by adolescents (15-19 years) growing up in impoverished parts of five cities. This article reports on analysis using only data from the Johannesburg site. Using both purposive and snowball sampling to select participants, we conducted in-depth interviews (n = 20) and community mapping exercises with female (n = 19) and male (n = 20) adolescents living in Hillbrow, as well as key informant interviews with representatives of residential shelters, CBOs, and NGOs working with youth (n = 17). Transcripts were coded manually and analysed using an inductive thematic analysis approach. Both girls and boys reported high exposure to witnessing violence and crime. For girls, the threat of sexual harassment and violence was pervasive, while boys feared local gangs, the threat of physical violence, and being drawn into substance-abuse. Home was largely a safe haven for boys, whereas for girls it was often a space of sexual violence, abuse and neglect. Some adolescents developed coping mechanisms, such as actively seeking out community theatres, churches and other places of sanctuary from violence. Community-based services and shelters that support adolescents reported a lack of resources, overall instability and difficulties networking effectively

  13. Reticence in disclosure of HIV infection and reasons for bereavement: impact on perinatally infected adolescents' mental health and understanding of HIV treatment and prevention in Johannesburg, South Africa.

    PubMed

    Woollett, Nataly; Black, Vivian; Cluver, Lucie; Brahmbhatt, Heena

    2017-07-01

    Survival rates of perinatally infected HIV-positive adolescents (PIA) are increasing in sub-Saharan Africa. There is a gap in understanding how disclosure and bereavement have an impact on PIA beliefs and understanding of their HIV infection and its management. In-depth interviews were conducted with 25 purposively selected adolescents aged 13-19 years from 5 public health clinics in Johannesburg, South Africa. Data were analysed using NVivo 10 using a thematic approach. PIA experience incomplete disclosure both of their HIV status and reasons for their bereavements, which limits their understanding of how they became infected, vertical transmission and prevention options like prevention of mother-to-child transmission (PMTCT). Most participants were orphaned and were experiencing complicated grieving (i.e., engaged in unresolved tasks of grieving) which had a negative impact on their mental health, and ability to accept their HIV status and adhere to treatment. PIA need improved communication regarding vertical transmission and how they became HIV-positive, as well as reasons for death of their loved ones to properly understand their HIV status and engage effectively in management. Honest communication about how relatives died and truthful engagement in the process of disclosure of HIV status is necessary to reduce stigma and complicated grieving, and improve mental health in this population.

  14. Competing or co-existing? Representations of HIV/AIDS by white women teachers in post-apartheid South Africa.

    PubMed

    de Kock, Lauren; Wills, Jane

    2007-11-01

    This study explores the social representations of HIV and AIDS that circulate among white women teachers in South Africa, a group whose personal risk of the disease is low but who have a major role to play in shaping attitudes to HIV/AIDS among children and young people. The study examines how white women talk about the origin and causes of the spread of HIV in South Africa and their personal and community risk. This was explored through 25 semi-structured interviews and two focus groups with white female teachers in Johannesburg. A thematic analysis of the in-depth interviews revealed a shared private understanding of the disease, wherein the women distanced themselves by anchoring it in the context of racist cultural stereotypes of black sexuality and vulnerability. In contrast, the focus group discussions revealed a type of public talk in which HIV/AIDS is anchored in the contemporary cultural images of the new South Africa and the spirit of ubuntu or togetherness. These contradictory views reflect the racial tensions and social contexts of South Africa and which shape HIV/AIDS discourses. The findings suggest that more needs to be done to create a genuine understanding of HIV and AIDS within contemporary South African contexts.

  15. Lived experiences of parents of premature babies in the intensive care unit in a private hospital in Johannesburg, South Africa.

    PubMed

    Steyn, Erika; Poggenpoel, Marie; Myburgh, Chris

    2017-02-28

    Many of the 15 million premature babies born worldwide every year survive because of advanced medical interventions. Their parents have intense experiences when their babies are in the intensive care unit (ICU), and these have an impact on their thoughts, feelings and relationships, including their relationships with their premature babies. The aim of the study was to explore and describe the lived experiences of parents of premature babies in an ICU. Research design was qualitative, exploratory, descriptive and contextual. A purposive sample of parents with premature babies in an ICU in a private hospital in Johannesburg Gauteng in South Africa was used. Eight parents, four mothers and four fathers, married and either Afrikaans or English-speaking, were included in the study. Data were collected by conducting in-depth phenomenological interviews with them and making use of field notes. Trustworthiness was ensured by implementing the strategies of credibility, transferability, dependability and confirmability. Ethical principles such as autonomy, beneficence, nonmaleficence and justice were adhered to throughout the research process. Thematic analyses were utilised to analyse the data. Two themes in the experiences of parents with premature babies in ICU became apparent. Parents experienced thoughts, emotions and hope while their premature babies were in the ICU as well as challenges in their relationships and these challenges influenced their experiences. Mindfulness of intensive care nurses should be facilitated so that intensive care nurses can promote the mental health of parents with premature babies in the ICU. Parents with premature babies in the ICU have thoughts and emotional experiences which include hope and they affect parents' relationships.

  16. Quantitative Study of Vulnerability / Damage Curves in South Africa

    NASA Astrophysics Data System (ADS)

    Pule, Tebogo

    2014-05-01

    classes in four of the major cities in South Africa, namely, Johannesburg, Cape Town, Durban and Port Elizabeth.

  17. HIV-related knowledge, perceptions, attitudes, and utilisation of HIV counselling and testing: a venue-based intercept commuter population survey in the inner city of Johannesburg, South Africa.

    PubMed

    Chimoyi, Lucy; Tshuma, Ndumiso; Muloongo, Keith; Setswe, Geoffrey; Sarfo, Bismark; Nyasulu, Peter S

    2015-01-01

    HIV counselling and testing (HCT) and knowledge about HIV have been key strategies utilised in the prevention and control of HIV/AIDS worldwide. HIV knowledge and uptake of HCT services in sub-Saharan Africa are still low. This study was conducted to determine factors associated with HCT and HIV/AIDS knowledge levels among a commuter population in Johannesburg, South Africa. To identify the factors associated with HCT uptake among the commuter population. A simple random sampling method was used to select participants in a venue-based intercept survey at a taxi rank in the Johannesburg Central Business District. Data were collected using an electronic questionnaire. Logistic regression analysis assessed factors associated with HIV testing stratified by gender. 1,146 respondents were interviewed, the maority (n=579, 50.5%) were females and (n=780, 68.1%) were over 25 years of age. Overall HCT knowledge was high (n=951, 83%) with more females utilising HCT facilities. There was a significant difference in HIV testing for respondents living closer to and further away from health facilities. Slightly more than half of the respondents indicated stigma as one of the barriers for testing (n=594, 52%, p-value=0.001). For males, living with a partner (aOR: 1.68, 95% CI: 1.02-2.78, p-value: 0.041) and possessing a post-primary education were positively associated with testing (aOR: 2.00, 95% CI: 1.15-3.47, p-value: 0.014), whereas stigma and discrimination reduced the likelihood of testing (aOR: 0.40, 95% CI: 0.31-0.62, p-value: <0.001). For females, having one sexual partner (aOR: 2.65, 95% CI: 1.19-5.90, p-value: 0.017) and a low perceived benefit for HIV testing (aOR: 0.54, 95% CI: 0.30-0.96, p-value: 0.035) were associated with HIV testing. The overall HIV/AIDS knowledge was generally high. Gender-specific health education and HIV intervention programmes are needed for improved access to HCT services. One favourable intervention would be the use of home-based HCT

  18. Testing a counselling intervention in antenatal care for women experiencing partner violence: a study protocol for a randomized controlled trial in Johannesburg, South Africa.

    PubMed

    Pallitto, Christina; García-Moreno, Claudia; Stöeckl, Heidi; Hatcher, Abigail; MacPhail, Catherine; Mokoatle, Keneoue; Woollett, Nataly

    2016-11-05

    Intimate partner violence (IPV) during or before pregnancy is associated with many adverse health outcomes. Pregnancy-related complications or poor infant health outcomes can arise from direct trauma as well as physiological effects of stress, both of which impact maternal health and fetal growth and development. Antenatal care can be a key entry point within the health system for many women, particularly in low-resource settings. Interventions to identify violence during pregnancy and offer women support and counselling may reduce the occurrence of violence and mitigate its consequences. Following a formative research phase, a randomized controlled trial will be conducted to test a nurse-led empowerment counselling intervention, originally developed for high-income settings and adapted for urban South Africa. The primary outcome is reduction of partner violence, and secondary outcomes include improvement in women's mental health, safety and self-efficacy. The study aims to recruit 504 pregnant women from three antenatal clinics in Johannesburg who will be randomized to the nurse-led empowerment arm (two 30-min counselling sessions) or enhanced control condition (a referral list) to determine whether participants in the intervention arm have better outcomes as compared to the those in the control arm. This research will provide much needed evidence on whether a short counselling intervention delivered by nurses is efficacious and feasible in low resource settings that have high prevalence of IPV and HIV. The study was registered in the South African Clinical Trials Registry (DOH-27-0414-4720) on 11 August 2014 and in the ISRCTN Registry ( ISRCTN35969343 ) on 23 May 2016).

  19. A survey of blood lead levels among young Johannesburg school children.

    PubMed

    Mathee, A; von Schirnding, Y E R; Levin, J; Ismail, A; Huntley, R; Cantrell, A

    2002-11-01

    Studies conducted around the world have established beyond doubt that elevated childhood blood lead levels may lead to detrimental health effects. Research has shown that certain groups of South African children are at particular risk of elevated blood lead levels. Johannesburg is the largest urban complex in southern Africa, with a population of around 3 million and extensive industrial and manufacturing activity. Among the challenges posed in the city are rapid urbanization, extensive poverty, and inequity. Little information on the blood lead distribution of Johannesburg children is available. This study was undertaken to determine blood lead levels among children living in three areas of Johannesburg: inner city suburbs and the low-income townships of Alexandra and Westbury to the north and west of the city center, respectively. The results indicated that blood lead levels ranged from 6 to 26 micro g/dL, with a mean level of 11.9 micro g /dL. The blood lead levels of 78% of children equaled or exceeded 10 micro g/dL, the current international action level. Maternal educational status, the presence of smokers in the home, and living in an informal dwelling were among the factors associated with elevated blood lead levels.

  20. Metasomatized and hybrid rocks associated with a Palaeoarchaean layered ultramafic intrusion on the Johannesburg Dome, South Africa

    NASA Astrophysics Data System (ADS)

    Anhaeusser, Carl R.

    2015-02-01

    The Johannesburg Dome occurs as an inlier of Palaeoarchaean-Mesoarchaean granitic rocks, gneisses and greenstones in the central part of the Kaapvaal Craton, South Africa. In the west-central part of the dome a large greenstone remnant is surrounded and intruded by ca. 3114 Ma porphyritic granodiorites. Referred to locally as the Zandspruit greenstone remnant, it consists of a shallow-dipping ultramafic complex comprised of a number of alternating layers of harzburgite and pyroxenite. The ultramafic rocks are metamorphosed to greenschist grade and have largely been altered to serpentinite and amphibolite (tremolite-actinolite). In the granite-greenstone contact areas the porphyritic granodiorite has partially assimilated the greenstones producing a variety of hybrid rocks of dioritic composition. The hybrid rocks contain enclaves or xenoliths of greenstone and, in places, orbicular granite structures. Particularly noteworthy is an unusual zone of potash-metasomatized rock, occurring adjacent to the porphyritic granodiorite, consisting dominantly of biotite and lesser amounts of carbonate, quartz and sericite. Large potash-feldspar megacrysts and blotchy aggregated feldspar clusters give the rocks a unique texture. An interpretation placed on these rocks is that they represent metasomatized metapyroxenites of the layered ultramafic complex. Field relationships and geochemical data suggest that the rocks were influenced by hydrothermal fluids emanating from the intrusive porphyritic granodiorite. The adjacent greenstones were most likely transformed largely by the process of infiltration metasomatism, rather than simple diffusion, as CO2, H2O as well as dissolved components were added to the greenstones. Element mobility appears to have been complex as those generally regarded as being immobile, such as Ti, Y, Zr, Hf, Ta, Nb, Th, Sc, Ni, Cr, V, and Co, have undergone addition or depletion from the greenstones. Relative to all the rocks analyzed from the greenstones

  1. Treatment outcomes of HIV-positive patients on first-line antiretroviral therapy in private versus public HIV clinics in Johannesburg, South Africa.

    PubMed

    Moyo, Faith; Chasela, Charles; Brennan, Alana T; Ebrahim, Osman; Sanne, Ian M; Long, Lawrence; Evans, Denise

    2016-01-01

    Despite the widely documented success of antiretroviral therapy (ART), stakeholders continue to face the challenges of poor HIV treatment outcomes. While many studies have investigated patient-level causes of poor treatment outcomes, data on the effect of health systems on ART outcomes are scarce. We compare treatment outcomes among patients receiving HIV care and treatment at a public and private HIV clinic in Johannesburg, South Africa. This was a retrospective cohort analysis of ART naïve adults (≥18.0 years), initiating ART at a public or private clinic in Johannesburg between July 01, 2007 and December 31, 2012. Cox proportional-hazards regression was used to identify baseline predictors of mortality and loss to follow-up (>3 months late for the last scheduled visit). Generalized estimating equations were used to determine predictors of failure to suppress viral load (≥400 copies/mL) while the Wilcoxon rank-sum test was used to compare the median absolute change in CD4 count from baseline to 12 months post-ART initiation. 12,865 patients initiated ART at the public clinic compared to 610 at the private clinic. The patients were similar in terms of sex and age at initiation. Compared to public clinic patients, private clinic patients initiated ART at higher median CD4 counts (159 vs 113 cells/mm(3)) and World Health Organization stage I/II (76.1% vs 58.5%). Adjusted hazard models showed that compared to public clinic patients, private clinic patients were less likely to die (adjusted hazard ratio [aHR] 0.50; 95% confidence interval [CI] 0.35-0.70) but were at increased risk of loss to follow-up (aHR 1.80; 95% CI 1.59-2.03). By 12 months post-ART initiation, private clinic patients were less likely to have a detectable viral load (adjusted relative risk 0.65; 95% CI 0.49-0.88) and recorded higher median CD4 change from baseline (184 cells/mm(3) interquartile range 101-300 vs 158 cells/mm(3) interquartile range 91-244), when compared to public clinic

  2. Substituting Abacavir for Stavudine in Children Who Are Virally Suppressed Without Lipodystrophy: Randomized Clinical Trial in Johannesburg, South Africa.

    PubMed

    Strehlau, Renate; Shiau, Stephanie; Arpadi, Stephen; Patel, Faeezah; Pinillos, Francoise; Tsai, Wei-Yann; Coovadia, Ashraf; Abrams, Elaine; Kuhn, Louise

    2018-01-24

    Abacavir has replaced stavudine in antiretroviral therapy (ART) regimens because it has largely been phased out as a result of toxicity concerns; this loss has reduced further the already-limited drug options for children. Few data regarding virologic and metabolic outcomes among children who undergo substitution of stavudine exist. We evaluated the effects of preemptive substitution of abacavir for stavudine in children initially without lipodystrophy and virally suppressed on a stavudine-containing regimen. At Rahima Moosa Mother and Child Hospital in Johannesburg, South Africa, virally suppressed human immunodeficiency virus (HIV)-infected children ≥36 months of age without lipodystrophy were randomly assigned to continue taking stavudine as part of their ART regimen (n = 106) or to have abacavir substituted for stavudine (n = 107). The children were followed for 56 weeks after randomization in the context of a larger trial of treatment options for ART-experienced children. The mean age of the children was 4.3 years, and the mean duration of ART before random assignment was 3.5 years. No differences in virological outcomes, CD4 response, growth, or dyslipidemia were noted between the stavudine and abacavir groups. By 56 weeks, children in the abacavir group had less clinically detected lipodystrophy (4.7% vs 16%, respectively), a higher proportion of leg fat relative to total fat (0.243 vs 0.230, respectively; P = .006), and a lower trunk/leg-skinfold ratio (0.547 vs 0.569, respectively; P = .003) than the children in the stavudine group. Substituting abacavir for stavudine did not compromise virological response to treatment and was associated with significantly less lipodystrophy. These results support recommendations that favor abacavir in this population. © The Author(s) 2018. Published by Oxford University Press on behalf of The Journal of the Pediatric Infectious Diseases Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  3. Influences on visit retention in clinical trials: Insights from qualitative research during the VOICE trial in Johannesburg, South Africa

    PubMed Central

    2014-01-01

    Background Although significant progress has been made in clinical trials of women-controlled methods of HIV prevention such as microbicides and Pre-exposure Prophylaxis (PrEP), low adherence to experimental study products remains a major obstacle to being able to establish their efficacy in preventing HIV infection. One factor that influences adherence is the ability of trial participants to attend regular clinic visits at which trial products are dispensed, adherence counseling is administered, and participant safety is monitored. We conducted a qualitative study of the social contextual factors that influenced adherence in the VOICE (MTN-003) trial in Johannesburg, South Africa, focusing on study participation in general, and study visits in particular. Methods The research used qualitative methodologies, including in-depth interviews (IDI), serial ethnographic interviews (EI), and focus group discussions (FGD) among a random sub-sample of 102 female trial participants, 18 to 40 years of age. A socio-ecological framework that explored those factors that shaped trial participation and adherence to study products, guided the analysis. Key codes were developed to standardize subsequent coding and a node search was used to identify texts relating to obstacles to visit adherence. Our analysis includes coded transcripts from seven FGD (N = 40), 41 IDI, and 64 serial EI (N = 21 women). Results Women’s kinship, social, and economic roles shaped their ability to participate in the clinical trial. Although participants expressed strong commitments to attend study visits, clinic visit schedules and lengthy waiting times interfered with their multiple obligations as care givers, wage earners, housekeepers, and students. Conclusions The research findings highlight the importance of the social context in shaping participation in HIV prevention trials, beyond focusing solely on individual characteristics. This points to the need to focus interventions to improve

  4. Influences on visit retention in clinical trials: insights from qualitative research during the VOICE trial in Johannesburg, South Africa.

    PubMed

    Magazi, Busisiwe; Stadler, Jonathan; Delany-Moretlwe, Sinead; Montgomery, Elizabeth; Mathebula, Florence; Hartmann, Miriam; van der Straten, Ariane

    2014-07-28

    Although significant progress has been made in clinical trials of women-controlled methods of HIV prevention such as microbicides and Pre-exposure Prophylaxis (PrEP), low adherence to experimental study products remains a major obstacle to being able to establish their efficacy in preventing HIV infection. One factor that influences adherence is the ability of trial participants to attend regular clinic visits at which trial products are dispensed, adherence counseling is administered, and participant safety is monitored. We conducted a qualitative study of the social contextual factors that influenced adherence in the VOICE (MTN-003) trial in Johannesburg, South Africa, focusing on study participation in general, and study visits in particular. The research used qualitative methodologies, including in-depth interviews (IDI), serial ethnographic interviews (EI), and focus group discussions (FGD) among a random sub-sample of 102 female trial participants, 18 to 40 years of age. A socio-ecological framework that explored those factors that shaped trial participation and adherence to study products, guided the analysis. Key codes were developed to standardize subsequent coding and a node search was used to identify texts relating to obstacles to visit adherence. Our analysis includes coded transcripts from seven FGD (N = 40), 41 IDI, and 64 serial EI (N = 21 women). Women's kinship, social, and economic roles shaped their ability to participate in the clinical trial. Although participants expressed strong commitments to attend study visits, clinic visit schedules and lengthy waiting times interfered with their multiple obligations as care givers, wage earners, housekeepers, and students. The research findings highlight the importance of the social context in shaping participation in HIV prevention trials, beyond focusing solely on individual characteristics. This points to the need to focus interventions to improve visit attendance by promoting a culture of

  5. Incidence and predictors of herpes zoster among antiretroviral therapy-naïve patients initiating HIV treatment in Johannesburg, South Africa

    PubMed Central

    Maskew, Mhairi; Ajayi, Toyin; Berhanu, Rebecca; Majuba, Pappie; Sanne, Ian; Fox, Matthew P.

    2014-01-01

    Summary Objectives To describe the characteristics of HIV-infected patients experiencing herpes zoster after antiretroviral therapy (ART) initiation and to describe the incidence and predictors of a herpes zoster diagnosis. Methods Adult patients initiating ART from April 2004 to September 2011 at the Themba Lethu Clinic in Johannesburg, South Africa were included. Patients were followed from ART initiation until the date of first herpes zoster diagnosis, or death, transfer, loss to follow-up, or dataset closure. Herpes zoster is described using incidence rates (IR) and predictors of herpes zoster are presented as subdistribution hazard ratios (sHR) and 95% confidence intervals (95% CI). Results Fifteen thousand and twenty-five patients were included; 62% were female, the median age was 36.6 years, and the median baseline CD4 count was 98 cells/mm3. Three hundred and forty patients (2.3%) experienced herpes zoster in a median of 26.1 weeks after ART initiation. Most (71.5%) occurred within 1 year of initiation, for a 1-year IR of 18.1/1000 person-years. In an adjusted model, patients with low CD4 counts (<50 vs. ≥200 cells/mm3; sHR: 1.71, 95% CI: 1.21–2.47) and with a prior episode of herpes zoster (sHR: 1.53, 95% CI: 0.97–2.28) were at increased risk of incident herpes zoster. Conclusions While only 2% of patients were diagnosed with herpes zoster in this cohort, patients with low CD4 counts and those with prior episodes of herpes zoster were at higher risk for a herpes zoster diagnosis. PMID:24680820

  6. Built-Up Area and Land Cover Extraction Using High Resolution Pleiades Satellite Imagery for Midrand, in Gauteng Province, South Africa

    NASA Astrophysics Data System (ADS)

    Fundisi, E.; Musakwa, W.

    2017-09-01

    Urban areas, particularly in developing countries face immense challenges such as climate change, poverty, lack of resources poor land use management systems, and week environmental management practices. Mitigating against these challenges is often hampered by lack of data on urban expansion, urban footprint and land cover. To support the recently adopted new urban agenda 2030 there is need for the provision of information to support decision making in the urban areas. Earth observation has been identified as a tool to foster sustainable urban planning and smarter cities as recognized by the new urban agenda, because it is a solution to unavailability of data. Accordingly, this study uses high resolution EO data Pleiades satellite imagery to map and document land cover for the rapidly expanding area of Midrand in Johannesburg, South Africa. An unsupervised land cover classification of the Pleiades satellite imagery was carried out using ENVI software, whereas NDVI was derived using ArcGIS software. The land cover had an accuracy of 85% that is highly adequate to document the land cover in Midrand. The results are useful because it provides a highly accurate land cover and NDVI datasets at localised spatial scale that can be used to support land use management strategies within Midrand and the City of Johannesburg South Africa.

  7. Correlates of HIV Testing Among Abused Women in South Africa

    PubMed Central

    Adams, Julie L.; Hansen, Nathan B.; Fox, Ashley M.; Taylor, Baishakhi B.; van Rensburg, Madri Jansen; Mohlahlane, Rakgadi; Sikkema, Kathleen J.

    2012-01-01

    Gender-based violence increases a woman’s risk for HIV but little is known about her decision to get tested. We interviewed 97 women seeking abuse-related services from a nongovernmental organization (NGO) in Johannesburg, South Africa. Forty-six women (47%) had been tested for HIV. Caring for children (odds ratio [OR] = 0.27, 95% confidence interval [CI] = [0.07, 1.00]) and conversing with partner about HIV (OR = 0.13, 95% CI = [0.02, 0.85]) decreased odds of testing. Stronger risk-reduction intentions (OR = 1.27, 95% CI = [1.01, 1.60]) and seeking help from police (OR = 5.51, 95% CI = [1.18, 25.76]) increased odds of testing. Providing safe access to integrated services and testing may increase testing in this population. Infection with HIV is highly prevalent in South Africa where an estimated 16.2% of adults between the ages of 15 and 49 have the virus. The necessary first step to stemming the spread of HIV and receiving life-saving treatment is learning one’s HIV serostatus through testing. Many factors may contribute to someone’s risk of HIV infection and many barriers may prevent testing. One factor that does both is gender-based violence. PMID:21727154

  8. Draft Whole-Genome Sequence of Serratia sp. Strain TEL, Associated with Oscheius sp. TEL-2014 (Nematoda: Rhabditidae) Isolated from a Grassland in South Africa.

    PubMed

    Lephoto, Tiisetso E; Featherston, Jonathan; Gray, Vincent M

    2015-07-09

    Here, we report on the draft genome sequence of Serratia sp. strain TEL, associated with Oscheius sp. TEL-2014 (Nematoda: Rhabditidae, KM492926) isolated from a grassland in Suikerbosrand Nature Reserve near Johannesburg in South Africa. Serratia sp. strain TEL has a genome size of 5,000,541 bp with 4,647 genes and a G+C content of 59.1%. Copyright © 2015 Lephoto et al.

  9. Gendered Social Capital in a Johannesburg Township

    PubMed Central

    Myroniuk, Tyler W.

    2016-01-01

    Social capital research rarely takes a gendered approach. This article explores how black women and men from a marginalized community in Johannesburg, South Africa, rely on family, friends, and community members to survive and strategize for the future by utilizing social capital. The results from 30 semi-structured interviews and ego network mapping illustrate that gender moderates the type of social capital used and benefits associated with bonding and bridging social capital in important ways. This research builds upon knowledge of gendered advantages and disadvantages in social networks and informs researchers how women and men survive in pervasive poverty. I posit that identifying potential sources of support is an important consideration within social capital or any network research because the prospect of receiving assistance in the future undoubtedly alters the development of these individuals’ livelihood strategies. PMID:27773948

  10. Outcomes of treatment of drug-susceptible tuberculosis at public sector primary healthcare clinics in Johannesburg, South Africa: A retrospective cohort study.

    PubMed

    Budgell, E P; Evans, D; Schnippel, K; Ive, P; Long, L; Rosen, S

    2016-09-05

    Despite the large number of tuberculosis (TB) patients treated in South Africa (SA), there are few descriptions in the published literature of drug-susceptible TB patient characteristics, mode of diagnosis or treatment outcomes in routine public sector treatment programmes. To enhance the evidence base for public sector TB treatment service delivery, we reported the characteristics of and outcomes for a retrospective cohort of adult TB patients at public sector clinics in the Johannesburg Metropolitan Municipality (JHB), SA. We collected medical record data for a retrospective cohort of adult (≥18 years) TB patients registered between 1 April 2011 and 31 March 2012 at three public sector clinics in JHB. Data were abstracted from National TB Programme clinic cards and the TB case registers routinely maintained at study sites. We report patient characteristics, mode of diagnosis, mode of treatment supervision, treatment characteristics, HIV status and treatment outcomes for this cohort. A total of 544 patients were enrolled in the cohort. Most (86%) were new TB cases, 81% had pulmonary TB, 58% were smear-positive at treatment initiation and 71% were HIV co-infected. Among 495 patients with treatment outcomes reported, 80% (n=394) had successful outcomes, 11% (n=55) were lost to follow-up, 8% (n=40) died and 1% (n=6) failed treatment. Primary healthcare clinics in JHB are achieving relatively high rates of success in treating drug-susceptible TB. Missing laboratory results were common, including follow-up smears, cultures and drug susceptibility tests, making it difficult to assess adherence to guidelines and leaving scope for substantial improvements in record-keeping at the clinics involved.

  11. Predictors of switch to and early outcomes on third-line antiretroviral therapy at a large public-sector clinic in Johannesburg, South Africa.

    PubMed

    Evans, Denise; Hirasen, Kamban; Berhanu, Rebecca; Malete, Given; Ive, Prudence; Spencer, David; Badal-Faesen, Sharlaa; Sanne, Ian M; Fox, Matthew P

    2018-04-10

    While efficacy data exist, there are limited data on the outcomes of patients on third-line antiretroviral therapy (ART) in sub-Saharan Africa in actual practice. Being able to identify predictors of switch to third-line ART will be essential for planning for future need. We identify predictors of switch to third-line ART among patients with significant viraemia on a protease inhibitor (PI)-based second-line ART regimen. Additionally, we describe characteristics of all patients on third-line at a large public sector HIV clinic and present their early outcomes. Retrospective analysis of adults (≥ 18 years) on a PI-based second-line ART regimen at Themba Lethu Clinic, Johannesburg, South Africa as of 01 August 2012, when third-line treatment became available in South Africa, with significant viraemia on second-line ART (defined as at least one viral load ≥ 1000 copies/mL on second-line ART after 01 August 2012) to identify predictors of switch to third-line (determined by genotype resistance testing). Third-line ART was defined as a regimen containing etravirine, raltegravir or ritonavir boosted darunavir, between August 2012 and January 2016. To assess predictors of switch to third-line ART we used Cox proportional hazards regression among those with significant viraemia on second-line ART after 01 August 2012. Then among all patients on third-line ART we describe viral load suppression, defined as a viral load < 400 copies/mL, after starting third-line ART. Among 719 patients in care and on second-line ART as of August 2012 (with at least one viral load ≥ 1000 copies/mL after 01 August 2012), 36 (5.0% over a median time of 54 months) switched to third-line. Time on second-line therapy (≥ 96 vs. < 96 weeks) (adjusted Hazard Ratio (aHR): 2.53 95% CI 1.03-6.22) and never reaching virologic suppression while on second-line ART (aHR: 3.37 95% CI 1.47-7.73) were identified as predictors of switch. In a separate cohort of patients on third

  12. Strengthening primary eye care in South Africa: An assessment of services and prospective evaluation of a health systems support package

    PubMed Central

    Lilian, Rivka R.; Railton, Jean; Schaftenaar, Erik; Mabitsi, Moyahabo; Grobbelaar, Cornelis J.; Khosa, N. Sellina; Maluleke, Babra H.; Struthers, Helen E.; McIntyre, James A.

    2018-01-01

    Visual impairment is a significant public health concern, particularly in low- and middle-income countries where eye care is predominantly provided at the primary healthcare (PHC) level, known as primary eye care. This study aimed to perform an evaluation of primary eye care services in three districts of South Africa and to assess whether an ophthalmic health system strengthening (HSS) package could improve these services. Baseline surveys were conducted in Cape Winelands District, Johannesburg Health District and Mopani District at 14, 25 and 36 PHC facilities, respectively. Thereafter, the HSS package, comprising group training, individual mentoring, stakeholder engagement and resource provision, was implemented in 20 intervention sites in Mopani District, with the remaining 16 Mopani facilities serving as control sites. At baseline, less than half the facilities in Johannesburg and Mopani had dedicated eye care personnel or sufficient space to measure visual acuity. Although visual acuity charts were available in most facilities, <50% assessed patients at the correct distance. Median score for availability of nine essential drugs was <70%. Referral criteria knowledge was highest in Cape Winelands and Johannesburg, with poor clinical knowledge across all districts. Several HSS interventions produced successful outcomes: compared to control sites there was a significant increase in the proportion of intervention sites with eye care personnel and resources such as visual acuity charts (p = 0.02 and <0.01, respectively). However, engaging with district pharmacists did not improve availability of essential drugs (p = 0.47). Referral criteria knowledge improved significantly in intervention sites (p<0.01) but there was no improvement in clinical knowledge (p = 0.76). Primary eye care in South Africa faces multiple challenges with regard to organisation of care, resource availability and clinical competence. The HSS package successfully improved some aspects of this

  13. Occurrence of aflatoxins in human foodstuffs in South Africa

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Loetter, L.H.; Kroehm, H.J.

    1988-02-01

    Aflatoxins are toxic metabolites of Aspergillus spp and have been reported as contaminants in a number of foodstuffs, namely corn, rice, peanuts, and cereals. In the Republic of South Africa, aflatoxin levels in human foodstuffs are limited to a maximum of 10 ..mu..g/kg for the total and 5 ..mu..g/kg for aflatoxin B/sub 1/. During 1985 and 1986, samples of sorghum beer, sorghum cereal, peanuts, peanut butter and maize meal were purchased from supermarkets in Johannesburg and analyzed for aflatoxins. A total of 414 samples were analyzed during the survey. In 1985, roughly a third of the samples were contaminated withmore » aflatoxins, with no levels in excess of the legal limit. In 1986 the percentage of contaminated samples rose significantly, but the levels of contamination remained low, with only one sample exceeding the legal maximum.« less

  14. Prevalence of latent tuberculosis infection and predictive factors in an urban informal settlement in Johannesburg, South Africa: a cross-sectional study.

    PubMed

    Ncayiyana, Jabulani R; Bassett, Jean; West, Nora; Westreich, Daniel; Musenge, Eustasius; Emch, Michael; Pettifor, Audrey; Hanrahan, Colleen F; Schwartz, Sheree R; Sanne, Ian; van Rie, Annelies

    2016-11-08

    South Africa has one of the highest burdens of latent tuberculosis infection (LTBI) in high-risk populations such as young children, adolescents, household contacts of TB cases, people living with HIV, gold miners and health care workers, but little is known about the burden of LTBI in its general population. Using a community-based survey with random sampling, we examined the burden of LTBI in an urban township of Johannesburg and investigated factors associated with LTBI. The outcome of LTBI was based on TST positivity, with a TST considered positive if the induration was ≥5 mm in people living with HIV or ≥10 mm in those with unknown or HIV negative status. We used bivariate and multivariable logistic regression to identify factors associated with LTBI RESULTS: The overall prevalence of LTBI was 34.3 (95 % CI 30.0, 38.8 %), the annual risk of infection among children age 0-14 years was 3.1 % (95 % CI 2.1, 5.2). LTBI was not associated with HIV status. In multivariable logistic regression analysis, LTBI was associated with age (OR = 1.03 for every year increase in age, 95 % CI = 1.01-1.05), male gender (OR = 2.70, 95 % CI = 1.55-4.70), marital status (OR = 2.00, 95 % CI = 1.31-3.54), and higher socio-economic status (OR = 2.11, 95 % CI = 1.04-4.31). The prevalence of LTBI and the annual risk of infection with M. tuberculosis is high in urban populations, especially in men, but independent of HIV infection status. This study suggests that LTBI may be associated with higher SES, in contrast to the well-established association between TB disease and poverty.

  15. Social networks and mental health among people living with human immunodeficiency virus (HIV) in Johannesburg, South Africa.

    PubMed

    Odek, Willis Omondi

    2014-01-01

    People living with human immunodeficiency virus (PLHIV) in developing countries can live longer due to improved treatment access, and a deeper understanding of determinants of their quality of life is critical. This study assessed the link between social capital, operationally defined in terms of social networks (group-based and personal social networks) and access to network resources (access to material and non-material resources and social support) and health-related quality of life (HRQoL) among 554 (55% female) adults on HIV treatment through South Africa's public health system. Female study participants were involved with more group-based social networks but had fewer personal social networks in comparison to males. Access to network resources was higher among females and those from larger households but lower among older study participants. Experience of social support significantly increased with household economic status and duration at current residence. Social capital indicators were unrelated to HIV disease status indicators, including duration since diagnosis, CD4 count and viral load. Only a minority (13%) of study participants took part in groups formed by and for predominantly PLHIV (HIV support groups), and participation in such groups was unrelated to their mental or physical health. Personal rather than group-linked social networks and access to network resources were significantly associated with mental but not physical health, after controlling for sociodemographic characteristics. The findings of limited participation in HIV support groups and that the participation in such groups was not significantly associated with physical or mental health may suggest efforts among PLHIV in South Africa to normalise HIV as a chronic illness through broad-based rather than HIV-status bounded social participation, as a strategy for deflecting stigma. Further research is required to examine the effects of HIV treatment on social networking and participation

  16. Sub-Saharan Africa Report.

    DTIC Science & Technology

    1987-04-13

    CSO: 3400/295 100 SOUTH AFRICA COCA COLA SHARES MADE AVAILABLE TO BLACK RETAILERS Johannesburg BUSINESS DAY in English 6 Mar 87 p 1 [Article by...Soweto Rent Evictions (SAPA, 25 Mar 87) 98 Unemployment, Malnutrition Widespread in Lebowa Villages (Susan Pleming; THE STAR, 24 Feb 87) 99 Coca ... Cola Shares Made Available to Black Retailers (Patrick Bulger; BUSINESS DAY, 6 Mar 87) \\ 101 Briefs May Holiday Declaration 102 Former ANC

  17. Commercial sex work or ukuphanda? Sex-for-money exchange in Soweto and Hammanskraal area, South Africa.

    PubMed

    Wojcicki, Janet Maia

    2002-09-01

    This article introduces the concept of ukuphanda, a Zulu verb that is used to describe the sex-for-money exchanges that take place outside of commercial sex work in Soweto and Hammanskraal area, South Africa. In line with the ethnographic literature from others areas of sub-Saharan Africa, it is argued that women who exchange sex for money in taverns do not self-identify as commercial sex workers and experience less stigma from the community. Unlike commercial sex work (as characterized by the commercial sex work in Hillbrow, Johannesburg), which is understood to be associated with short skirts and other revealing attire, sex-for-money exchange in the taverns is viewed as more private, ambiguous and informal. Women who work as informal sex workers, or "-phandela imali" ('try to get money'), are understood to be using sex-for-money exchange to survive financially.

  18. Predictors of Parent-Adolescent Communication in Post-apartheid South Africa: A Protective Factor in Adolescent Sexual and Reproductive Health

    PubMed Central

    Coetzee, Jenny; Dietrich, Janan; Otwombe, Kennedy; Nkala, Busi; Khunwane, Mamakiri; van der Watt, Martin; Sikkema, Kathleen J; Gray, Glenda E

    2014-01-01

    In the HIV context, risky sexual behaviours can be reduced through effective parent-adolescent communication. This study used the Parent Adolescent Communication Scale to determine parent-adolescent communication by ethnicity and identify predictors of high parent-adolescent communication amongst South African adolescents post-apartheid. A cross-sectional interviewer-administered survey was administered to 822 adolescents from Johannesburg, South Africa. Backward stepwise multivariate regressions were performed. The sample was predominantly Black African (62%, n=506) and female (57%, n=469). Of the participants, 57% (n=471) reported high parent-adolescent communication. Multivariate regression showed that gender was a significant predictor of high parent-adolescent communication (Black African OR:1.47,CI:1.0-2.17, Indian OR:2.67,CI:1.05-6.77, White OR:2.96,CI:1.21-7.18). Female-headed households were predictors of high parent-adolescent communication amongst Black Africans (OR:1.49,CI:1.01-2.20), but of low parent-adolescent communication amongst Whites (OR:0.36,CI: 0.15-0.89). Overall levels of parent-adolescent communication in South Africa are low. HIV prevention programmes for South African adolescents should include information and skills regarding effective parent-adolescent communication. PMID:24636691

  19. Ad/dressing the nation: drag and authenticity in post-apartheid South Africa.

    PubMed

    Spruill, Jennifer

    2004-01-01

    This paper examines a style of drag in South Africa that features "traditional African" clothing. In a region in which homosexuality is denigrated as a colonial, European import and "unAfrican," the meaning of "traditional drag" is deeply inflected by the question of cultural authenticity. This dragging practice fits within a distinctly post-colonial production of tradition and its self-conscious display--in the form of attire--of a decidedly "gay" one. Traditional drag also responds to ongoing politics within and between lesbian and gay communities about racial "representivity" and "transformation." The paper focuses on displays of traditional drag at Johannesburg's Gay and Lesbian Pride Parade but also explores the complex politics of publicity and address suggested by varying contexts in which traditional dress and drag are mobilized.

  20. Air Quality, Energy Budget, and Offset Policy in South Africa's Low-Income Settlements

    NASA Astrophysics Data System (ADS)

    Hersey, S. P.; Piketh, S.; Burger, R.

    2014-12-01

    Urban and exurban residential populations in South Africa reside primarily in low-income settlements, including many townships remaining from Apartheid. Over 3 million free government homes have been built in the last 20 years, but the number of people living in informal settlements is the same as at the end of Apartheid in 1994 - a consequence of rapid urbanization. Despite availability of electricity to the vast majority of South Africans, ~80% of electrified homes in low-income areas also burn coal and/or wood as supplementary fuels for cooking and heating. These domestic burning activities represent 70-85% of total PM10mass during winter in South Africa's low-income settlements. Here we analyze data from observations of human-atmosphere systems in: 1) 19 ground monitoring sites in Gauteng Province (Johannesburg and Pretoria), and 2) an intensive sampling campaign in a township in Mpumalanga Province (Industrial Highveld). From ground monitoring, we quantitatively describe seasonal and diurnal trends in PM10 and PM2.5 typical in low-income settlements as compared with industrial and developed suburban areas, and demonstrate the impact of low-income settlements on regional air quality. We also explore the implications of economic development in townships (increased household income, expanded commercialization and widespread electricity usage) on local and regional air quality. Data from the intensive township sampling study provides a seasonal energy budget for domestic burning in low-income settlements and suggests that indoor and ambient air quality are independent systems requiring unique interventions. We conclude with a preview of innovative strategies being developed by industry, government, and academic stakeholders for a not-like-for-like emissions offset policy in South Africa, focused on investments directly into low-income settlements that are aimed at reducing PM exposure.

  1. Conflict and Peace Research: South African Realities and Challenges.

    ERIC Educational Resources Information Center

    Nieuwmeijer, Louise, Ed.; Olivier, Johan, Ed.

    This report resulted from a national workshop held September 5-6, 1995, near Johannesburg, South Africa. The theme of the workshop, "Reflections on Conflict and Peace," was chosen to echo the nature and purpose of the workshop. The major papers presented include: (1) "Conflict and Peace Research Methodology" (Louise…

  2. Food insecurity in households in informal settlements in urban South Africa.

    PubMed

    Naicker, N; Mathee, A; Teare, J

    2015-04-01

    Food insecurity in the urban poor is a major public health challenge. The Health, Environment and Development study assessed trends in food insecurity and food consumption over a period of 7 years in an informal settlement in Johannesburg, South Africa (SA). Annual cross-sectional surveys were conducted in the informal settlement (Hospital Hill). The degree of household food insecurity decreased significantly from 2006 (85%) to 2012 (70%). There was a spike in 2009 (91%), possibly owing to global food price increases. Childhood food insecurity followed the same trend as household food insecurity. During the first 3 study years, consumption of protein, vegetables and fruit decreased by 10-20%, but had returned to previous levels by 2012. In this study, although declining, food insecurity remains unacceptably high. Hunger relief and poverty alleviation need to be more aggressively implemented in order to improve the quality of life in poor urban communities in SA.

  3. New craniodental fossils of papionin monkeys from Cooper's D, South Africa.

    PubMed

    Folinsbee, Kaila E; Reisz, Robert R

    2013-08-01

    Papionin monkey fossils are common in the Plio-Pleistocene aged karst cave deposits northwest of Johannesburg in South Africa. These deposits have yielded important primate and other vertebrate fauna since their discovery in the early part of the 20th century. In this article, we describe new primate cranial and dental specimens from excavations at the site of Cooper's D in the Sterkfontein Valley that date to around 1.5 million years ago. Unlike other localities in southern Africa, most of the new fossils are referred to Theropithecus oswaldi oswaldi, an extinct gramnivorous monkey related to the living gelada. Diagnostic features of T. o. oswaldi crania and teeth include large, thickly enameled molars with tall, columnar cusps, and high molar relief, an upright mandibular ramus, postorbital constriction, and anterior fusion of temporal lines. Also present in the new sample are teeth referred to Papio sp., which show low crowned bunodont molars, and a number of indeterminate papionin teeth and skull fragments. The presence of T. o. oswaldi at Cooper's D extends the list of known localities where the taxon is found, and may indicate the presence of an open, grassland environment in the area during the early Pleistocene. The abundance of theropith fossils at Cooper's suggests that Papio was not consistently the most common papionin in southern Africa over the past three million years. Copyright © 2013 Wiley Periodicals, Inc.

  4. Predictors of parent-adolescent communication in post-apartheid South Africa: a protective factor in adolescent sexual and reproductive health.

    PubMed

    Coetzee, Jenny; Dietrich, Janan; Otwombe, Kennedy; Nkala, Busi; Khunwane, Mamakiri; van der Watt, Martin; Sikkema, Kathleen J; Gray, Glenda E

    2014-04-01

    In the HIV context, risky sexual behaviours can be reduced through effective parent-adolescent communication. This study used the Parent Adolescent Communication Scale to determine parent-adolescent communication by ethnicity and identify predictors of high parent-adolescent communication amongst South African adolescents post-apartheid. A cross-sectional interviewer-administered survey was administered to 822 adolescents from Johannesburg, South Africa. Backward stepwise multivariate regressions were performed. The sample was predominantly Black African (62%, n = 506) and female (57%, n = 469). Of the participants, 57% (n = 471) reported high parent-adolescent communication. Multivariate regression showed that gender was a significant predictor of high parent-adolescent communication (Black African OR:1.47, CI: 1.0-2.17, Indian OR: 2.67, CI: 1.05-6.77, White OR: 2.96, CI: 1.21-7.18). Female-headed households were predictors of high parent-adolescent communication amongst Black Africans (OR:1.49, CI: 1.01-2.20), but of low parent-adolescent communication amongst Whites (OR:0.36, CI: 0.15-0.89). Overall levels of parent-adolescent communication in South Africa are low. HIV prevention programmes for South African adolescents should include information and skills regarding effective parent-adolescent communication. Copyright © 2014 The Foundation for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.

  5. Language in South Africa.

    ERIC Educational Resources Information Center

    Mesthrie, Rajend, Ed.

    This collection of 24 papers focuses on language and society in South Africa. Part 1, "The Main Language Groupings," includes (1) "South Africa: A Sociolinguistic Overview" (R. Mesthrie); (2) "The Khoesan Languages" (A. Traill); (3) "The Bantu Languages: Sociohistorical Perspectives" (Robert K. Herbert and…

  6. Perceptions of Computer Science at a South African University

    ERIC Educational Resources Information Center

    Galpin, Vashti C.; Sanders, Ian D.

    2007-01-01

    First year students at the University of the Witwatersrand in Johannesburg, South Africa, were surveyed about their perceptions of Computer Science before and towards the end of their first year courses. The aim of this research was to investigate how the students' attitudes changed during these courses and to assess the impact of the innovative…

  7. Drug quality in South Africa: perceptions of key players involved in medicines distribution.

    PubMed

    Patel, Aarti; Norris, Pauline; Gauld, Robin; Rades, Thomas

    2009-01-01

    Substandard medicines contribute to poor public health and affect development, especially in the developing world. However knowledge of how manufacturers, distributors and providers understand the concept of drug quality and what strategies they adopt to ensure drug quality is limited, particularly in the developing world. The purpose of this paper is to explore pharmaceutical manufacturers', distributors' and providers' perceptions of drug quality in South Africa and how they ensure the quality of drugs during the distribution process. The approach taken was qualitative data collection through key informant interviews using a semi-structured interview guide. Transcripts were analysed thematically in Johannesburg, Pretoria and Durban, South Africa. Participants were recruited purposefully from a South African pharmaceutical manufacturer, SA subsidiaries of international manufacturers, national distribution companies, national wholesaler, public and private sector pharmacists, and a dispensing doctor. In total, ten interviews were conducted. Participants described drug quality in terms of the product and the processes involved in manufacturing and handling the product. Participants identified purchasing registered medicines from licensed suppliers, use of standard operating procedures, and audits between manufacturer and distributor and/or provider as key strategies employed to protect medicine quality. Effective communication amongst all stakeholders, especially in terms of providing feedback regarding complaints about medicine quality, appears as a potential area of concern, which would benefit from further research. The paper hightlights that ensuring medicine quality should be a shared responsibility amongst all involved in the distribution process to prevent medicines moving from one distribution system (public) into another (private).

  8. The Africa South America Intercontinental Teleconnection.

    NASA Astrophysics Data System (ADS)

    Cook, K. H.; Hsieh, J.-S.; Hagos, S. M.

    2004-07-01

    The influence of heating over Africa on the South American precipitation climatology, and the influence of South America on Africa, is examined through the application of GCM simulations with idealized boundary conditions and perpetual solstice (January and July) conditions.The presence of Africa is associated with a pronounced (up to 4 mm day-1) decrease in precipitation in Brazil's Nordeste region during austral summer. Low-level moisture divergence and dry-air advection associated with the downbranch of a Walker circulation induced by heating over southern Africa is amplified over the Nordeste due to the response of the land surface. The response is much smaller during austral winter due to differences in the heat source over Africa and a reduced sensitivity in the surface heat balance over tropical South America. Forcing from South America in January shifts the position of the South Indian convergence zone (SICZ) to the southwest over southern Africa in association with the formation of the South Atlantic convergence zone (SACZ). In July, a Rossby wave train generated over South America induces a response in the surface temperature of Africa that leads to stronger precipitation in central and western Africa.This study suggests a zonal mode of variability for South American and African circulation and precipitation fields. The resulting perturbations depend as much on land surface atmosphere interactions as on the direct forcing from the adjacent continent, and the mechanisms are highly nonlinear.


  9. Differences in the nature of stroke in a multiethnic urban South African population: the Johannesburg hospital stroke register.

    PubMed

    Connor, Myles D; Modi, Girish; Warlow, Charles P

    2009-02-01

    The burden of stroke is increasing in Sub-Saharan Africa (SSA) as the population undergoes epidemiological and demographic transition. Little is known about the nature (risk factors, stroke type and subtype, and causes) of stroke in SSA and whether it differs from stroke in high-income populations. We aimed to compare the nature of stroke between black and white populations in South Africa. We used overlapping sources to ascertain consecutive first-ever-in-a-lifetime stroke patients admitted to Johannesburg Hospital over 23 months. We assessed each patient's demographic details, risk factors, CT confirmed pathological stroke type, ischemic stroke subtype and stroke severity, and compared the nature of stroke between black and white stroke patients. 524 patients with presumed stroke were referred. Of these, 432 were first-ever strokes; 308 patients were black and 76 white. Black patients were significantly younger (mean age 51) than white patients (61). Stroke severity was similar (median NIH stroke score 10; 95% CI 8 to 11). More black than white patients had cerebral hemorrhage (27% versus 15%), lacunar stroke (28% versus 22%) and total anterior circulation infarcts (28% versus 22%). Large vessel atherosclerosis (none detected) and ischemic heart disease were very uncommon (1%) as a cause of stroke in black patients. Hypertension (70% versus 68%) and diabetes (14 versus 15%) were as common in black and white stroke patients, but mean cholesterol levels were lower (4.6 mmol/L; 95% CI 4.3 to 4.9 versus 5.3 mmol/L; 4.8 to 5.7) and cigarette smoking less frequent in black patients (23 versus 54%). Although this was a hospital-based study, the difference in the nature of stroke between black and white stroke patients likely reflects the profile of stroke risk factors. There is an opportunity to prevent an otherwise inevitable increase in atherosclerotic stroke (and IHD) by targeting dietary and smoking habits in the black South African population.

  10. Identity Formation among Learners at a South African High School: Assessing the Interaction between Context and Identity

    ERIC Educational Resources Information Center

    Dawson, Marcelle C.

    2007-01-01

    In this article the relationship between identity and context is examined at a high school in Johannesburg, South Africa, which has, since 1995, been racially desegregated. Findings suggest that the identities of the learners are influenced not only by the immediate context of the school, but also by the past context of schooling in South Africa…

  11. Identification of sources of environmental lead in South Africa from surface soil geochemical maps.

    PubMed

    de Villiers, Stephanie; Thiart, Christien; Basson, Nicholas C

    2010-10-01

    The bioavailability of lead in soil is of considerable importance to human and animal health. Although selective extraction has been explored as a more appropriate technique than total heavy metal analysis in environmental pollution assessments, such studies remain scarce globally and are almost non-existent in developing countries. Results for a large-scale study of extractable lead levels in undisturbed soil samples in South Africa identify several geographic areas of concern. Lead levels are considerably elevated relative to background levels in the Johannesburg urban and industrial area. Areas of active lead mining also exhibit higher surface soil values. Interestingly, areas of active and intensive coal mining activity display relatively low soil Pb values, possibly attributable to the relatively low heavy metal content of South African coal. In all instances, distribution of cadmium, a carcinogenic element, correlates with that of lead. The results demonstrate the usefulness of the quick and easy Mehlich-3 single extractant technique, an established technique in micronutrient studies, to simultaneously provide valuable environmental data for toxic metals such as Pb and Cd.

  12. Ambient aromatic hydrocarbon measurements at Welgegund, South Africa

    NASA Astrophysics Data System (ADS)

    Jaars, K.; Beukes, J. P.; van Zyl, P. G.; Venter, A. D.; Josipovic, M.; Pienaar, J. J.; Vakkari, V.; Aaltonen, H.; Laakso, H.; Kulmala, M.; Tiitta, P.; Guenther, A.; Hellén, H.; Laakso, L.; Hakola, H.

    2014-07-01

    Aromatic hydrocarbons are associated with direct adverse human health effects and can have negative impacts on ecosystems due to their toxicity, as well as indirect negative effects through the formation of tropospheric ozone and secondary organic aerosol, which affect human health, crop production and regional climate. Measurements of aromatic hydrocarbons were conducted at the Welgegund measurement station (South Africa), which is considered to be a regionally representative background site. However, the site is occasionally impacted by plumes from major anthropogenic source regions in the interior of South Africa, which include the western Bushveld Igneous Complex (e.g. platinum, base metal and ferrochrome smelters), the eastern Bushveld Igneous Complex (platinum and ferrochrome smelters), the Johannesburg-Pretoria metropolitan conurbation (> 10 million people), the Vaal Triangle (e.g. petrochemical and pyrometallurgical industries), the Mpumalanga Highveld (e.g. coal-fired power plants and petrochemical industry) and also a region of anticyclonic recirculation of air mass over the interior of South Africa. The aromatic hydrocarbon measurements were conducted with an automated sampler on Tenax-TA and Carbopack-B adsorbent tubes with heated inlet for 1 year. Samples were collected twice a week for 2 h during daytime and 2 h during night-time. A thermal desorption unit, connected to a gas chromatograph and a mass selective detector was used for sample preparation and analysis. Results indicated that the monthly median (mean) total aromatic hydrocarbon concentrations ranged between 0.01 (0.011) and 3.1 (3.2) ppb. Benzene levels did not exceed the local air quality standard limit, i.e. annual mean of 1.6 ppb. Toluene was the most abundant compound, with an annual median (mean) concentration of 0.63 (0.89) ppb. No statistically significant differences in the concentrations measured during daytime and night-time were found, and no distinct seasonal patterns were

  13. South Africa/Time Running Out.

    ERIC Educational Resources Information Center

    Clark, Todd, Ed.

    1984-01-01

    Based on the book, "South Africa: Time Running Out," a report of the Study Commission on U.S. Policy Toward Southern Africa, this 10-20 day unit of study is designed to help high school students learn about the history, geography, and present situation in South Africa and its relationship to the United States. The first of four sections…

  14. Predictors of loss to follow-up among children in the first and second years of antiretroviral treatment in Johannesburg, South Africa

    PubMed Central

    Sengayi, Mazvita; Dwane, Ntabozuko; Marinda, Edmore; Sipambo, Nosisa; Fairlie, Lee; Moultrie, Harry

    2013-01-01

    Background Ninety percent of the world's 2.1 million HIV-infected children live in sub-Saharan Africa, and 2.5% of South African children live with HIV. As HIV care and treatment programmes are scaled-up, a rise in loss to follow-up (LTFU) has been observed. Objective The aim of the study was to determine the rate of LTFU in children receiving antiretroviral treatment (ART) and to identify baseline characteristics associated with LTFU in the first year of treatment. We also explored the effect of patient characteristics at 12 months treatment on LTFU in the second year. Methods The study is an analysis of prospectively collected routine data of HIV-infected children at the Harriet Shezi Children's Clinic (HSCC) in Soweto, Johannesburg. Cox proportional hazards models were fitted to investigate associations between baseline characteristics and 12-month characteristics with LTFU in the first and second year on ART, respectively. Results The cumulative probability of LTFU at 12 months was 7.3% (95% CI 7.1–8.8). In the first 12 months on ART, independent predictors of LTFU were age <1 year at initiation, recent year of ART start, mother as a primary caregiver, and being underweight (WAZ ≤ −2). Among children still on treatment at 1 year from ART initiation, characteristics that predicted LTFU within the second year were recent year of ART start, mother as a primary caregiver, being underweight (WAZ ≤ −2), and low CD4 cell percentage. Conclusions There are similarities between the known predictors of death and the predictors of LTFU in the first and second years of ART. Knowing the vital status of children is important to determine LTFU. Although HIV-positive children cared for by their mothers appear to be at greater risk of becoming LTFU, further research is needed to explore the challenges faced by mothers and other caregivers and their impact on long-term HIV care. There is also a need to investigate the effects of differential access to ART between

  15. Importance and Challenges in Use and Uptake of Air Quality Modelling in Developing Countries: Use of CAMx for Air Quality Management in the City of Johannesburg.

    NASA Astrophysics Data System (ADS)

    Garland, R. M.; Naidoo, M.; Sibiya, B.; Naidoo, S.; Bird, T.; von Gruenewaldt, R.; Liebenberg-Enslin, H.; Nekhwalivhe, M.; Netshandama, J.; Mahlatji, M.

    2017-12-01

    Ambient air pollution levels are regulated in South Africa; however in many areas pollution concentrations exceed these levels. The South African Air Quality Act also stipulates that government across all levels must have Air Quality Management Plans (AQMP) in place that outline the current state of air quality and emissions, as well as the implementable plan to manage, and where necessary improve, air quality. Historically, dispersion models have been used to support air quality management decisions, including in AQMPs. However, with the focus of air quality management shifting from focusing on industrial point sources to a more integrated and holistic management of all sources, chemical transport models are needed. CAMx was used in the review and development of the City of Johannesburg's AQMP to simulate hot spots of air pollution, as well as to model intervention scenarios. As the pollutants of concern in Johannesburg are ozone and particulate matter, it is critical to use a model that can simulate chemistry. CAMx was run at 1 km with a locally derived emissions inventory for 2014. The sources of pollution in the City are diverse (including, industrial, vehicles, domestic burning, natural), and many sources have large uncertainties in estimating emissions due to lack of necessary data and local emission factors. These uncertainties, together with a lack of measurements to validate the model against, hinder the performance of the model to simulate air quality and thus inform air quality management. However, as air quality worsens in Africa, it is critical for decision makers to have a strong evidence base on the state of air quality and impact of interventions in order to improve air quality effectively. This presentation will highlight the findings from using a chemical transport model for air quality management in the largest city in South Africa, the use and limitations of these for decision-makers, and proposed way forward.

  16. The Rights of the Child and "The Good of the Learners": A Comparative Ethnographical Survey on the Abolition of Corporal Punishment in South African Schools

    ERIC Educational Resources Information Center

    Payet, Jean-Paul; Franchi, Vije

    2008-01-01

    In contemporary South Africa, the abolition of corporal punishment symbolizes a break with the previous schooling system. A qualitative study in four formerly segregated schools south of Johannesburg showcases different realities and discourses on corporal punishment. The practices vary from its total abolition to its continued maintenance. Most…

  17. The incidence and epidemiology of eldercide in the city of Johannesburg, South Africa.

    PubMed

    Buthelezi, Sizakele; Swart, Lu-Anne; Seedat, Mohamed

    2017-11-01

    The current study describes the incidence and epidemiological characteristics of eldercide (homicides among victims aged 60 years and older) in Johannesburg for the period 2001 to 2010. A retrospective population-based study was conducted on cases drawn from the National Injury Mortality Surveillance System. A total of 557 eldercides were recorded by NIMSS for the study period with an average annual rate of 23.1 per 100 000. The average annual rate for males was 42.4 per 100 000 and 8.9 per 100 000 for females. There was little variation in the rates by race. Eldercide victims were predominantly male (77.4%), black (48.3%) or white (43.2%), and were mainly killed by firearms (44.8%) or the use of blunt force (27.8%), in a private residence (66.0%), on a week day (53.8%) and during the day (56.1%). The study also found that the characteristics of eldercide varied across males and females, and across black and white race groups. The high incidence of eldercides points to the need for interventions that give special attention to the risk configurations and circumstances associated with these violent deaths. Copyright © 2017 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  18. The effect of season and latitude on in vitro vitamin D formation by sunlight in South Africa.

    PubMed

    Pettifor, J M; Moodley, G P; Hough, F S; Koch, H; Chen, T; Lu, Z; Holick, M F

    1996-10-01

    To assess the effect of season and latitude on the in vitro formation of previtamin D3 and vitamin D3 from 7-dehydrocholesterol (7-DHC) by sunlight in two cities in South Africa, Cape Town and Johannesburg. An in vitro study utilising vials containing 7-DHC, which were exposed to sunlight for a period of 1 hour between 8:00 and 17:00 on 1 day a month for a year. Previtamin D3 and vitamin D3 were separated from 7-DHC by high-performance liquid chromatography, and the amounts formed were calculated with the use of external standards. A marked seasonal variation in vitamin D3 production was noted in Cape Town, with very little being formed during the winter months of April through September. In Johannesburg, in vitro formation changed little throughout the year, and was similar to that found in Cape Town during the summer. During sunlit hours, vitamin D3 production was maximal at midday and small quantities were still being formed between 8:00 and 9:00, and between 16:00 and 17:00 during the summer. During winter in Cape Town, peak formation at midday was less than one-third of that in Johannesburg, and negligible amounts were formed before 10:00 and after 15:00. The previously documented seasonal variation in serum 25-hydroxyvitamin D recorded in patients in Johannesburg is probably a consequence of the increased clothing worn and the decreased time spent out of doors during winter, rather than decreased ultraviolet radiation reaching the earth. The limited in vitro formation of vitamin D3 during winter in Cape Town may have clinical implications insofar as the management of metabolic bone diseases like rickets and osteoporosis is concerned. Breast-fed infants resident in the area are likely to suffer from vitamin D deficiency rickets unless vitamin D supplements are provided, or the mothers are encouraged to take their children out of doors.

  19. 'Pharmacists have been left out of the loop': exploring the role of pharmacists in the management of HIV/AIDS in South Africa.

    PubMed

    Gilbert, Leah

    2016-02-01

    The aim of this paper is to portray and critically analyse the role played by pharmacists in the management of the HIV/AIDS epidemic in South Africa. The data used for this article originate in secondary and primary sources. They were collected by means of a documentary analysis of all relevant documents of significance as well as exploratory telephone interviews conducted with a systematic random sample of community pharmacies in Greater Johannesburg in 2004 and 2010. It is clear from the original strategic framework that the government envisaged pharmacists playing a significant role in the various facets of the epidemic. Following these intentions, the South African Pharmacy Council and the Pharmaceutical Society of South Africa embarked on a process of establishing AIDS Resource Centres in pharmacies. However, although in some areas pharmacists are contributing to the management of HIV/AIDS, the overall scenario revealed is that of lack of willingness to go for additional training and/or to invest in restructuring the pharmacy to 'accommodate' the activities of an 'AIDS Resource Centre' without the prospects of adequate financial gains. In a parallel process, the original, more meaningful role for pharmacists in the management of HIV/AIDS has not been featured in recent professional and governmental documentation. The reality on the ground is that of a missed opportunity as the pharmacists have not risen to the challenge and they remain on the margins, and not at the centre, of those professionals managing HIV/AIDS in South Africa. © 2015 Royal Pharmaceutical Society.

  20. Perceptions of mental illness among Muslim general practitioners in South Africa.

    PubMed

    Mohamed-Kaloo, Zaakiyah; Laher, Sumaya

    2014-03-26

    Mental health literacy on the part of medical practitioners is an important component of mental healthcare. General practitioners (GPs) are typically the first doctors consulted by a person who is ill. Exploration of their perceptions regarding mental illness, aetiological issues and treatment is important. To investigate perceptions of mental illness in a sample of ten South African Muslim GPs (five male, five female) in the Lenasia area (Johannesburg, South Africa). Using a qualitative approach, semi-structured interviews were conducted with each GP. The questionnaire encompassed 37 questions relating to the context in which the GPs practised, perceptions of mental illness, understanding of religion and culture, and treatment of mental illness (including aspects of spiritual illness). Thematic content analysis was used to analyse the data. Six dominant themes were identified, namely GPs' understanding of mental illness and its causation; stigma, secrecy and somatisation; the beneficial effects of religion in mental illnesses; perceptions of spiritual illnesses; collaboration with traditional healers; and collaboration with psychiatrists and psychologists. Greater awareness regarding the stigmatisation of mental illness is needed. Furthermore, it is important that healthcare professionals have an understanding of religious and cultural taxonomies of illness as well as the use of traditional healing as a mode of treatment. Participants identified a need for increased collaboration between healthcare professionals, including traditional healers.

  1. An overview of regional and local characteristics of aerosols in South Africa using satellite, ground, and modeling data

    PubMed Central

    Hersey, S. P.; Garland, R. M.; Crosbie, E.; Shingler, T.; Sorooshian, A.; Piketh, S.; Burger, R.

    2015-01-01

    We present a comprehensive overview of particulate air quality across the five major metropolitan areas of South Africa (Cape Town, Bloemfontein, Johannesburg and Tshwane (Gauteng Province), the Industrial Highveld Air Quality Priority Area (HVAPA), and Durban), based on a decadal (1 January 2000 to 31 December 2009) aerosol climatology from multiple satellite platforms and detailed analysis of ground-based data from 19 sites throughout Gauteng Province. Satellite analysis was based on aerosol optical depth (AOD) from MODIS Aqua and Terra (550 nm) and MISR (555 nm) platforms, Ångström Exponent (α) from MODIS Aqua (550/865 nm) and Terra (470/660 nm), ultraviolet aerosol index (UVAI) from TOMS, and results from the Goddard Ozone Chemistry Aerosol Radiation and Transport (GOCART) model. At continentally influenced sites, AOD, α, and UVAI reach maxima (0.12–0.20, 1.0–1.8, and 1.0–1.2, respectively) during austral spring (September–October), coinciding with a period of enhanced dust generation and the maximum integrated intensity of close-proximity and subtropical fires identified by MODIS Fire Information for Resource Management System (FIRMS). Minima in AOD, α, and UVAI occur during winter. Results from ground monitoring indicate that low-income township sites experience by far the worst particulate air quality in South Africa, with seasonally averaged PM10 concentrations as much as 136 % higher in townships that in industrial areas. We report poor agreement between satellite and ground aerosol measurements, with maximum surface aerosol concentrations coinciding with minima in AOD, α, and UVAI. This result suggests that remotely sensed data are not an appropriate surrogate for ground air quality in metropolitan South Africa. PMID:26312061

  2. Counselling Psychology in South Africa.

    PubMed

    Bantjes, Jason; Kagee, Ashraf; Young, Charles

    The origin and development of counselling psychology in South Africa has been profoundly influenced by the country's socio-political history and the impact of apartheid. As a result of this, counselling psychologists in the country face a number of challenges and opportunities for the future. In this paper we provide a portrait of counselling psychology in South Africa by describing the current character of the specialty and the context in which South African psychologists work. We critically discuss the challenges that the specialty faces to meet the country's mental health care needs, contest the current Scope of Practice; affirm multiculturalism without essentializing or reifying race and ethnicity, and build an evidence base for community interventions in the country. We also consider how, in the future, counselling psychologists in South Africa may make a more meaningful contribution within public health and the country's health care and education systems.

  3. South African-ness Among Adolescents: The Emergence of a Collective Identity within the Birth to Twenty Cohort Study

    PubMed Central

    Norris, Shane A; Roeser, Robert W.; Richter, Linda M; Lewin, Nina; Ginsburg, Carren; Fleetwood, Stella A; Taole, Elizabeth; van der Wolf, Kees

    2009-01-01

    We assessed the emergence of a South African identity among Black, Colored (mixed ancestral origin), White (predominantly English speaking), and Indian adolescents participating in a birth cohort study called “Birth to Twenty” in Johannesburg, South Africa. We examined young people's certainty of their self-categorization as South African, the centrality of their personal, racial and linguistic, and South African identities in their self-definition, and their perceptions of South African life and society today. These results reflect a historical opportunity for full citizenship and national enfranchisement that the end of Apartheid heralded for Black and Colored individuals. Black and Colored youth tend to be more certain about their South African-ness, have a more collective identity, and have a more positive perception around South Africa. In contrast, White and Indian youth are less certain about their South African-ness, have a more individualistic identity, and have a less positive perception about South Africa today. PMID:19461896

  4. Towards environment and health promoting South African schools.

    PubMed

    Mathee, A; Byrne, J

    1996-03-01

    This article describes the activities of the Greater Johannesburg Healthy Schools Program of the World Health Organization's (WHO) Healthy Cities Project in South Africa. Healthy Cities projects emphasize community participation, intersectoral action, supportive environments for health, and a settings approach. Children in South Africa, are exposed to environmental and health hazards in the school setting including poor building design, poor equipment, and understaffing. The Healthy Schools initiative in Greater Johannesburg, is a pilot for enhancing environmental quality, health, and well-being among students. Schools include those in an informal settlement in an industrial area, an inner city district, and in a suburban area. The initiative includes research, establishment of environmental and health committees, development of an action plan, and evaluation and feedback. The plan aims to promote environmental and health sustainability, to empower children to become full participants in the community, and to support teachers and parents in the promotion of health-enhancing school environments. The program builds upon the lessons learned from several local school initiatives. Initiatives include an anti-smoking poster competition involving over 10,000 students, special environmental and health awareness days, consciousness raising among high school students about air pollution, and local efforts to engage students in environmental clean-up days.

  5. Female Principals Leading at Disadvantaged Schools in Johannesburg, South Africa

    ERIC Educational Resources Information Center

    Naidoo, Bhaigiavathie; Perumal, Juliet

    2014-01-01

    South African democracy precipitated many changes and excavated many dormant issues, one of which was equity in the workplace. This extended into the sphere of education - a sector in which women were rarely seen in leadership positions. Following the implementation of several redress policies, women have managed to penetrate the gender equity…

  6. Echinococcus felidis in hippopotamus, South Africa.

    PubMed

    Halajian, Ali; Luus-Powell, Wilmien J; Roux, Francois; Nakao, Minoru; Sasaki, Mizuki; Lavikainen, Antti

    2017-08-30

    Hydatid cysts of Echinococcus felidis are described from the hippopotamus (Hippopotamus amphibius) from Mpumalanga Province, South Africa. Among six hippopotami investigated, hepatic hydatids were found in three. The identification was based on mitochondrial and nuclear DNA sequences. In addition, the rostellar hook morphology was analysed. This is the first morphological description of the metacestode of E. felidis, and the first molecularly confirmed report of the intermediate host of E. felidis in South Africa. The definitive host of E. felidis in South Africa is the lion (Panthera leo). Copyright © 2017 Elsevier B.V. All rights reserved.

  7. Tropospheric Ozone Climatology over Irene, South Africa, From 1990-1994 and 1998-2002

    NASA Technical Reports Server (NTRS)

    Diab, R. D.; Thompson, A. M.; Marl, K.; Ramsay, L.; Coetzee, G. J. R.

    2004-01-01

    This paper describes ozone profiles from sonde data during the period of NASA s TRACE-A and the more recent SHADOZ (Southern Hemisphere Additional Ozonesondes) period. The data were taken by the South African Weather Service at the Irene (25 deg.54 min S; 28 deg. 13 min. E) station near Pretoria, South Africa, an area that is a unique mixture of local industry, heavy biofuels use and importation of biomass burning ozone from neighboring countries to the north. The main findings are: (1) With its geographical position at the edge of the subtropical transition zone, mid- latitude dynamical influences are evident at Irene, predominantly in winter when upper tropospheric ozone is enhanced as a result of stratospheric-tropospheric exchange. (2) There has been an increase in the near-surface ozone amount between the early 1990s and a decade later, presumably due to an influx of rural population toward the Johannesburg-Pretoria area, as well as with industrial growth and development. (3) Most significant for developing approaches for satellite ozone profile climatologies, cluster analysis has enabled the delineation of a background and "most polluted" profile. Enhancements of at least 30% occur throughout the troposphere in spring and in certain layers increases of 100 % are observed.

  8. Counselling Psychology in South Africa

    PubMed Central

    Bantjes, Jason; Kagee, Ashraf; Young, Charles

    2016-01-01

    The origin and development of counselling psychology in South Africa has been profoundly influenced by the country’s socio-political history and the impact of apartheid. As a result of this, counselling psychologists in the country face a number of challenges and opportunities for the future. In this paper we provide a portrait of counselling psychology in South Africa by describing the current character of the specialty and the context in which South African psychologists work. We critically discuss the challenges that the specialty faces to meet the country’s mental health care needs, contest the current Scope of Practice; affirm multiculturalism without essentializing or reifying race and ethnicity, and build an evidence base for community interventions in the country. We also consider how, in the future, counselling psychologists in South Africa may make a more meaningful contribution within public health and the country’s health care and education systems. PMID:27867261

  9. A profile of students receiving counselling services at a university in post-apartheid South Africa.

    PubMed

    Bowman, Brett; Payne, Jarrod

    2011-12-01

    The purpose of this study was to describe a profile of students seeking counselling at a racially diverse university in post-apartheid South Africa as a means to demonstrate the importance of routinely collecting and analysing student counselling data at university-based centres across the country. Student data were extracted from the only two counselling centres based at the University of the Witwatersrand in Johannesburg that provided services to 831 students during 2008. The 26 243 students that did not seek counselling during this period formed the comparison group. These data were analysed using logistic regression. Black, female and students within the 21-25 year age category were more likely to receive counselling, and presenting problems varied by population group. Given the country's past and continued levels of social asymmetry, we argue that the development of standardised university-based reporting systems able to describe the characteristics and presenting problems of students seeking counselling across South African universities should be prioritised by its higher education sector. Timely access to information of this kind is crucial to the generation of evidence-based mental health interventions in a population that is especially important to the country's development vision.

  10. South-South medical tourism and the quest for health in Southern Africa.

    PubMed

    Crush, Jonathan; Chikanda, Abel

    2015-01-01

    Intra-regional South-South medical tourism is a vastly understudied subject despite its significance in many parts of the Global South. This paper takes issue with the conventional notion of South Africa purely as a high-end "surgeon and safari" destination for medical tourists from the Global North. It argues that South-South movement to South Africa for medical treatment is far more significant, numerically and financially, than North-South movement. The general lack of access to medical diagnosis and treatment in SADC countries has led to a growing temporary movement of people across borders to seek help at South African institutions in border towns and in the major cities. These movements are both formal (institutional) and informal (individual) in nature. In some cases, patients go to South Africa for procedures that are not offered in their own countries. In others, patients are referred by doctors and hospitals to South African facilities. But the majority of the movement is motivated by lack of access to basic healthcare at home. The high demand and large informal flow of patients from countries neighbouring South Africa has prompted the South African government to try and formalise arrangements for medical travel to its public hospitals and clinics through inter-country agreements in order to recover the cost of treating non-residents. The danger, for 'disenfranchised' medical tourists who fall outside these agreements, is that medical xenophobia in South Africa may lead to increasing exclusion and denial of treatment. Medical tourism in this region and South-South medical tourism in general are areas that require much additional research. Copyright © 2014. Published by Elsevier Ltd.

  11. South Africa Country Analysis Brief

    EIA Publications

    2015-01-01

    South Africa has a large energy-intensive coal mining industry. The country has limited proved reserves of oil and natural gas and uses its large coal deposits to meet most of its energy needs, particularly in the electricity sector. South Africa also has a sophisticated synthetic fuels industry, producing gasoline and diesel fuels from the Secunda coal-to-liquids (CTL) and Mossel Bay gas-to-liquids (GTL) plants

  12. “Son of the Soil … Daughters of the Land”: poetry writing as a strategy of citizen-making for lesbian, gay, and bisexual migrants and asylum seekers in Johannesburg

    PubMed Central

    Dill, LeConté J.; Vearey, Jo; Oliveira, Elsa; Castillo, Gabriela Martínez

    2016-01-01

    abstract South Africa’s Constitution, Bill of Rights, and Freedom Charter are globally ground-breaking for providing provisions of non-discrimination, and, of particular note, on the basis of sexual orientation. Since the introduction of these protective frameworks, lesbian, gay, bisexual, transgender, intersex, and queer (LGBTIQ) communities, allies, and advocates in the country have won major legal battles on these issues; however, in spite of these successes, LGBTIQ communities continue to face hostility and violence. As a result, South African LGBTIQ individuals often travel to urban centres, such as Johannesburg, in the hope that these spaces will be more tolerant of their sexual orientation and gender identity; the reality, however, suggests otherwise. Moreover, despite South Africa’s designation as a safe haven for LGBTIQ communities, migrants from other African countries — where same-sex relationships are criminalised — are overwhelmingly met with xenophobic verbal, emotional, physical, and political violence. This article describes the authors’ engagement with nine lesbian, gay and bisexual (LGB) migrants and asylum seekers from Zimbabwe, Malawi, and elsewhere in South Africa during a weeklong poetry workshop exploring their lived experiences in Johannesburg. This workshop followed a body mapping and narrative writing workshop held previously with the same participants. This article investigates the themes identified from the body mapping process that guided the poems produced: migration, violence, citizenship, and freedom. The poetry created during the workshop illuminates how lesbian, gay, and bisexual migrants in Johannesburg work on a daily basis to build social trust as they demand to be seen and recognised, to enact their rights, to make and remake homes, to show up in public as Black people, as LGB individuals, and as human beings. We explore these strategies of citizen-making as informed by the LGB poets with whom we had the opportunity

  13. Addressing South Africa's Engineering Skills Gaps

    ERIC Educational Resources Information Center

    Hall, Jonathan; Sandelands, Eric

    2009-01-01

    Purpose: This paper aims to provide a case study of how engineering skills gaps are being addressed by Murray & Roberts in South Africa. Design/methodology/approach: The paper focuses on skills challenges in South Africa from a reflective practitioner perspective, exploring a case example from an industry leader. Findings: The paper explores…

  14. Pesticide residues and estrogenic activity in fruit and vegetables sampled from major fresh produce markets in South Africa.

    PubMed

    Mutengwe, Mbulaheni Thomas; Aneck-Hahn, Natalie Hildegard; Korsten, Lise; Van Zijl, Magdalena Catherina; De Jager, Christiaan

    2016-01-01

    Food is likely to be one of the major pathways through which people are exposed to endocrine-disrupting chemicals. With the exception of residual effects, there are concerns that a number of naturally occurring and synthetic chemicals exert adverse effects upon endocrine systems in wildlife and humans. The current study reports selected pesticide concentrations and the total estrogenic activity of fruit and vegetables using the recombinant yeast oestrogen screen (YES) and T47D-KBluc reporter gene assays. A total of 53 food samples (27 fruit and 26 vegetables) from Johannesburg and Tshwane fresh produce markets (in South Africa) were analysed. Of these, 17 contained one to three different pesticide residues with concentrations ranging between 0.01 and 0.68 mg kg(-1), whereas in the rest of the samples no residues were detected. All pesticides detected except in one sample were below the maximum residue level (MRL), but others were unauthorised for use in specified fruit and vegetables. Estrogenic activity was detected in 26.4% (14 samples) of the samples tested, and the estradiol equivalents ranged from 0.007 to 2 pg g(-1). Although the estrogenic activity was low, it may contribute to adverse health effects. Continuous monitoring for pesticides in fruit and vegetables is important in view of the unauthorised pesticides detected in produce from South Africa and the endocrine-disrupting chemical activity found.

  15. Kaposi’s Sarcoma in HIV-infected patients in South Africa: multi-cohort study in the antiretroviral therapy era

    PubMed Central

    Bohlius, Julia; Valeri, Fabio; Maskew, Mhairi; Prozesky, Hans; Garone, Daniela; Sengayi, Mazvita; Fox, Matthew P.; Davies, Mary-Ann; Egger, Matthias

    2015-01-01

    The incidence of Kaposi’s Sarcoma (KS) is high in South Africa but the impact of antiretroviral therapy (ART) is not well defined. We examined incidence and survival of KS in HIV-infected patients enrolled in South African ART programs. We analyzed data of three ART programs: Khayelitsha township and Tygerberg Hospital programs in Cape Town and Themba Lethu program in Johannesburg. We included patients aged >16 years. ART was defined as a regimen of at least three drugs. We estimated incidence rates of KS for patients on ART and not on ART. We calculated Cox models adjusted for age, sex and time-updated CD4 cell counts and HIV-1 RNA. 18,254 patients (median age 34.5 years, 64% female, median CD4 cell count at enrolment 105 cells/μL) were included. During 37,488 person-years follow-up 162 patients developed KS. The incidence was 1,682/100,000 person-years (95% confidence interval [CI] 1,406–2,011) among patients not receiving ART and 138/100,000 person-years (95% CI 102–187) among patients on ART. The adjusted hazard ratio comparing time on ART with time not on ART was 0.19 (95% CI 0.13–0.28). Low CD4 cell counts (time-updated) and male sex were also associated with KS. Estimated survival of KS patients at one year was 72.2% (95% CI 64.9–80.2) and higher in men than in women. The incidence of KS is substantially lower on ART than not on ART. Timely initiation of ART is essential to preventing KS and KS-associated morbidity and mortality in South Africa and other regions in Africa with a high burden of HIV. PMID:24729433

  16. The Flynn Effect in South Africa

    ERIC Educational Resources Information Center

    te Nijenhuis, Jan; Murphy, Raegan; van Eeden, Rene

    2011-01-01

    This is a study of secular score gains in South Africa. The findings are based on representative samples from datasets utilized in norm studies of popular mainstream intelligence batteries such as the WAIS as well as widely used test batteries which were locally developed and normed in South Africa. Flynn effects were computed in three ways.…

  17. Trends in maternal deaths in HIV-infected women, on a background of changing HIV management guidelines in South Africa: 1997 to 2015.

    PubMed

    Mnyani, Coceka N; Buchmann, Eckhart J; Chersich, Matthew F; Frank, Karlyn A; McIntyre, James A

    2017-11-01

    As work begins towards the Sustainable Development Goal target of reducing the global maternal mortality ratio (MMR) to less than 70 deaths per 100,000 live births by 2030, much needs to be done in ending preventable maternal deaths. After 1990, South Africa experienced a reversal of gains in decreasing maternal mortality, with an increase in HIV-related maternal deaths. In this study, we assessed trends in maternal mortality in HIV-infected women, on a background of an evolving HIV care programme. This was a cross-sectional, retrospective record review of maternal deaths in the obstetrics unit at Chris Hani Baragwanath Academic Hospital, in Johannesburg, South Africa, a referral hospital in a high HIV prevalence setting where the prevalence among pregnant women has plateaued around 29.0% for the past decade. Trends in HIV diagnosis and management in pregnancy, and causes of maternal deaths in HIV-infected women were analysed over different time periods (1997 to 2003, 2004 to 2009, 2010 to 2012, and 2013 to 2015) reflecting major guideline changes. From January 1997 to December 2015, there were 692 maternal deaths in the obstetrics unit. Of the 490 (70.8%) maternal deaths with a documented HIV status, 335 (68.4%) were HIV-infected. A Chi-squared test for trends showed that the institutional MMR (iMMR) in women known to be HIV-infected peaked in the period 2004 to 2009 at 380 (95% CI 319 to 446) per 100,000 live births, with a decline to 267 (95% CI 198 to 353) in 2013 to 2015, p = 0.049. This decrease coincided with changes in the South African HIV management guidelines, mainly increased availability of antiretroviral therapy (ART). Non-pregnancy related infections were the leading cause of death throughout the review period, accounting for 61.5% (206/335) of deaths. Only 23.3% (78/335) of the women who died were on ART at the time of death, this in the context of advanced immune suppression and an overall median CD4 count of 136 cells/μl (interquartile ranges

  18. Tele-Education in South Africa

    PubMed Central

    Mars, Maurice

    2014-01-01

    Introduction: Telemedicine includes the use of information and communication technology for education in the health sector, tele-education. Sub-Saharan Africa has an extreme shortage of health professionals and as a result, doctors to teach doctors and students. Tele-education has the potential to provide access to education both formal and continuing medical education. While the uptake of telemedicine in Africa is low, there are a number of successful and sustained tele-education programs. The aims of this study were (i) to review the literature on tele-education in South Africa, (ii) describe tele-education activities at the University of KwaZulu-Natal (UKZ-N) in South Africa, and (iii) review the development of these programs with respect to current thinking on eHealth project implementation. Method: A literature review of tele-education in South Africa was undertaken. The development of the tele-education services at UKZ-N from 2001 to present is described. The approaches taken are compared with current teaching on eHealth implementation and a retrospective design-reality gap analysis is made. Results: Tele-education has been in use in South Africa since the 1970s. Several forms of tele-education are in place at the medical schools and in some Provincial Departments of Health (DOH). Despite initial attempts by the National DOH, there are no national initiatives in tele-education. At UKZ-N, a tele-education service has been running since 2001 and appears to be sustainable and reaching maturity, with over 1,400 h of videoconferenced education offered per year. The service has expanded to offer videoconferenced education into Africa using different ways of delivering tele-education. Conclusion: Tele-education has been used in different forms for many years in the health sector in South Africa. There is little hard evidence of its educational merit or economic worth. What it apparent is that it improves access to education and training in resource constrained

  19. Physics in Africa: The Case of South Africa

    NASA Astrophysics Data System (ADS)

    Mangaliso, Mzamo P.

    2009-03-01

    South Africa plays a special role in building science throughout Africa. The areas of science, particularly those related to physics, which are being developed, will be described together with the involvement of other African countries. Data will be presented that demonstrate the high attrition rate that exists especially in the science track PhD pipeline and highlight the bottleneck at the honors (fourth year) level. Programs designed to overcome this will be presented, and their success discussed. Thoughts on how to go about expanding the interactions between US scientists and South African scientists as well as with African scientists will be presented.

  20. Telerehabilitation in South Africa - is there a way forward?

    PubMed

    Mars, Maurice

    2011-01-01

    South Africa, like the rest of sub-Saharan Africa, has a disproportionate burden of disease and a shortage of health professionals. Telemedicine has been identified as a possible way of overcoming part of the problem but telemedicine has not been widely adopted. In the public sector hospitals in South Africa which serve 82% of the population there are 2.5 physiotherapists and 2 occupational therapists per 100,000 people served. The extent of telerehabilitation in South Africa is unknown. A literature review of telerehabilitation found no papers from South Africa. A survey of the heads of university departments of physiotherapy, occupational therapy and speech and language pathology revealed limited knowledge of telerehabilitation. Telerehabilitation services are confined to follow-up of patients at some institutions by telephone, fax or email. There is need to raise awareness among therapists if telerehabilitation is to become a reality in South Africa. Future actions are outlined.

  1. Asbestos-Related Disease in South Africa

    PubMed Central

    Braun, Lundy; Kisting, Sophia

    2006-01-01

    South Africa was the third largest exporter of asbestos in the world for more than a century. As a consequence of particularly exploitative social conditions, former workers and residents of mining regions suffered—and continue to suffer—from a serious yet still largely undocumented burden of asbestos-related disease. This epidemic has been invisible both internationally and inside South Africa. We examined the work environment, labor policies, and occupational-health framework of the asbestos industry in South Africa during the 20th century. In a changing local context where the majority of workers were increasingly disenfranchised, unorganized, excluded from skilled work, and predominantly rural, mining operations of the asbestos industry not only exposed workers to high levels of asbestos but also contaminated the environment extensively. PMID:16809596

  2. Paediatric liver transplantation for children treated at public health facilities in South Africa: time for change.

    PubMed

    Lala, S G; Britz, R; Botha, J; Loveland, J

    2014-11-01

    Paediatric liver transplantation (PLT) is the only therapeutic option for many children with end-stage chronic liver disease or irreversible fulminant hepatic failure, and is routinely considered as a therapy by paediatric gastroenterologists and surgeons working in developed countries. In South Africa (SA), a PLT programme has been available at Red Cross War Memorial Children's Hospital in Cape Town since November 1991, and another has rapidly developed at the Wits Donald Gordon Medical Centre in Johannesburg over the past decade. However, for most children with progressive chronic liver disease who are reliant on the services provided at state facilities in SA, PLT is not an option because of a lack of resources in a mismanaged public health system. This article briefly outlines the services offered at Chris Hani Baragwanath Academic Hospital--which is typical of state facilities in SA--and proposes that resources be allocated to establish an innovative, nationally funded centre that would enable greater numbers of children access to a PLT programme.

  3. Data-protection standards and confidentiality of HIV/AIDS status in the workplace - a South African case study.

    PubMed

    Muskat-Gorska, Zuzanna

    2008-11-01

    The article contextualises an emerging new regime for information privacy in South Africa (i.e. the draft Protection of Personal Information Bill). Subsequently, it discusses the possibility of successful implementation of international data-protection standards in an environment where there is an urgent need to balance HIV/AIDS confidentiality rights with public health requirements. Also, the article presents a preliminary assessment of the possible impact of professionalisation (and outsourcing) of workplace HIV/AIDS management on workplace data-protection practices, and it identifies some spaces for social dialogue on HIV/AIDS-data treatment in South Africa. The study methods comprise an analysis of legal documents (concerning international data-protection standards and the development of law governing data protection and HIV/AIDS confidentiality in South Africa) and interviews conducted with workplace health managers and trade union representatives, in Johannesburg, in 2007.

  4. Violence, Resilience and Solidarity: The Right to Education for Child Migrants in South Africa

    ERIC Educational Resources Information Center

    Hlatshwayo, Mondli; Vally, Salim

    2014-01-01

    This article examines the psychology of migrant learners' resilience, their right to education, and how migrant organizations and South African civil society are supporting and reinforcing the agency of migrant learners and their parents. It is based on a year-long study conducted by researchers at the University of Johannesburg's Centre for…

  5. Focus on South Africa: Time Running Out.

    ERIC Educational Resources Information Center

    Bryan, Sam, Ed.

    1983-01-01

    These units of study and learning activities for use in secondary social studies classes will help students better understand the complex situation in South Africa and prepare them to make wise and effective decisions about U.S. policy toward South Africa in the crucial years ahead. (RM)

  6. Terrorism in South Africa.

    PubMed

    MacFarlane, Campbell

    2003-01-01

    The Republic of South Africa lies at the southern tip of the African continent. The population encompasses a variety of races, ethnic groups, religions, and cultural identities. The country has had a turbulent history from early tribal conflicts, colonialisation, the apartheid period, and post-apartheid readjustment. Modern terrorism developed mainly during the apartheid period, both by activities of the state and by the liberation movements that continued to the time of the first democratic elections in 1994, which saw South Africa evolve into a fully representative democratic state with equal rights for all. Since 1994, terrorist acts have been criminal-based, evolving in the Cape Town area to political acts, largely laid at the feet of a predominantly Muslim organisation, People against Gangsterism and Drugs, a vigilant organisation allegedly infiltrated by Muslim fundamentalists. Along with this, has been terrorist activities, mainly bombings by disaffected members of white, right-wing groups. In the apartheid era, a Draconian series of laws was enacted to suppress liberation activities. After 1994, most of these were repealed and new legislation was enacted, particularly after the events of 11 September 2001; this legislation allows the government to act against terrorism within the constraints of a democratic system. Disaster management in South Africa has been largely local authority-based, with input from provincial authorities and Civil Defence. After 1994, attempts were made to improve this situation, and national direction was provided. After 11 September 2001, activity was increased and the Disaster Management Act 2002 was brought into effect. This standardized disaster management system at national, provincial, and local levels, also facilites risk assessment and limitation as well as disaster mitigation. The potential still exists for terrorism, mainly from right-wing and Muslim fundamentalist groups, but the new legislation should stimulate disaster

  7. Social Change and Language Shift: South Africa.

    ERIC Educational Resources Information Center

    Kamwangamalu, Nkonko M.

    2003-01-01

    Examines language shift from majority African languages, such as Sotho, Xhosa, and Zulu to English in South Africa. Examines the extent to which sociopolitical changes that have taken place in South Africa have impacted everyday linguistic interaction and have contributed to language shift from the indigenous African language to English,…

  8. South Africa Divestiture. Target Report No. 11.

    ERIC Educational Resources Information Center

    Saxe, Joel

    This student resource guide prepared by the South Africa Catalyst Project for the United States Student Association (USSA) focuses on the student anti-apartheid movement and divestiture activities of American students. Divestiture of university-held stock in U.S. corporations operating in South Africa is the major focus of the student…

  9. Enabling Energy Efficiency in South Africa's Commercial Buildings

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    2016-04-01

    South Africa is leading a number of efforts to support a thriving economy while also reducing energy use. Increasing energy demand coupled with a highly energy intensive economy and energy inefficient industries provide the backdrop for strong government action underway in South Africa. This brochure details how the Clean Energy Solutions Center supported development of the Regulations on Allowance for the Energy Efficiency Savings legislation designed to provide a framework for effective energy efficiency regulation, incentives and energy reduction targets for South Africa's commercial buildings sector.

  10. High mobile phone ownership, but low internet and email usage among pregnant, HIV-infected women attending antenatal care in Johannesburg

    PubMed Central

    Clouse, Kate; Schwartz, Sheree R.; Van Rie, Annelies; Bassett, Jean; Vermund, Sten H.; Pettifor, Audrey E.

    2016-01-01

    Summary We investigated mobile phone usage amongst HIV-positive pregnant women attending antenatal services in a primary care clinic in Johannesburg (n=50). We conducted a semi-structured interview and asked them about their mobile phone, Internet and email use. The median age of the women was 28 years, 36% had moved one or more times in the past year, and most were employed or recently employed, albeit earning low wages. Nearly all women (94%) reported that they did not share their phone and 76% of the SIM cards were registered to the woman herself. The median time with the current phone was one year (range 1 month–6 years) and the median time with the current phone number was three years (range 1 month–13 years). Even though 42% of the participants were from outside South Africa, they all had mobile phone numbers local to South Africa. About one-third of respondents reported Internet use (30%) and about one-fifth reported using email (18%). Overall, 20% accessed the Internet and 10% accessed email on their mobile phone. Mobile phone interventions are feasible amongst HIV-positive pregnant women and may be useful in prevention of mother-to-child transmission of HIV (PMTCT). Email and Internet-based interventions may not yet be appropriate. PMID:25586808

  11. South Africa, Namibia, and Botswana

    NASA Technical Reports Server (NTRS)

    2002-01-01

    Pale green vegetation and red-brown deserts dominate this MODIS image of Namibia (left), Botswana (upper right), and the Republic of South Africa (bottom) acquired on June3, 2002. In central Namibia the mountainous terrain of Namaqualand is sandwiched between the Namib Desert on the Atlantic Coast and the Kalahari Desert to the interior, where white dots mark the location of small, impermanent lakes and ponds. Namaqualand is home to numerous rare succulent plants that can survive on the region.s scant rainfall as well as fog that blows in off the ocean. Namaqualand extends south of the Orange River, which runs along the border of Namibia and South Africa and into that country.s Northern Cape region. The Orange River extends almost all the way back through the country, and where it makes a sharp southward dip in this image (at lower right), it runs through the Asbestos Mountains, names for the naturally-occurring asbestos they contain. In southwestern South Africa, high plateaus, such as the Great Karoo become mountain ridges near the coast, and the city of Cape Town is visible as a grayish area of pixels on the north shores of the horseshoe-shaped False Bay at the Cape of Good Hope. Credit: Jacques Descloitres, MODIS Land Rapid Response Team, NASA/GSFC

  12. Financing Schools in the New South Africa

    ERIC Educational Resources Information Center

    Reschovsky, Andrew

    2006-01-01

    In almost every dimension, South Africa has undergone dramatic changes since the end of apartheid. Public education in South Africa has been completely transformed from an amalgam of separate and highly unequal educational systems, defined in terms of the race and place of residence of students, into a unified system based on the principle of…

  13. Out of (South) Africa: Pretoria`s nuclear weapons experience. Final report

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Horton, R.E.

    1998-04-01

    The primary focus of this paper is the impact of key South African leaders on the successful developments and subsequent rollbacks of South Africa`s nuclear weapons capability. It highlights the key milestones in the development of South Africa`s nuclear weapon capability. It also relates how different groups within South Africa (scientists, politicians, military and technocrats) interacted to successfully produce South Africa`s nuclear deterrent. It emphasizes the pivotal influence of the senior political leadership to pursue nuclear rollback given the disadvantages of its nuclear means to achieve vital national interests. The conclusions drawn from flu`s effort are the South African nuclearmore » program was an extreme response to its own identity Crisis. Nuclear weapons became a means to achieving a long term end of a closer affiliation with the West. A South Africa yearning to be identified as a Western nation and receive guarantees of its security rationalized the need for a nuclear deterrent. The deterrent was intended to draw in Western support to counter a feared total onslaught by Communist forces in the region. Two decades later, that same South Africa relinquished its nuclear deterrent and reformed its domestic policies to secure improved economic and political integration with the West.« less

  14. The prevalence of appendiceal fecaliths in patients with and without appendicitis. A comparative study from Canada and South Africa.

    PubMed Central

    Jones, B A; Demetriades, D; Segal, I; Burkitt, D P

    1985-01-01

    Appendicitis is more common in developed than in developing societies and appendiceal fecaliths are thought to have an etiologic role in the disease. The geographic distribution of appendiceal fecaliths was investigated by systematic, intraoperative palpation of the appendix in patients in Toronto, Canada and Johannesburg, South Africa. The incidences of fecaliths found on pathologic sectioning of the appendix in appendicitis patients in both societies were compared. In the Canadian population, the prevalence of fecaliths in patients whose appendices were palpated incidentally was 32% versus 52% for those with appendicitis (p less than 0.01). In the African population, the prevalence of fecaliths in patients whose appendices were palpated incidentally was four per cent versus 23% for those with appendicitis (p = 0.04). The difference in prevalence of incidental appendiceal fecaliths in the two populations was statistically significant (p less than 0.005). The prevalence of fecaliths is higher in developed countries, such as Canada, than in developing countries, such as Africa, and is also higher in patients with than in those without appendicitis. These data support the theory that the low-fiber diets consumed in developed countries lead to fecalith formation, which then predisposes to appendicitis. PMID:2990360

  15. Narrative review of EHDI in South Africa

    PubMed Central

    Storbeck, Claudine

    2015-01-01

    Background With 17 babies born with hearing loss every day in South Africa, there is a pressing need for systematic Early Hearing Detection and Intervention (EHDI) services. Progress is being made in offering newborn hearing screening and studies have been conducted to document these processes within South Africa. However, due to the lack of a national and holistic overview of EHDI services to date, an accurate picture of the current status of EHDI within the South African context is required. Objective To document and profile what has been published within the field of EHDI in South Africa over the last two decades (Jan 1995–Sept 2014) in order to gain a comprehensive overview of the current status and practice of screening and diagnosis in the field of paediatric hearing loss. Method A narrative review of peer-reviewed articles related to EHDI in South Africa was conducted by searching the EBSCOHOST, SCOPUS and JSTOR databases for the period January 1995 to September 2014. Results Results indicate that over the last two decades research and publications in the field of EHDI have increased considerably. These publications have revealed extensive knowledge related to paediatric hearing screening and intervention services in South Africa; however, this knowledge seems to be limited primarily to the provinces of Gauteng and the Western Cape. Furthermore, studies pertaining to diagnosis have revealed that, although much has been written on the scientific aspects on tools for diagnosis of hearing loss, there is a lack of comprehensive information on diagnostic protocols and procedures. Conclusion Despite the clear progress being made in South Africa in the field of early hearing detection and intervention, there is a need for comprehensive studies on protocols and procedures in diagnosing paediatric hearing loss. Finally, the narrative review revealed a clear need to ensure that development and growth in the field of EHDI is a national priority and extends beyond the

  16. More doctors and dentists are needed in South Africa.

    PubMed

    Strachan, B; Zabow, T; van der Spuy, Z

    2011-07-25

    BACKGROUND. An aim of the Colleges of Medicine of South Africa (CMSA) project 'Strengthening Academic Medicine and Specialist Training' was to research the number and needs of specialists and subspecialists within South Africa. METHODS. Data were collected from several sources: Deans of the 8 Faculties of Health Sciences and the Presidents of the 27 constituent Colleges of the CMSA completed a survey; and the HPCSA's Register of Approved Registrar Posts for Faculties of Health Sciences was examined and the results tabulated. RESULTS. South Africa compares unfavourably with middle-income countries on the ratios of medical and dental professionals; many districts have limited access to specialists and subspecialists. The unacceptable ratio of doctors, dentists and other health professionals per capita needs to be remedied, given South Africa's impressive reputation for its output of health professionals, including the areas of medical training, clinical practice and clinical research. The existing output from South Africa's 8 medical schools of MB ChB and specialist graduates is not being absorbed into the public health system, and neither are other health professionals. CONCLUSION. Dynamic leadership and policy interventions are required to advocate and finance the planned increase of medical, dental and other health professionals in South Africa.

  17. The Economic Burden of Violence against Children in South Africa.

    PubMed

    Fang, Xiangming; Zheng, Xiaodong; Fry, Deborah A; Ganz, Gary; Casey, Tabitha; Hsiao, Celia; Ward, Catherine L

    2017-11-22

    The purpose of this study was to estimate the economic burden of violence against children in South Africa. We assembled summative estimates of lifetime prevalence, calculated the magnitude of associations with negative outcomes, and thereby estimated the economic burden of violence against children. According to our calculations, 2.3 million and 84,287 disability-adjusted life-years (DALYs) lost in South Africa in 2015 were attributable to nonfatal and fatal violence against children, respectively. The estimated economic value of DALYs lost to violence against children (including both fatal and nonfatal) in South Africa in 2015 totalled ZAR173 billion (US $13.5 billion)-or 4.3% of South Africa's gross domestic product (GDP) in 2015. In addition, the reduced earnings attributable to childhood physical violence and emotional violence in South Africa in 2015 were ZAR25.2 billion (US $2.0 billion) and ZAR9.6 billion (US $750 million), respectively. In addition, South Africa spent ZAR1.6 billion (US $124 million) on child care and protection in fiscal year 2015/2016, many of which costs are directly related to violence against children. This study confirms the importance of prioritising violence against children as a key social and economic concern for South Africa's future.

  18. Rural development update for South Africa

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Arent, D.

    1997-12-01

    This paper describes renewable energy programs implemented in South Africa as part of a collaborative program for rural development. Different facets of this program include: Renewable Energy for South Africa (REFSA); hybrid collaborative R&D; electricity sector restructuring; provincial level initiation of renewable energy applications; renewable energy for African development (REFAD); and Suncorp photovoltaic manufacturing company. Limited detailed information is provided on the activities of each of these different program facets over the past year in particular.

  19. Incidence of AIDS-Defining and Other Cancers in HIV-Positive Children in South Africa: Record Linkage Study

    PubMed Central

    Bohlius, Julia; Maxwell, Nicola; Spoerri, Adrian; Wainwright, Rosalind; Sawry, Shobna; Poole, Janet; Eley, Brian; Prozesky, Hans; Rabie, Helena; Garone, Daniela; Technau, Karl-Günter; Maskew, Mhairi; Davies, Mary-Ann; Davidson, Alan; Stefan, D. Cristina; Egger, Matthias

    2016-01-01

    Background Little is known on the risk of cancer in HIV-positive children in sub-Saharan Africa. We examined incidence and risk factors of AIDS-defining and other cancers in pediatric antiretroviral therapy (ART) programs in South Africa. Methods We linked the records of five ART programs in Johannesburg and Cape Town to those of pediatric oncology units, based on name and surname, date of birth, folder and civil identification numbers. We calculated incidence rates and obtained hazard ratios (HR) with 95% confidence intervals (CI) from Cox regression models including ART, sex, age, and degree of immunodeficiency. Missing CD4 counts and CD4% were multiply imputed. Immunodeficiency was defined according to World Health Organization 2005 criteria. Results Data of 11,707 HIV-positive children were included in the analysis. During 29,348 person-years of follow-up 24 cancers were diagnosed, for an incidence rate of 82 per 100,000 person-years (95% CI 55-122). The most frequent cancers were Kaposi Sarcoma (34 per 100,000 person-years) and Non Hodgkin Lymphoma (31 per 100,000 person-years). The incidence of non AIDS-defining malignancies was 17 per 100,000. The risk of developing cancer was lower on ART (HR 0.29, 95%CI 0.09–0.86), and increased with age at enrolment (>10 versus <3 years: HR 7.3, 95% CI 2.2-24.6) and immunodeficiency at enrolment (advanced/severe versus no/mild: HR 3.5, 95%CI 1.1-12.0). The HR for the effect of ART from complete case analysis was similar but ceased to be statistically significant (p=0.078). Conclusions Early HIV diagnosis and linkage to care, with start of ART before advanced immunodeficiency develops, may substantially reduce the burden of cancer in HIV-positive children in South Africa and elsewhere. PMID:26906162

  20. The HPV Vaccine: A Comparison of Focus Groups Conducted in South Africa and Ohio Appalachia

    PubMed Central

    Katz, Mira L.

    2013-01-01

    Worldwide, cervical cancer is one of the leading causes of morbidity and mortality among women. Even though women in developing countries account for approximately 85 % of the cervical cancer cases and deaths, disparities in cervical cancer rates are also documented in developed countries like the United States (U.S.). Recently, formative research conducted in the U.S. and developing countries like South Africa have sought to gain a better understanding of the knowledge, beliefs, and attitudes about cervical cancer prevention, HPV, and the acceptance of the HPV vaccine. This study compares findings from two independent focus group studies. One study was conducted in a segregated township in Johannesburg, South Africa (n = 24) and the other study was conducted in Ohio Appalachia (n = 19). The following seven themes emerged during the discussions from both studies: HPV and cervical cancer; health decision making; parent–child communication; healthy children; HPV vaccine costs; sexual abuse; and HPV vaccine education. Findings from both studies indicate the importance of the role of mothers and grandmothers in the health care decision-making process for children and a lack of awareness of HPV and its association with cervical cancer. While there was interest in the HPV vaccine, participants voiced concern about the vaccine’s cost and side effects. Some participants expressed concern that receipt of the HPV vaccine may initiate adolescent sexual behavior. However, other participants suggested that the HPV vaccine may protect young women who may experience sexual abuse. The importance of developing culturally appropriate educational materials and programs about cervical cancer prevention and the HPV vaccine were expressed by participants in both countries. PMID:22930347

  1. Telerehabilitation In South Africa – Is There A Way Forward?

    PubMed Central

    Mars, Maurice

    2011-01-01

    South Africa, like the rest of sub-Saharan Africa, has a disproportionate burden of disease and a shortage of health professionals. Telemedicine has been identified as a possible way of overcoming part of the problem but telemedicine has not been widely adopted. In the public sector hospitals in South Africa which serve 82% of the population there are 2.5 physiotherapists and 2 occupational therapists per 100,000 people served. The extent of telerehabilitation in South Africa is unknown. A literature review of telerehabilitation found no papers from South Africa. A survey of the heads of university departments of physiotherapy, occupational therapy and speech and language pathology revealed limited knowledge of telerehabilitation. Telerehabilitation services are confined to follow-up of patients at some institutions by telephone, fax or email. There is need to raise awareness among therapists if telerehabilitation is to become a reality in South Africa. Future actions are outlined. PMID:25945178

  2. Focus on South Africa. Varieties of English Around the World, Volume 15.

    ERIC Educational Resources Information Center

    de Klerk, Vivian, Ed.

    Essays on English in South Africa and its neighboring countries include: "A History of English in South Africa" (Len Lanham); "English in South African Society: A Preliminary Overview" (Bill Branford); "Black English in South Africa" (David Gough); "Language Contact, Transmission, Shift: South African Indian…

  3. Early Childhood Development in South Africa--Progress Since the End of Apartheid

    ERIC Educational Resources Information Center

    Atmore, Eric

    2013-01-01

    In April 1994, South Africa held its historic first democratic election. The African National Congress overwhelmingly triumphed and Nelson Mandela became the first president of a free and democratic South Africa. In this review, the situation of South Africa's young children under apartheid and the context of young children in South Africa in 2012…

  4. Opportunities for the power industry in South Africa

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Lynch, R.W.; Pinkney, C.; Feld, L.

    1996-11-01

    South Africa is a country in the midst of transformation. Political changes within the country, and the ensuing empowerment of the black majority, have created a situation where dramatic improvements are needed in the country`s infrastructure in order to enable it to meet the needs of all its people over the coming decades. Largely as a result of the international embargo placed on South Africa during the apartheid era, the South African government became heavily involved in the country`s energy sector. This involvement included development of a synfuels program, price controls in the oil sector, monopolies in both upstream andmore » downstream oil sectors, and a strong centralized electric power company. In 1994, South Africa became the eleventh member of the Southern Africa Development Community (SADC), an organization which was established in 1980 to synchronize development plans for its member countries. SADC is presently working to formulate a regional energy development plan, and coordinate technical information exchanges and joint research needs. Each of the SADC nations have also begun to develop their regional electricity grids and other parts of their energy infrastructure to plan for the growing needs of the 500 million people who live in sub-Saharan Africa. South Africa, in particular, must make significant changes in each of its energy sectors in the near future, to keep up with its growing energy requirements. These changes translate to opportunity for the US Power Industry.« less

  5. Private Higher Education in Africa: The Case of Monash South Africa

    ERIC Educational Resources Information Center

    Setswe, G.

    2013-01-01

    The aim of this paper was to review the contribution of private institutions to higher education in Africa and use Monash South Africa as a case study. A literature search was conducted to gain perspective on the current situation with respect to private higher education institutions in Africa and how they are perceived in relation to public…

  6. Marketing of irradiated commodities in South Africa

    NASA Astrophysics Data System (ADS)

    Du Plessis, TA; Stevens, RCB

    Although the industrial exploitation of radiation processing in the medical and allied fields has been successfully marketed and applied for the past two decades in South Africa, the introduction of food radurisation on an industrial level adds a completely new dimension to the marketing of this processing technique. Extensive research into the use of radiation for the treatment of various foodstuffs has been carried out by the Nuclear Development Corporation of South Africa for more than a decade, resulting in South Africa being one of the first countries where a commercial irradiator dedicated to this branch of radiation processing, was established. The marketing of this process is especially difficult due to the emotive aspects associated with radiation and man's sensitive reaction to anything pertaining to his food. This situation was made even more difficult by the general public's apprehension towards nuclear activities throughout the world. In an attempt to transform the unfavourable public image associated with this process, an important first step was to form a National Steering Committee for the Marketing of Radurised Food, the members of which were drawn from various agricultural controlling bodies, the Department of Health, and other controlling bodies held in high esteem by the public, such as the Consumer Council and representatives from commerce and industry. This approach proved to be very successful and greatly assisted in creating a climate whereby the public in South Africa today generally has a favourable attitude towards the radurisation of foodstuffs. The development of this marketing strategy for food radurisation in South Africa is discussed in detail.

  7. Curbing stem cell tourism in South Africa.

    PubMed

    Meissner-Roloff, Madelein; Pepper, Michael S

    2013-12-01

    Stem cells have received much attention globally due in part to the immense therapeutic potential they harbor. Unfortunately, malpractice and exploitation (financial and emotional) of vulnerable patients have also drawn attention to this field as a result of the detrimental consequences experienced by some individuals that have undergone unproven stem cell therapies. South Africa has had limited exposure to stem cells and their applications and, while any exploitation is detrimental to the field of stem cells, South Africa is particularly vulnerable in this regard. The current absence of adequate legislation and the inability to enforce existing legislation, coupled to the sea of misinformation available on the Internet could lead to an increase in illegitimate stem cell practices in South Africa. Circumstances are already precarious because of a lack of understanding of concepts involved in stem cell applications. What is more, credible and easily accessible information is not available to the public. This in turn cultivates fears born out of existing superstitions, cultural beliefs, rituals and practices. Certain cultural or religious concerns could potentially hinder the effective application of stem cell therapies in South Africa and novel ways of addressing these concerns are necessary. Understanding how scientific progress and its implementation will affect each individual and, consequently, the community, will be of cardinal importance to the success of the fields of stem cell therapy and regenerative medicine in South Africa. A failure to understand the ethical, cultural or moral ramifications when new scientific concepts are introduced could hinder the efficacy and speed of bringing discoveries to the patient. Neglecting proper procedure for establishing the field would lead to long delays in gaining public support in South Africa. Understanding the dangers of stem cell tourism - where vulnerable patients are subjected to unproven stem cell therapies that

  8. The high burden of injuries in South Africa.

    PubMed

    Norman, Rosana; Matzopoulos, Richard; Groenewald, Pam; Bradshaw, Debbie

    2007-09-01

    To estimate the magnitude and characteristics of the injury burden in South Africa within a global context. The Actuarial Society of South Africa demographic and AIDS model (ASSA 2002) - calibrated to survey, census and adjusted vital registration data - was used to calculate the total number of deaths in 2000. Causes of death were determined from the National Injury Mortality Surveillance System profile. Injury death rates and years of life lost (YLL) were estimated using the Global Burden of Disease methodology. National years lived with disability (YLDs) were calculated by applying a ratio between YLLs and YLDs found in a local injury data source, the Cape Metropole Study. Mortality and disability-adjusted life years' (DALYs) rates were compared with African and global estimates. Interpersonal violence dominated the South African injury profile with age-standardized mortality rates at seven times the global rate. Injuries were the second-leading cause of loss of healthy life, accounting for 14.3% of all DALYs in South Africa in 2000. Road traffic injuries (RTIs) are the leading cause of injury in most regions of the world but South Africa has exceedingly high numbers - double the global rate. Injuries are an important public health issue in South Africa. Social and economic determinants of violence, many a legacy of apartheid policies, must be addressed to reduce inequalities in society and build community cohesion. Multisectoral interventions to reduce traffic injuries are also needed. We highlight this heavy burden to stress the need for effective prevention programmes.

  9. Student Mobility and Doctoral Education in South Africa

    ERIC Educational Resources Information Center

    Sehoole, Chika Trevor

    2011-01-01

    This article analyses doctoral education programmes in South Africa with a particular focus on student mobility. It investigates pull and push factors as a conceptual framework, arguing that the patterns of student mobility in doctoral education programmes in South Africa follow the patterns of international student mobility elsewhere, which are…

  10. Performance of the Abbott RealTime MTB and MTB RIF/INH Assays in a Setting of High Tuberculosis and HIV Coinfection in South Africa.

    PubMed

    Scott, Lesley; David, Anura; Noble, Lara; Nduna, Matilda; Da Silva, Pedro; Black, Andrew; Venter, Francois; Stevens, Wendy

    2017-08-01

    South Africa is a country with a high incidence of tuberculosis (TB), complicated by coinfection with human immunodeficiency virus (HIV). The Xpert MTB/RIF (Cepheid, Sunnyvale, CA, USA) is used in South Africa as the test for the initial diagnosis of TB, and other molecular platforms such as the m 2000 (Abbott Molecular, Des Plaines, IL, USA) are widely used for molecular monitoring of HIV load. The latter platform is now also equipped with the RealTi m e (RT) MTB and RealTi m e MTB RIF/INH assays for TB and first-line drug resistance screening but has not been evaluated in settings of HIV and TB coinfection. A prospective clinical validation study was conducted at a community health center in Johannesburg, South Africa, and consenting individuals with presumptive pulmonary TB were enrolled. The performance of the Abbott assays was compared with those of the Xpert MTB/RIF, liquid culture, drug susceptibility testing, and clinical case definitions. A statistical analysis was performed on 206 individuals (73% were HIV positive). The sensitivity and specificity of the RT MTB were 82.5% (confidence interval [CI], 67.2 to 92.7) and 93.1% (CI, 86.2 to 97.2) on raw sputum and 77.5% (CI, 61.5 to 89.2) and 95.1% (CI, 88.9 to 98.4) on concentrated sputum, respectively, compared with those from liquid culture. The RT MTB correctly identified 17/35 more smear-negative culture-positive specimens than the Xpert MTB/RIF. Both the RT MTB and the Xpert MTB/RIF displayed sensitivities >70% and specificities >90% in HIV-positive individuals. The available drug resistance results concurred with MTBDR plus and drug susceptibility profiles. The RT MTB assay has similar diagnostic performance to the Xpert MTB/RIF and is suited to testing presumptive TB patients coinfected with HIV. The existing laboratory information system connectivity, training, and technical support make this a viable polyvalent option to scale up TB alongside HIV laboratory testing services in South Africa. Copyright

  11. Performance of the Abbott RealTime MTB and MTB RIF/INH Assays in a Setting of High Tuberculosis and HIV Coinfection in South Africa

    PubMed Central

    David, Anura; Noble, Lara; Nduna, Matilda; Da Silva, Pedro; Black, Andrew; Venter, Francois; Stevens, Wendy

    2017-01-01

    ABSTRACT South Africa is a country with a high incidence of tuberculosis (TB), complicated by coinfection with human immunodeficiency virus (HIV). The Xpert MTB/RIF (Cepheid, Sunnyvale, CA, USA) is used in South Africa as the test for the initial diagnosis of TB, and other molecular platforms such as the m2000 (Abbott Molecular, Des Plaines, IL, USA) are widely used for molecular monitoring of HIV load. The latter platform is now also equipped with the RealTime (RT) MTB and RealTime MTB RIF/INH assays for TB and first-line drug resistance screening but has not been evaluated in settings of HIV and TB coinfection. A prospective clinical validation study was conducted at a community health center in Johannesburg, South Africa, and consenting individuals with presumptive pulmonary TB were enrolled. The performance of the Abbott assays was compared with those of the Xpert MTB/RIF, liquid culture, drug susceptibility testing, and clinical case definitions. A statistical analysis was performed on 206 individuals (73% were HIV positive). The sensitivity and specificity of the RT MTB were 82.5% (confidence interval [CI], 67.2 to 92.7) and 93.1% (CI, 86.2 to 97.2) on raw sputum and 77.5% (CI, 61.5 to 89.2) and 95.1% (CI, 88.9 to 98.4) on concentrated sputum, respectively, compared with those from liquid culture. The RT MTB correctly identified 17/35 more smear-negative culture-positive specimens than the Xpert MTB/RIF. Both the RT MTB and the Xpert MTB/RIF displayed sensitivities >70% and specificities >90% in HIV-positive individuals. The available drug resistance results concurred with MTBDRplus and drug susceptibility profiles. The RT MTB assay has similar diagnostic performance to the Xpert MTB/RIF and is suited to testing presumptive TB patients coinfected with HIV. The existing laboratory information system connectivity, training, and technical support make this a viable polyvalent option to scale up TB alongside HIV laboratory testing services in South Africa. PMID

  12. Comparisons of body size, composition, and whole body bone mass between North American and South African children.

    PubMed

    Micklesfield, Lisa K; Norris, Shane A; Nelson, Dorothy A; Lambert, Estelle V; van der Merwe, Lize; Pettifor, John M

    2007-12-01

    We compared whole body BMC of 811 black, white, and mixed ancestral origin children from Detroit, MI; Johannesburg, South Africa; and Cape Town, South Africa. Our findings support the role of genetic and environmental influences in the determination of bone mass in prepubertal children. Higher bone mass and lower fracture rates have been shown in black compared with white children and adults in North America. We compared whole body BMC (WBBMC), whole body fat mass (WBFM), and whole body fat free soft tissue (WBFFST) data between three ethnic groups of children from Detroit, MI (n = 181 white, USW; n = 230 black, USB), Johannesburg, South Africa (n = 73 white, SAW; n = 263 black, SAB), and Cape Town, South Africa (n = 64 mixed ancestral origin, SAM). SAB and SAW groups were slightly older than USW and USB groups (9.5 +/- 0.3 versus 9.3 +/- 0.1 yr); however, USB and USW boys were significantly taller, were heavier, and had a higher BMI than SAM and SAB boys. USB girls were significantly taller than SAB girls and heavier than SAB and SAM girls. In South Africa and the United States, black children had a significantly higher WBBMC than white children, after adjusting for selected best predictors. After adjusting for age, weight, and height, WBBMC was significantly higher in the SAB and SAW boys than in USW and USB and in the SAM group compared with the USW and USB groups. WBFFST and WBFM made significant contributions to a best linear model for log(WBBMC), together with age, height, and ethnicity. The best model accounted for 79% of the WBBMC variance. When included separately in the model, the model containing WBFFST accounted for 76%, and the model containing WBFM accounted for 70%, of the variance in WBBMC. WBBMC is lower in children of European ancestry compared with African ancestry, irrespective of geographical location; however, South African children have significantly higher WBBMC compared with USB and USW groups, thereby acknowledging the possible

  13. Fear of Treatments Surpasses Demographic and Socioeconomic Factors in Affecting Patients With Breast Cancer in Urban South Africa.

    PubMed

    Rayne, Sarah; Schnippel, Kathryn; Firnhaber, Cynthia; Wright, Kathryne; Kruger, Deirdre; Benn, Carol-Ann

    2017-04-01

    Breast cancer is the most common cause of cancer in women in South Africa, and often patients present late. There is little understanding of the psychosocial stresses affecting women with breast cancer in Africa. A questionnaire was distributed to 263 patients with breast cancer at two sites (one government and one private facility) in Johannesburg. Self-reported levels of fear were recorded on summative scales and their relationship to demographic variables assessed through univariable and multivariable modified Poisson regression. Fears related to treatments and prognosis, particularly radiation, loss of hair, and loss of breast, were far stronger than those related to socioeconomic barriers. Relative risk (RR) of most fears was higher in women younger than age 40 years, including treatment affordability (RR, 1.80; 95% CI, 1.26 to 2.56), hair loss (RR, 1.48; 95% CI, 1.12 to 2.95), and surgery (RR, 1.31; 95% CI, 1.02 to 1.68). Difficulty taking time off work predicted fear of job loss (RR, 2.59; 95% CI, 1.59 to 4.21) and missing appointments because of transport (RR, 2.46; 95% CI, 1.52 to 3.96) or family commitments (RR, 2.46; 95% CI, 1.52 to 3.96). Women with dependents and black women were more afraid of dying (RR, 1.73; 95% CI, 1.03 to 2.90; and RR, 1.79; 95% CI, 1.33 to 2.24, respectively); however, socioeconomic status in this sample was a strong confounder of race and explained most of the racial differences in levels of fear. The most significant fears around breast cancer were related to treatment modalities and adverse effects rather than transport, financial, or work concerns. Young age and job insecurity were predictive of increased fears. Education about treatments has a key role to play in improving access to breast cancer care in South Africa.

  14. PPP insights in South Africa.

    PubMed

    du Toit, Japie

    2003-01-01

    After functioning for some time in an increasingly regulated and structured environment in dealing with the private sector in South Africa, it was important to Government, to carefully review the terminology used in this evolving playing field. As the definitions and mechanisms impacting on this form of interaction became clear, it was essential to find a broader definition to encompass all forms of commercial intervention between the two sectors. In preparation for the first South African National Health Summit during 2001, the term public private interaction became a general term used in this context. In the South African healthcare sectors this term is used specifically to indicate that all forms of interaction between the two sectors should be considered, rather than merely focussing on specific Public Private Partnerships (PPPs), that have a much more narrow definition. Recent health policy documents in South Africa all stress four key goals--equity, coherence, quality of care and efficiency--which provide a useful basis for decision-making about PPIs. The range of public-private interactions that may support or constrain the South African health system's development are set within the overall public/private mix of the country. In developing an equitable, efficient, coherent and high quality health system in South Africa, there is considerable potential for constructive engagement (collaboration and co-operation) between the public and the private health care sectors. Both sectors should embrace this opportunity and therefore it is useful to propose some basic guidelines for engagement based on the vision and goals of the national health system. In deciding whether or not to pursue any new PPI within the health sector, or in evaluating whether an existing PPI should continue or be revised, it is necessary to assess its merits in relation to the achievement of health system goals.

  15. Worker Education in South Africa: Lessons and Contradictions

    ERIC Educational Resources Information Center

    Vally, Salim; Bofelo, Mphutlane Wa; Treat, John

    2013-01-01

    Worker education played a crucial role in the development of the trade union movement in South Africa and in the broader struggle for social transformation. This article reviews key moments and dynamics in the trajectory of worker education in South Africa. We argue that international developments, the rise of neoliberalism, and the negotiated…

  16. Investigating Preschool Education and Care in South Africa.

    ERIC Educational Resources Information Center

    Van Den Berg, Owen C.; Vergnani, Tania

    Recognizing the complexities of apartheid with its implications for conducting systems-related research within the vortex of South Africa, a study investigated the implementation of a national system of preschool provision for South Africa. The investigation began by studying two earlier reports: the Reilly-Hofmeyr report of 1983 and the report of…

  17. Exposing misclassified HIV/AIDS deaths in South Africa.

    PubMed

    Birnbaum, Jeanette Kurian; Murray, Christopher Jl; Lozano, Rafael

    2011-04-01

    To quantify the deaths from human immunodeficiency virus (HIV) infection or acquired immunodeficiency syndrome (AIDS) that are misattributed to other causes in South Africa's death registration data and to adjust for this bias. Deaths in the World Health Organization's mortality database were distributed among 48 mutually exclusive causes. For each cause, age- and sex-specific global death rates were compared with the average rate among people aged 65-69, 70-74 and 75-79 years to generate "relative" global death rates. Relative rates were also computed for South Africa alone. Differences between global and South African relative death rates were used to identify the causes to which deaths from HIV/AIDS were misattributed in South Africa and quantify the HIV/AIDS deaths misattributed to each. These deaths were then reattributed to HIV/AIDS. In South Africa, deaths from HIV/AIDS are often misclassified as being caused by 14 other conditions. Whereas in 1996-2006 deaths attributed to HIV/AIDS accounted for 2.0-2.5% of all registered deaths in South Africa, our analysis shows that the true cause-specific mortality fraction rose from 19% (uncertainty range: 7-28%) to 48% (uncertainty range: 38-50%) over that period. More than 90% of HIV/AIDS deaths were found to have been misattributed to other causes during 1996-2006. Adjusting for cause of death misclassification, a simple procedure that can be carried out in any country, can improve death registration data and provide empirical estimates of HIV/AIDS deaths that may be useful in assessing estimates from demographic models.

  18. Guns and gender-based violence in South Africa.

    PubMed

    Abrahams, Naeemah; Jewkes, Rachel; Mathews, Shanaaz

    2010-09-07

    The criminal use of firearms in South Africa is widespread and a major factor in the country having the third-highest homicide rate in the world. Violence is a common feature of South African society. A firearm in the home is a risk factor in intimate partner violence, but this has not been readily demonstrated in South Africa because of a lack of data. We drew on several South African studies including national homicide studies, intimate partner studies, studies with male participants and studies from the justice sector, to discuss the role of gun ownership on gender-based violence. Guns play a significant role in violence against women in South Africa, most notably in the killing of intimate partners. Although the overall homicide data suggest that death by shooting is decreasing, data for intimate partner violence are not readily available. We have no idea if the overall decrease in gunshot homicides applies to women in relationships, and therefore gun control should remain high on the legislative agenda.

  19. Timing of maternal HIV testing and uptake of Prevention of Mother-to-Child Transmission interventions among women and their infected infants in Johannesburg, South Africa

    PubMed Central

    Technau, Karl-Günter; Kalk, Emma; Coovadia, Ashraf; Black, Vivian; Pickerill, Sam; Mellins, Claude A.; Abrams, Elaine J.; Strehlau, Renate; Kuhn, Louise

    2013-01-01

    Background By 2011, South African prevention of mother-to-child transmission of HIV (PMTCT) programmes had reduced perinatal HIV transmission at 6-weeks of age to 2.7%. We investigated the profile of newly-diagnosed vertically-infected children and their mothers to identify short-falls in the PMTCT programme. Methods In this operational follow-up study, fieldworkers enrolled mothers of newly-diagnosed HIV-infected children up to 2 years of age at 5 major healthcare facilities in Johannesburg. Structured questionnaires and clinical record reviews were conducted and analysed to describe the population and assess factors associated with PMTCT uptake. Results 289 mother-child pairs were enrolled. Timing of maternal HIV diagnosis influenced PMTCT access and feeding choices, and was associated with infants’ age at HIV diagnosis (7 weeks vs. 11 weeks vs. 31 weeks where mothers tested before, during or after the pregnancy respectively; p <0.0001). Women diagnosed before pregnancy (12%) were older (median 31 years) than those diagnosed during the index pregnancy (53% - median 27 years). Women diagnosed after delivery (35%) were younger (median 25 years, p<0.0001), of lower parity, and less likely to be South African citizens. In 81 cases (29%) late maternal diagnosis precluded any PMTCT access. Where women were diagnosed during or before pregnancy, the recommended PMTCT guidelines for mother and infant were followed in 86 (61%) pairs. Conclusion Failure to diagnose maternal HIV infection before delivery was the main reason for missing PMTCT prophylaxis and early infant testing. Timely maternal diagnosis enables PMTCT uptake, but implementation and follow-up gaps require attention to improve infant outcomes. PMID:24759066

  20. New U Pb SHRIMP zircon age for the Schurwedraai alkali granite: Implications for pre-impact development of the Vredefort Dome and extent of Bushveld magmatism, South Africa

    NASA Astrophysics Data System (ADS)

    Graham, I. T.; De Waal, S. A.; Armstrong, R. A.

    2005-12-01

    The Schurwedraai alkali granite is one of a number of prominent ultramafic-mafic and felsic intrusions in the Neoarchaean to Palaeoproterozoic sub-vertical supracrustal collar rocks of the Vredefort Dome, South Africa. The alkali granite intruded the Neoarchaean Witwatersrand Supergroup and has a peralkaline to peraluminous composition. A new zircon SHRIMP crystallization age of 2052 ± 14 Ma for the Schurwedraai alkali granite places it statistically before the Vredefort impact event at 2023 ± 4 Ma and within the accepted emplacement interval of 2050-2060 Ma of the Bushveld magmatic event. The presence of the alkali granite and associated small ultramafic-mafic intrusions in the Vredefort collar rocks extends the southern extremity of Bushveld-related intrusions to some 120 km south of Johannesburg and about 150 km south of the current outcrop area of the Bushveld Complex. The combined effect of these ultramafic-mafic and felsic bodies may have contributed to a pronouncedly steep pre-impact geothermal gradient in the Vredefort area, and to the amphibolite-grade metamorphism observed in the supracrustal collar rocks of the Vredefort Dome.

  1. Educational Access in South Africa. Country Policy Brief

    ERIC Educational Resources Information Center

    Motala, S.; Dieltens, V.; Carrim, N.; Kgobe, P.; Moyo, G.; Rembe, S.

    2008-01-01

    This Policy Brief describes and explains patterns of access to schools in South Africa. It outlines policy and legislation on access to education and provides a statistical analysis of access, vulnerability and exclusion. It is based on findings from the Country Analytic Review on Educational Access in South Africa (Motala et al, 2007) [ED508808]…

  2. High mobile phone ownership, but low Internet and email usage among pregnant, HIV-infected women attending antenatal care in Johannesburg.

    PubMed

    Clouse, Kate; Schwartz, Sheree R; Van Rie, Annelies; Bassett, Jean; Vermund, Sten H; Pettifor, Audrey E

    2015-03-01

    We investigated mobile phone usage amongst HIV-positive pregnant women attending antenatal services in a primary care clinic in Johannesburg (n = 50). We conducted a semi-structured interview and asked them about their mobile phone, Internet and email use. The median age of the women was 28 years, 36% had moved one or more times in the past year, and most were employed or recently employed, albeit earning low wages. Nearly all women (94%) reported that they did not share their phone and 76% of the SIM cards were registered to the woman herself. The median time with the current phone was one year (range 1 month-6 years) and the median time with the current phone number was three years (range 1 month-13 years). Even though 42% of the participants were from outside South Africa, they all had mobile phone numbers local to South Africa. About one-third of respondents reported Internet use (30%) and about one-fifth reported using email (18%). Overall, 20% accessed the Internet and 10% accessed email on their mobile phone. Mobile phone interventions are feasible amongst HIV-positive pregnant women and may be useful in prevention of mother-to-child transmission of HIV (PMTCT). Email and Internet-based interventions may not yet be appropriate. © The Author(s) 2015 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  3. Internationalisation of Higher Education in Southern Africa with South Africa as a Major Exporter

    ERIC Educational Resources Information Center

    Kwaramba, Marko

    2012-01-01

    This study investigates the extent to which South Africa has strategically marketed its educational services and positioned itself as the educational hub of Southern Africa. The analysis reveals that South African universities' export of higher education services has been modeled in line with three of the four modes of supply identified in World…

  4. Concentrating Solar Power Projects in South Africa | Concentrating Solar

    Science.gov Websites

    belowâ€"alphabetical by project name. You can browse a project profile by clicking on the project Power | NREL South Africa Concentrating solar power (CSP) projects in South Africa are listed

  5. The Economic Burden of Violence against Children in South Africa

    PubMed Central

    Fang, Xiangming; Zheng, Xiaodong; Fry, Deborah A.; Ganz, Gary; Casey, Tabitha; Hsiao, Celia

    2017-01-01

    The purpose of this study was to estimate the economic burden of violence against children in South Africa. We assembled summative estimates of lifetime prevalence, calculated the magnitude of associations with negative outcomes, and thereby estimated the economic burden of violence against children. According to our calculations, 2.3 million and 84,287 disability-adjusted life-years (DALYs) lost in South Africa in 2015 were attributable to nonfatal and fatal violence against children, respectively. The estimated economic value of DALYs lost to violence against children (including both fatal and nonfatal) in South Africa in 2015 totalled ZAR173 billion (US $13.5 billion)—or 4.3% of South Africa’s gross domestic product (GDP) in 2015. In addition, the reduced earnings attributable to childhood physical violence and emotional violence in South Africa in 2015 were ZAR25.2 billion (US $2.0 billion) and ZAR9.6 billion (US $750 million), respectively. In addition, South Africa spent ZAR1.6 billion (US $124 million) on child care and protection in fiscal year 2015/2016, many of which costs are directly related to violence against children. This study confirms the importance of prioritising violence against children as a key social and economic concern for South Africa’s future. PMID:29165332

  6. Bibliographic Control in South Africa

    ERIC Educational Resources Information Center

    Musiker, Reuben

    1972-01-01

    The author sets as his task the consideration of the present state of bibliographical control of South Africa's bookstock with special reference to centralization and decentralization. (20 references) (Author/SJ)

  7. The Evils of Urbanization on South Africa: A Literary Analysis.

    ERIC Educational Resources Information Center

    Banks, Dennis N.

    1994-01-01

    Maintains that, with the recent elections in South Africa, interest in the study of southern Africa has increased. Compares and contrasts the images of South Africa presented in the novels of Alan Paton and Peter Abrahams. Asserts that the pictures painted by these authors are not pleasant but are necessary to understand recent events. (CFR)

  8. Miners, Silica and Disability: The Bi-National Interplay Between South Africa and the United Kingdom, c1900–1930s

    PubMed Central

    McIvor, Arthur

    2016-01-01

    This paper investigates silicosis as a disabling disease in underground mining in the United Kingdom (UK) before Second World War, exploring the important connections between South Africa and the UK and examining some of the issues raised at the 1930 International Labour Office Conference on silicosis in Johannesburg in a British context. The evidence suggests there were significant paradoxes and much contestation in medical knowledge creation, advocacy, and policy-making relating to this occupational disease. It is argued here that whilst there was an international exchange of scientific knowledge on silicosis in the early decades of the twentieth century, it was insufficient to challenge the traditional defense adopted by the British government of proven beyond all scientific doubt before effective intervention in coal mining. This circumspect approach reflected dominant business interests and despite relatively robust trade union campaigning and eventual reform, the outcome was an accumulative legacy of respiratory disease and disability that blighted coalfield communities. PMID:26509751

  9. Zimbabwean Teachers in South Africa: A Transient Greener Pasture

    ERIC Educational Resources Information Center

    de Villiers, Rian; Weda, Zenzele

    2017-01-01

    Zimbabwean teachers constitute the largest group of migrant teachers in South Africa (Department of Higher Education & Training (DHET), 2013). The main reason South Africa welcomes migrant teachers is to ease the country's own teacher shortage. The purpose of this qualitative study was to explore Zimbabwean teachers' motives for migration to…

  10. Anglicising Postapartheid South Africa

    ERIC Educational Resources Information Center

    Louw, P. Eric

    2004-01-01

    The apartheid state deliberately encouraged linguistic diversity and actively built cultural infrastructures which impeded Anglicisation. With the end of apartheid has come "de facto" Anglicisation. So although South Africa has, since 1994, had 11 official languages, in reality, English is swamping the other 10 languages. Afrikaans has,…

  11. 'If I buy the Kellogg's then he should [buy] the milk': young women's perspectives on relationship dynamics, gender power and HIV risk in Johannesburg, South Africa.

    PubMed

    Pettifor, Audrey; Macphail, Catherine; Anderson, Althea D; Maman, Suzanne

    2012-01-01

    Ideals of masculinity and femininity may limit South African women's decision making power in relationships and increase their risk of HIV infection. We conducted 30 in-depth interviews with 18-24-year-old women in inner-city Johannesburg with the aim of understanding young women's expectations of intimate relationships with men, their perceptions of gender and power and how this influences HIV risk. We found that the majority of young women reported expectations of power in relationships that conform to a model of femininity marked by financial independence, freedom to make decisions, including over sexuality, and equality (resistant femininity). The majority of young women, however, were in relationships marked by intimate partner violence, infidelity or lack of condom use. In spite of this, more young women who subscribed to a resistant model of femininity were in less risky relationships than young women who subscribed to acquiescent models, in which power was vested in their male partners. Further, young women who subscribed to resistant femininity had more education than women who subscribed to an acquiescent model. The disconnect between expectations of relationships and young women's lived realities emphasises the need for structural changes that afford women greater economic and thus decision making power.

  12. Namibia [South-West Africa].

    PubMed

    1983-01-01

    Namibia, a country of 1,051,700 inhabitants of whom 85.6% are blacks of diverse ethnic and linguistic origins, 7.5% are white, and the rest are of mixed ancestry, has been illegally administered by South Africa since 1966, when a League of Nations mandate was revoked by the UN. The Namibian Desert was a barrier to European expansion until the late 18th century, when the area came under German and British influence. Efforts to bring about an orderly and peaceful transition to independent status are hampered at present by the lack of parallel progress toward withdrawal of Cuban combat forces from Angola. Beginning in 1980, considerable executive power was transferred from the administrator general appointed by the South African Government to an interim 3-tier system of elected representatives dividing responsibility between central, ethnic, and local authorities. The judicial structure has separate overlapping systems for whites, westernized blacks and coloreds and for indigenous blacks. Namibian society is highly politicized, with 4 white and about 40 nonwhite political groups. The South West Africa People's Organization (SWAPO) remains an active party inside Namibia despite simultaneous detention of its entire leadership in 1979 by the South African Government. Namibia's economy is dual, with a modern market sector of mining, ranching and fishing producing most of the wealth and a traditional subsistence sector supporting most of the labor force. About 60% of the work force of 500,000 in 1981 worked in agriculture, 19% in industry and commerce, 6% in mining, 8% in services, and 7% in government. Namibia's gross domestic product in 1980 was $1.712 billion, representing an average growth rate of 2.5% from 1970-80. However, real growth since 1978 has been negative because of persistent drought, political uncertainty, low demand for mineral products, and previous overfishing. Namibia has no separate representation in any international body. The country may have the

  13. Children and Poverty in South Africa: The Right to Social Security

    ERIC Educational Resources Information Center

    Du Plessis, Pierre; Conley, Lloyd

    2007-01-01

    Poverty is one of the major threats to the realization of children's rights worldwide and in South Africa. Currently, 66% of South African children live in severe poverty. This places all other rights at risk; the rights guaranteed by the South African Constitution and by the UN Convention. Poverty and inequality in South Africa continue to…

  14. "Affordable" Private Schools in South Africa. Affordable for Whom?

    ERIC Educational Resources Information Center

    Languille, Sonia

    2016-01-01

    The paper sets out to challenge the notions of "affordable" private schools in the context of South Africa. It is guided by one main question: "affordable private schools for whom?" It argues that, contrary to claims by its public and private proponents, affordable private schools in South Africa do not cater for poor children.…

  15. Obstacles to Success--Doctoral Student Attrition in South Africa

    ERIC Educational Resources Information Center

    Herman, Chaya

    2011-01-01

    The article explores doctoral attrition in South Africa, investigating and comparing the attributions of attrition of doctoral students and PhD programme leaders. The article is based on secondary data analysis of two large studies on doctoral education in South Africa. The main point of the article is that the different understandings of the…

  16. An overview of regional and local characteristics of aerosols in South Africa using satellite, ground, and modeling data

    NASA Astrophysics Data System (ADS)

    Hersey, S. P.; Garland, R. M.; Crosbie, E.; Shingler, T.; Sorooshian, A.; Piketh, S.; Burger, R.

    2014-09-01

    We present a comprehensive overview of particulate air quality across the five major metropolitan areas of South Africa (Cape Town, Bloemfontein, Johannesburg and Tshwane (Gauteng Province), the Industrial Highveld Air Quality Priority Area (HVAPA), and Durban), based on a decadal (1 January 2000 to 31 December 2009) aerosol climatology from multiple satellite platforms and a detailed analysis of ground-based data from 19 sites throughout Gauteng. Data include Aerosol Optical Depth (AOD550, 555) from Aqua (550 nm), Terra (550 nm), and MISR (555 nm) platforms, Ängström Exponent (α550/865, 470/660) from Aqua (550/865 nm) and Terra (470/660 nm), Ultraviolet Aerosol Index (UVAI) from TOMS, and model results from the Goddard Ozone Chemistry Aerosol Radiation and Transport (GOCART) model. Results in Cape Town are distinct, owing to a typically clean, marine airmass origin and infrequent continental influence. At continentally-influenced sites, AOD550, AOD555, α550/865, α470/660 and UVAI reach maxima (0.12-0.20, 1.0-1.8, and 1.0-1.2, respectively) during late winter and early spring (August-October), coinciding with a period of enhanced dust generation and the maximum frequency of close-proximity and subtropical fires identified by MODIS Fire Information for Resource Management System (FIRMS). The adjacent metropolitan and industrial Gauteng and HVAPA areas have been identified as a megacity based on NO2 concentrations, but AOD is a factor of 3-6 lower than other megacities worldwide. GOCART results suggest that the contributions of organics and black carbon to AOD are significantly enhanced during biomass burning season (ASO), but that sulfate is the most significant contributor to AOD (~70-80%) through the rest of the year. Dust appears to be underestimated by GOCART emissions inventories at continentally-influenced metropolitan areas of South Africa. Ground monitoring sites were classified according to site type: (1) township and informal settlement sites with

  17. Bushveld Igneous Complex, South Africa

    NASA Image and Video Library

    2013-02-08

    The Bushveld Igneous Complex BIC is a large layered igneous intrusion within the earth crust, exposed at the edge of the Transvaal Basin in South Africa. Numerous mines, tailings piles, and leach ponds are shown in blue.

  18. South Africa after sanctions. Reentering the aerospace market

    NASA Astrophysics Data System (ADS)

    Anon

    1994-09-01

    South Africa has reentered the world market with a closely focused, aggressive series of industrial programs. Nowhere is this more evident than in aeronautics and space disciplines, particularly those in which the nation has long experience. The South African Air Force (SAAF), affected by the worldwide defense drawdown, has centered its efforts on bush war-fighting capability, an area where it has unique experience. In the same way Denel, one of South Africa's most secret defense companies, has opened its once classified doors, converted its military satellite program into Greensat, and is now looking for civilian customers.

  19. Marine and freshwater microplastic research in South Africa.

    PubMed

    Verster, Carina; Minnaar, Karin; Bouwman, Hindrik

    2017-05-01

    South Africa has a vibrant plastics manufacturing industry, but recycling is limited and insufficient with a notable proportion of the unmanaged waste entering the environment. South Africa is a developing country with microplastics research in its inception. Very little is known about freshwater microplastics, and studies on South African marine microplastics are limited but actively being pursued. In a water-scarce country, protection of freshwater resources remains a priority, but in the face of other socioeconomic issues (poverty, unemployment, and HIV/AIDS), it receives insufficiently effective attention. The full impact and risks of microplastics pollution in water is yet to be discovered. The risks may be enhanced in a developing country where many communities remain largely dependent on the land and natural waters. With South Africa being a water-scarce country, the quality of its aquatic resources is at an even greater risk with an assumed increasing background of microplastics, emphasizing the need for further research. A South African Water Research Commission-funded project is being undertaken to derive research priorities, but there is an immediate need for improved recycling and waste management. Integr Environ Assess Manag 2017;13:533-535. © 2017 SETAC. © 2017 SETAC.

  20. Education Rights, Education Policies and Inequality in South Africa

    ERIC Educational Resources Information Center

    Spreen, Carol Anne; Vally, Salim

    2006-01-01

    In this article we explore education policy changes in South Africa through a rights-based framework. We situate our analysis in the context of deepening poverty and inequality arguing that progress (or the lack thereof) in schools cannot be divorced from poverty and its consequences. We show that education reform in South Africa has been situated…

  1. Gastroenterology training in private hospitals: India vs South Africa

    PubMed Central

    Mulder, Chris Jacob Johan; Puri, Amarender Singh; Reddy, Duvvur Nageshwar

    2010-01-01

    In South Africa, nurses and doctors are emigrating in significant numbers. Job satisfaction, safety and ensuring career progression are important in retaining doctors to make a career in Republic of South Africa (RSA). Due to budgetary constraints many hospitals have not been upgraded. Coming home after overseas training seems difficult. In RSA it takes a minimum of 13 years for a young specialist to become registered and 15 years for subspecialists. Career progression, creating more specialist trainees in public and private hospitals and shortening the period of professional training are potential solutions to the problem. India, which has a population of more than 1 billion people, is struggling with similar problems. For the past 10-15 years, private hospitals have assisted in manpower development for medical specialist and subspecialist careers. Currently their private sector trains 60% of their recognised (sub)specialities fellows. A national task force for specialist training in RSA should be instituted. It should discuss, based on the current status and projected specialist and subspecialist personnel requirements, the future structure and logistics of training needs. This is required in all subspecialities including gastroenterology, as has been done in India. It is hoped that as a consequence well-trained doctors, similar to those in India, might move to provincial hospitals in rural areas, upgrading the medical services and keeping medical power in South Africa. South Africa should become a model for Sub-Saharan Africa, as India already is for South-East Asia. PMID:20180232

  2. Illicit Drug Use and Treatment in South Africa

    PubMed Central

    Peltzer, Karl; Ramlagan, Shandir; Johnson, Bruce D.; Phaswana-Mafuya, Nancy

    2008-01-01

    This review synthesizes available epidemiological data on current drug use and substance abuse treatment admissions in south africa since 1994, and how changes in the political, economic and social structures within south africa both before and after apartheid make the country more vulnerable to drug use. based on national surveys current use of cannabis ranged among adolescents from 2% to 9% and among adults 2%, cocaine/crack (0.3%), mandrax/sedatives (0.3%), club drugs/amphetamine-type stimulants (0.2%), opiates (0.1%) and hallucinogens (0.1%). The primary illicit substance at admission to South African drug treatment centers was cannabis 16.9%, methamphetamine (Tik) 12.8%, crack/cocaine 9.6%, cannabis and mandrax 3.4%, heroin/opiates 9.2%, and prescription and OTC 2.6%. An increase in substance abuse treatment admissions has occurred. While the prevalence of illicit drug use in South Africa is relatively low compared to the USA and Australia, prevention and intervention policies need to be designed to reduce these levels by targeting the more risky subpopulations identified from this review. PMID:21039113

  3. 75 FR 59744 - Stainless Steel Plate From Belgium, Italy, Korea, South Africa, and Taiwan

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-28

    ... (Second Review)] Stainless Steel Plate From Belgium, Italy, Korea, South Africa, and Taiwan AGENCY: United... Africa and the antidumping duty orders on stainless steel plate from Belgium, Italy, Korea, South Africa... revocation of the countervailing duty orders on stainless steel plate from Belgium and South Africa and the...

  4. Expanding Doctoral Education in South Africa: Pipeline or Pipedream?

    ERIC Educational Resources Information Center

    Herman, Chaya

    2011-01-01

    The purpose of this paper is to discuss both the status of the PhD in South Africa and the feasibility of the country's aspiration to increase by fivefold the production of PhDs by 2025. Based on the first empirical studies on doctoral education in South Africa, it argues that in order to move towards this target, an expanded and coordinated…

  5. Exposing misclassified HIV/AIDS deaths in South Africa

    PubMed Central

    Birnbaum, Jeanette Kurian; Murray, Christopher JL

    2011-01-01

    Abstract Objective To quantify the deaths from human immunodeficiency virus (HIV) infection or acquired immunodeficiency syndrome (AIDS) that are misattributed to other causes in South Africa’s death registration data and to adjust for this bias. Methods Deaths in the World Health Organization’s mortality database were distributed among 48 mutually exclusive causes. For each cause, age- and sex-specific global death rates were compared with the average rate among people aged 65–69, 70–74 and 75–79 years to generate “relative” global death rates. Relative rates were also computed for South Africa alone. Differences between global and South African relative death rates were used to identify the causes to which deaths from HIV/AIDS were misattributed in South Africa and quantify the HIV/AIDS deaths misattributed to each. These deaths were then reattributed to HIV/AIDS. Findings In South Africa, deaths from HIV/AIDS are often misclassified as being caused by 14 other conditions. Whereas in 1996–2006 deaths attributed to HIV/AIDS accounted for 2.0–2.5% of all registered deaths in South Africa, our analysis shows that the true cause-specific mortality fraction rose from 19% (uncertainty range: 7–28%) to 48% (uncertainty range: 38–50%) over that period. More than 90% of HIV/AIDS deaths were found to have been misattributed to other causes during 1996–2006. Conclusion Adjusting for cause of death misclassification, a simple procedure that can be carried out in any country, can improve death registration data and provide empirical estimates of HIV/AIDS deaths that may be useful in assessing estimates from demographic models. PMID:21479092

  6. Assessment of undiscovered oil and gas resources of the South Africa Coastal Province, Africa

    USGS Publications Warehouse

    Brownfield, Michael E.; Schenk, Christopher J.; Charpentier, Ronald R.; Klett, Timothy R.; Cook, Troy A.; Pollastro, Richard M.

    2012-01-01

    The South Africa Coastal Province along the South Africa coast recently was assessed for undiscovered, technically recoverable oil, natural gas, and natural gas liquids resources as part of the U.S. Geological Survey's (USGS) World Oil and Gas Assessment. Using a geology-based assessment methodology, the USGS estimated mean volumes of 2.13 billion barrels of oil, 35.96 trillion cubic feet of natural gas, and 1,115 million barrels of natural gas liquids.

  7. Teacher Labour Markets in South Africa and Botswana: A Comparative Analysis

    ERIC Educational Resources Information Center

    Irving, Margaret

    2012-01-01

    This article compares key features of the labour markets for teachers across Botswana and South Africa in order to seek possible explanations for the apparently larger teacher shortages in South Africa. It is argued that South African teachers earn relatively lower wages when compared to professionals with comparable qualifications; they have also…

  8. Rights of the Child in South Africa: Violence against Girls in South Africa.

    ERIC Educational Resources Information Center

    Benninger-Budel, Carin

    This report to the United Nations Committee on the Rights of the Child contains observations of the World Organisation Against Torture (OMCT) concerning the application of the U.N. Convention on the Rights of the Child by the nation of South Africa. Noting that the Convention is the only "mainstream" human rights instrument that…

  9. Developing Curriculum Markers for Agricultural Extension Education in South Africa

    ERIC Educational Resources Information Center

    Worth, S. H.

    2008-01-01

    Sufficient changes have occurred in both the agricultural and educational sectors of South Africa to warrant a careful scrutiny of the agricultural education offerings in South Africa. Agricultural extension is identified as an important part of the intended transformation of the agricultural sector. Further, agricultural extension is essentially…

  10. The Corruption Bogey in South Africa: Is Public Education Safe?

    ERIC Educational Resources Information Center

    Serfontein, Erika; de Waal, Elda

    2015-01-01

    Corruption is a constant global phenomenon, which is becoming more complex and intense as competition for resources increases. It is even more so amongst those living in developing countries, particularly emerging economies such as South Africa. Acts of corruption directly contest the basic principles of South Africa's Constitution, which aims at…

  11. Rainwater harvesting in South Africa: Challenges and opportunities

    NASA Astrophysics Data System (ADS)

    Mwenge Kahinda, J.; Taigbenu, A. E.

    Water paucity remains a major threat to poverty, hunger alleviation as well as sustainable development. Innovative water technologies such as rainwater harvesting (RWH) have the potential to improve rural water supply and contribute to the provision of the first 6 kl of water consumed monthly. RWH can also be the solution to South Africa food security by increasing water productivity of dryland agriculture and enabling homestead gardening. Although used for decades in South Africa, rainwater harvesting (RWH) is still far from being utilised to its full potential as unresolved challenges prevent its wide scale adoption. The paper presents the challenges and opportunities to the upscaling of RWH in South Africa. Key challenges preventing the nationwide expansion of RWH are the current water related legislations, the lack of finances and the absence of a national umbrella body that coordinates. While opportunities lie in the worth of knowledge gathered by research projects, funded over the last two decades, on the biophysical and socio-economic impacts of RWH.

  12. Original size of the Vredefort structure, South Africa

    NASA Technical Reports Server (NTRS)

    Therriault, A. M.; Reid, A. M.; Reimold, W. U.

    1993-01-01

    The Vredefort structure is located approximately 120 km southwest of Johannesburg, South Africa, and is deeply eroded. Controversies remain on the origin of this structure with the most popular hypotheses being: (1) by impact cratering about 2.0 Ga; (2) as a cryptoexplosion structure about 2.0 Ga; and (3) by purely tectonic processes starting at about 3.0 Ga and ending with the Vredefort event at 2.0 Ga. In view of recent work in which the granophyre dikes are interpreted as the erosional remants of a more extensive impact melt sheet, injected downward into the underlying country rocks, the impact origin hypothesis for Vredefort is adopted. In order to estimate the original dimensions of the Vredefort impact structure, it is assumed that the structure was initially circular, that its predeformation center corresponds to the center of the granitic core, and that the pre-Vredefort geology of the area prior to approximately 2.0 Ga ago is as suggested by Fletcher and Reimold. The spatial relationship between shock metamorphic effects, the shock pressures they record, and the morphological features of the crater were established for a number of large terrestrial craters. The principles of crater formation at large complex impact structures comparable in size to Vredefort were also established, although many details remain unresolved. An important conclusion is that the transient crater, which is formed directly by excavation and displacement by the shock-induced cratering flow-field (i.e., the particle velocity flow field existing in the region of the transient crater but behind the initial outgoing shock front), is highly modified during the late stage processes. The original transient crater diameter lies well within the final rim of the crater, which is established by structural movements during late-stage cavity modification.

  13. Psychological Distress amongst AIDS-Orphaned Children in Urban South Africa

    ERIC Educational Resources Information Center

    Cluver, Lucie; Gardner, Frances; Operario, Don

    2007-01-01

    Background: South Africa is predicted to have 2.3 million children orphaned by Acquired Immune Deficiency Syndrome (AIDS) by 2020 (Actuarial Society of South Africa, 2005). There is little knowledge about impacts of AIDS-related bereavement on children, to aid planning of services. This study aimed to investigate psychological consequences of AIDS…

  14. Health worker migration from South Africa: causes, consequences and policy responses.

    PubMed

    Labonté, Ronald; Sanders, David; Mathole, Thubelihle; Crush, Jonathan; Chikanda, Abel; Dambisya, Yoswa; Runnels, Vivien; Packer, Corinne; MacKenzie, Adrian; Murphy, Gail Tomblin; Bourgeault, Ivy Lynn

    2015-12-03

    This paper arises from a four-country study that sought to better understand the drivers of skilled health worker migration, its consequences, and the strategies countries have employed to mitigate negative impacts. The four countries-Jamaica, India, the Philippines, and South Africa-have historically been "sources" of skilled health workers (SHWs) migrating to other countries. This paper presents the findings from South Africa. The study began with a scoping review of the literature on health worker migration from South Africa, followed by empirical data collected from skilled health workers and stakeholders. Surveys were conducted with physicians, nurses, pharmacists, and dentists. Interviews were conducted with key informants representing educators, regulators, national and local governments, private and public sector health facilities, recruitment agencies, and professional associations and councils. Survey data were analyzed using descriptive statistics and regression models. Interview data were analyzed thematically. There has been an overall decrease in out-migration of skilled health workers from South Africa since the early 2000s largely attributed to a reduced need for foreign-trained skilled health workers in destination countries, limitations on recruitment, and tighter migration rules. Low levels of worker satisfaction persist, although the Occupation Specific Dispensation (OSD) policy (2007), which increased wages for health workers, has been described as critical in retaining South African nurses. Return migration was reportedly a common occurrence. The consequences attributed to SHW migration are mixed, but shortages appear to have declined. Most promising initiatives are those designed to reinforce the South African health system and undertaken within South Africa itself. In the near past, South Africa's health worker shortages as a result of emigration were viewed as significant and harmful. Currently, domestic policies to improve health care and

  15. Distribution of cancer mortality rates by province in South Africa.

    PubMed

    Made, Felix; Wilson, Kerry; Jina, Ruxana; Tlotleng, Nonhlanhla; Jack, Samantha; Ntlebi, Vusi; Kootbodien, Tahira

    2017-12-01

    Cancer mortality rates are expected to increase in developing countries. Cancer mortality rates by province remain largely unreported in South Africa. This study described the 2014 age standardised cancer mortality rates by province in South Africa, to provide insight for strategic interventions and advocacy. 2014 deaths data were retrieved from Statistics South Africa. Deaths from cancer were extracted using 10th International Classification of Diseases (ICD) codes for cancer (C00-C97). Adjusted 2013 mid-year population estimates were used as a standard population. All rates were calculated per 100 000 individuals. Nearly 38 000 (8%) of the total deaths in South Africa in 2014 were attributed to cancer. Western Cape Province had the highest age standardised cancer mortality rate in South Africa (118, 95% CI: 115-121 deaths per 100 000 individuals), followed by the Northern Cape (113, 95% CI: 107-119 per 100 000 individuals), with the lowest rate in Limpopo Province (47, 95% CI: 45-49 per 100 000). The age standardised cancer mortality rate for men (71, 95% CI: 70-72 per 100 000 individuals) was similar to women (69, 95% CI: 68-70 per 100 000). Lung cancer was a major driver of cancer death in men (13, 95% CI: 12.6-13.4 per 100 000). In women, cervical cancer was the leading cause of cancer death (13, 95% CI: 12.6-13.4 per 100 000 individuals). There is a need to further investigate the factors related to the differences in cancer mortality by province in South Africa. Raising awareness of risk factors and screening for cancer in the population along with improved access and quality of health care are also important. Copyright © 2017 Elsevier Ltd. All rights reserved.

  16. Optical Astronomy in Post-Apartheid South Africa: 1994 to 2004

    NASA Astrophysics Data System (ADS)

    Whitelock, P. A.

    2004-10-01

    The progress of optical astronomy in post-apartheid South Africa is discussed. Particular emphasis is given to the socio-political climate which embraced the idea of a 10-m class telescope as a flagship project that would lead to widespread development in science, technology and education - not only in South Africa, but across the subcontinent.

  17. Project Coast: eugenics in apartheid South Africa.

    PubMed

    Singh, Jerome Amir

    2008-03-01

    It is a decade since the exposure of Project Coast, apartheid South Africa's covert chemical and biological warfare program. In that time, attention has been focused on several aspects of the program, particularly the production of narcotics and poisons for use against anti-apartheid activists and the proliferation of both chemical and biological weapons. The eugenic dimension of Project Coast has, by contrast, received scant attention. It is time to revisit the testimony that brought the suggestion of eugenic motives to light, reflect on some of the Truth and Reconciliation Commission's findings and search for lessons that can be taken from this troubled chapter in South Africa's history.

  18. Work Restructuring in Post-Apartheid South Africa.

    ERIC Educational Resources Information Center

    Webster, Edward; Omar, Rahmat

    2003-01-01

    Case studies of South African companies (mining, manufacturing, and telephone call centers) reveal a mix of management strategies that converge with and diverge from past practices. South Africa is attempting to balance the demands of efficiency, employee rights, and racial equity, a challenge that requires overcoming the legacy of the apartheid…

  19. South Africa's School Infrastructure Performance Indicator System

    ERIC Educational Resources Information Center

    Gibberd, Jeremy

    2007-01-01

    While some South African schools have excellent infrastructure, others lack basic services such as water and sanitation. This article describes the school infrastructure performance indicator system (SIPIS) in South Africa. The project offers an approach that can address both the urgent provision of basic services as well as support the…

  20. 75 FR 81309 - Stainless Steel Plate from Belgium, Italy, Korea, South Africa, and Taiwan

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-27

    ... (Second Review)] Stainless Steel Plate from Belgium, Italy, Korea, South Africa, and Taiwan AGENCY: United... countervailing duty orders on stainless steel plate from Belgium and South Africa and the antidumping duty orders on stainless steel plate from Belgium, Italy, Korea, South Africa, and Taiwan. SUMMARY: The...

  1. Citizenship status and engagement in HIV care: an observational cohort study to assess the association between reporting a national ID number and retention in public-sector HIV care in Johannesburg, South Africa

    PubMed Central

    Shearer, Kate; Clouse, Kate; Meyer-Rath, Gesine; MacLeod, William; Maskew, Mhairi; Sanne, Ian; Long, Lawrence; Fox, Matthew P

    2017-01-01

    Objective In many resource-limited settings, people from rural areas migrate to urban hubs in search of work. Thus, urban public-sector HIV clinics in South Africa (SA) often cater to both local residents and patients from other provinces and/or countries. The objective of this analysis was to compare programmatic treatment outcomes by citizenship status in an urban clinic in SA. Setting An urban public-sector HIV treatment facility in Johannesburg, SA. Participants We included all antiretroviral therapy (ART)-naïve, non-pregnant patients who initiated standard first-line treatment from January 2008 to December 2013. 12 219 patients were included and 59.5% were women. Primary outcome measure Patients were followed from ART initiation until death, transfer, loss to follow-up (LTF), or data set closure. We describe attrition (mortality and LTF) stratified by SA citizenship status (confirmed SA citizens (with national ID number), unconfirmed SA citizens (no ID), and foreign nationals) and model the risk of attrition using Cox proportional hazards regression. Results 70% of included patients were confirmed SA citizens, 19% were unconfirmed SA citizens, and 11% were foreign nationals. Unconfirmed SA citizens were far more likely to die or become LTF than other patients. A similar proportion of foreign nationals (18.2%) and confirmed SA citizens (17.7%) had left care at 1 year compared with 47.0% of unconfirmed SA citizens (adjusted hazard ratio (aHR) unconfirmed SA vs confirmed SA: 2.68; 95% CI 2.42 to 2.97). By the end of follow-up, 75.5% of unconfirmed SA citizens had left care, approximately twice that of any other group. Conclusions Unconfirmed SA citizens were more likely to drop out of care after ART initiation than other patients. Further research is needed to determine whether this observed attrition is representative of migration and/or self-transfer to another HIV clinic as such high rates of attrition pose challenges for the success of the national ART

  2. Aims of education in South Africa

    NASA Astrophysics Data System (ADS)

    Morrow, Walter Eugene

    1990-06-01

    The first part of this paper gives a historical account of the aims of education under Apartheid, and discusses the ideological success of Apartheid education. The second part argues that a significant discussion — that is one which could have some purchase on schooling policy and educational practice — of aims of education in South Africa is not possible at present because the historical preconditions for such a discussion are not satisfied. It is argued that Apartheid has generated a political perspective which is unsympathetic to a discussion of aims of education; that the dominance of a social engineering model of schooling distorts a discussion of aims of education; and that a shared moral discourse, which is a necessary condition for a significant discussion of aims of education, does not yet exist in South Africa.

  3. Privatising Public Schooling in Post-Apartheid South Africa: Equity Considerations

    ERIC Educational Resources Information Center

    Motala, Shireen

    2009-01-01

    Through an analysis of quantitative and qualitative data on school funding in South Africa, this paper aims to analyse the user fee policy option in public schooling in South Africa. Debate is ongoing about the role of private input into public schooling and whether this practice affects access (and the constitutional right) to basic education,…

  4. The Politics of Testing in South Africa

    ERIC Educational Resources Information Center

    Chisholm, Linda; Wildeman, Russell

    2013-01-01

    This article considers the politics of adoption of a testing regime in South Africa. While the broad features of this regime are similar to those in developed countries, there are features specific to the South African context. These emerge from a combination of external and internal pressures. External pressures derive from international testing…

  5. Human fascioliasis in South Africa.

    PubMed

    Black, J; Ntusi, N; Stead, P; Mayosi, B; Mendelson, M

    2013-07-29

    Human fascioliasis has the widest latitudinal, longitudinal and altitudinal distribution of any vector-borne disease, yet only 3 cases have been reported from South Africa, the last in 1964. We report 2 cases from the same geographic area associated with local consumption of watercress, suggesting an endemic focus. 

  6. Predicting the Need for Third-Line Antiretroviral Therapy by Identifying Patients at High Risk for Failing Second-Line Antiretroviral Therapy in South Africa.

    PubMed

    Onoya, Dorina; Nattey, Cornelius; Budgell, Eric; van den Berg, Liudmyla; Maskew, Mhairi; Evans, Denise; Hirasen, Kamban; Long, Lawrence C; Fox, Matthew P

    2017-05-01

    Although third-line antiretroviral therapy (ART) is available in South Africa's public sector, its cost is substantially higher than first and second line. Identifying risk factors for failure on second-line treatment remains crucial to reduce the need for third-line drugs. We conducted a case-control study including 194 adult patients (≥18 years; 70 cases and 124 controls) who initiated second-line ART in Johannesburg, South Africa. Unconditional logistic regression was used to assess predictors of virologic failure (defined as 2 consecutive viral load measures ≥1000 copies/mL, ≥3 months after switching to second line). Variables included a social instability index, ART adherence, self-reported as well as diagnosed adverse drug reactions (ADRs), HIV disclosure, depression, and factors affecting access to HIV clinics. Overall 60.0% of cases and 54.0% of controls were female. Mean ages of cases and controls were 41.8 ± 9.6 and 43.3 ± 8.0, respectively. Virologic failure was predicted by ART adherence <90% [odds ratio (OR) 4.7; 95% confidence interval (95% CI): 2.1-10.5], younger age (<40 years of age; OR 0.6; 95% CI: 0.3-1.1), high social instability (OR 3.8; 95% CI: 1.30-11.5), self-reported ADR (OR 1.9; 95% CI: 1.0-3.5), disclosure to friends/colleagues rather than partner/relatives (OR 3.4; 95% CI: 1.3-9.1), and medium/high depression compared to low/no depression (OR 4.4; 95% CI: 1.5-13.4). Our results suggest complex socioeconomic factors contributing to risk of virologic failure, possibly by impacting ART adherence, among patients on second-line therapy in South Africa. Identifying patients with possible indicators of nonadherence could facilitate targeted interventions to reduce the risk of second-line treatment failure and mitigate the demand for third-line regimens.

  7. A comparative assessment of the price, brands and pack characteristics of illicitly traded cigarettes in five cities and towns in South Africa

    PubMed Central

    Wherry, Anna E; McCray, Cheyenne A; Adedeji-Fajobi, Temidayo I; Sibiya, Xolani; Ucko, Peter; Lebina, Limakatso; Golub, Jonathan E; Cohen, Joanna E; Martinson, Neil A

    2014-01-01

    Objective The prevalence of illicitly traded cigarettes in South Africa has been reported to be 40–50%. However, these estimates do not account for the more nuanced characteristics of the illicit cigarette trade. With the goal of better understanding contraband cigarettes in South Africa, this study piloted three methods for assessing the price, brands, pack features and smoker's views about illicit cigarettes in five cities/towns. Data were collected in June and July 2012. Setting A convenience sample of three South African cities (Johannesburg, Durban and Nelspruit) and two smaller towns (Musina and Ficksburg) were chosen for this study. Outcome measures Three cross-sectional approaches were used to assess the characteristics of contraband cigarettes: (1) a dummy purchase of cigarettes from informal retailers, (2) the collection of discarded cigarette packs and (3) a survey of tobacco smokers. Participants For the purposes of the survey, 40 self-reported smokers were recruited at taxi ranks in each downtown site. Adults who were over the age of 18 were asked to verbally consent to participate in the study and answer a questionnaire administered by a researcher. Results The leading reason for labelling a pack as illicit in each city/town was the absence of an excise stamp (28.6% overall), and the least common reason was an illegal tar or nicotine level (11.1% overall). The overall proportion of informal vendors who sold illicit cigarettes was 41%. Singles and packs of 20 were consistently cheaper at informal vendors. Survey participants’ responses reflected varied perspectives on illicit cigarettes and purchasing preferences. Conclusions Each approach generated an interesting insight into physical aspects of illicit cigarettes. While this pilot study cannot be used to generate generalisable statistics on illicit cigarettes, more systematic surveys of this nature could inform researchers’ and practitioners’ initiatives to combat illicit and legal cigarette

  8. Education and Skills for Development in South Africa: Reflections on the Accelerated and Shared Growth Initiative for South Africa

    ERIC Educational Resources Information Center

    McGrath, S.; Akoojee, Salim

    2007-01-01

    In July 2005, President Mbeki announced the launch of the Accelerated and Shared Growth Initiative for South Africa (AsgiSA), a new development strategy designed to help the South African state meet the ANC's 2004 election pledges, namely: (1) halve unemployment; (2) halve poverty; (3) accelerate employment equity; and (4) improve broad-based…

  9. Getting Skills Right: South Africa

    ERIC Educational Resources Information Center

    OECD Publishing, 2017

    2017-01-01

    This report identifies effective strategies to tackle skills imbalances in South Africa. It provides an assessment of practices and policies in the following areas: the collection and use of information on skill needs to foster a better alignment of skills acquisitions with labour market needs; education and training policies targeting skills…

  10. Tissue banking in South Africa: a 19-year history.

    PubMed

    Lindeque, B G P; Lindeque, A M; Hausner, H; Le Roux, T L B

    2005-01-01

    The establishment of a Tissue Bank and the science of Tissue Banking in South Africa started in the 1960s and is still developing. This article describes the development and growth of Tissue Banking in South Africa. The current emphasis is to supply viable bone products that have been produced under the best possible quality controlled circumstances; with the collaboration between different Organ Donation Organisations. Through collaboration, a dramatic increase in the number of donors was noted over the years. Concurrently, there was a dramatic increase in the usage of different allograft products and now necessitates the development of new graft materials for expanding patient options. As an ongoing concern, the Tissue Bank in South Africa experienced an ever increase in costs to enhance quality/safety controls: increase in historical patient information, documentation and serological testing in a population struggling to control HIV. To date, the South African Tissue Bank has not experienced any untoward patient incidence since the 1960s and currently is getting over 500 donors per year.

  11. Attendance at antenatal clinics in inner-city Johannesburg, South Africa and its associations with birth outcomes: analysis of data from birth registers at three facilities.

    PubMed

    Gumede, Siphamandla; Black, Vivian; Naidoo, Nicolette; Chersich, Matthew F

    2017-07-04

    Antenatal care (ANC) clinics serve as key gateways to screening and treatment interventions that improve pregnancy outcomes, and are especially important for HIV-infected women. By disaggregating data on access to ANC, we aimed to identify variation in ANC attendance by level of care and across vulnerable groups in inner-city Johannesburg, and document the impact of non-attendance on birth outcomes. This record review of routine health service data involved manual extraction of 2 years of data from birth registers at a primary-, secondary- and tertiary-level facility within inner-city Johannesburg. Information was gathered on ANC attendance, HIV testing and status, pregnancy duration, delivery mode and birth outcomes. Women with an unknown attendance status were considered as not having attended clinic, but effects of this assumption were tested in sensitivity analyses. Multiple logistic regression was used to identify associations between ANC attendance and birth outcomes. Of 31,179 women who delivered, 88.7% (27,651) had attended ANC (95% CI = 88.3-89.0). Attendance was only 77% at primary care (5813/7543), compared to 89% at secondary (3661/4113) and 93% at tertiary level (18,177/19,523). Adolescents had lower ANC attendance than adults (85%, 1951/2295 versus 89%, 22,039/24,771). Only 37% of women not attending ANC had an HIV test (1308/3528), compared with 93% of ANC attenders (25,756/27,651). Caesarean section rates were considerably higher in women who had attended ANC (40%, 10,866/27,344) than non-attenders (13%, 422/3360). Compared to those who had attended ANC, non-attenders were 1.6 fold more likely to have a preterm delivery (95% CI adjusted odds ratio [aOR] = 1.4-1.8) and 1.4 fold more likely to have a stillbirth (aOR 95% CI = 1.1-1.9). Similar results were seen in analyses where missing data on ANC attendance was classified in different ways. Inner-city Johannesburg has an almost 5% lower ANC attendance rate than national levels. Attendance is

  12. Assessment of shale-gas resources of the Karoo Province, South Africa and Lesotho, Africa, 2016

    USGS Publications Warehouse

    Brownfield, Michael E.; Schenk, Christopher J.; Klett, Timothy R.; Pitman, Janet K.; Tennyson, Marilyn E.; Gaswirth, Stephanie B.; Le, Phuong A.; Leathers-Miller, Heidi M.; Mercier, Tracey J.; Finn, Thomas M.

    2016-07-08

    Using a geology-based assessment methodology, the U.S. Geological Survey estimated undiscovered, technically recoverable mean resource of 44.5 trillion cubic feet of shale gas in the Karoo Province of South Africa and Lesotho, Africa.

  13. The specialist physician's approach to rheumatoid arthritis in South Africa.

    PubMed

    Bester, Frederik C J; Bosch, Fredricka J; van Rensburg, Barend J Jansen

    2016-03-01

    Rheumatoid arthritis (RA) is expected to increase in Africa and South Africa. Due to the low numbers of rheumatologists in South Africa, specialist physicians also have to care for patients with RA. Furthermore several new developments have taken place in recent years which improved the management and outcome of RA. Classification criteria were updated, assessment follow-up tools were refined and above all, several new biological disease-modifying anti-rheumatic drugs were developed. Therefore it is imperative for specialist physicians to update themselves with the newest developments in the management of RA. This article provides an overview of the newest developments in the management of RA in the South African context. This approach may well apply to countries with similar specialist to patient ratios and disease profiles.

  14. Double standards: the multinational asbestos industry and asbestos-related disease in South Africa.

    PubMed

    McCulloch, Jock; Tweedale, Geoffrey

    2004-01-01

    This study documents and contrasts the development of knowledge about asbestos-related disease (ARD) in South Africa and the United Kingdom. It also contributes to the globalization debate by exploring corporate decision-making in a multinational industry. Between the 1930s and 1960s, the leading U.K. asbestos companies developed a sophisticated knowledge of ARD, though in South Africa, where the leading companies such as Turner & Newall and Cape Asbestos owned mines, there was little attempt to apply this knowledge. Asbestos mines (and their environments) in South Africa were uniquely dusty and ARD was rife. Social and political factors in South Africa, especially apartheid, allowed these companies to apply double standards, even after 1960 when the much more serious hazard of mesothelioma was identified. This shows the need for greater regulation of multinationals. Because of the lack of such regulation in the early 1960s, an opportunity was lost to prevent the current high morbidity and mortality of ARD both in South Africa and worldwide.

  15. Perceptions of the Principal's Role in Democratic School Governance in South Africa

    ERIC Educational Resources Information Center

    Mncube, Vusi

    2009-01-01

    This article explores governors' perceptions of the role played by school principals in the democratic governance of secondary schools in South Africa. The South African Schools Act No. 84 of 1996 has mandated that all public schools in South Africa must have democratically elected school governing bodies, comprised of the principal (in his or her…

  16. Head and neck lymphomas: A 20-year review in an Oral Pathology Unit, Johannesburg, South Africa, a country with the highest global incidence of HIV/AIDS.

    PubMed

    Alli, Nasreen; Meer, Shabnum

    2017-04-01

    Non-Hodgkin lymphoma occurs with increasing frequency in HIV/AIDS. As South Africa has the highest incidence of HIV/AIDS worldwide, an epidemiologic study of this nature provides insight into head and neck lymphomas in a defined South African population. This retrospective review evaluated frequency and clinico-pathologic characteristics of patients diagnosed with head and neck lymphoma at the Oral Pathology Department, University of Witwatersrand between 1993 and 2012. Histopathology reports of patients with head and neck lymphomas (n=504) were reviewed. Demographic (age, gender), clinical (site and size of tumour), laboratory and histological parameters were recorded. There were 504 patients with head and neck lymphomas. The mean age was 40.4years. The male:female ratio was 1.1:1. The cervical lymph node was the most common anatomic site (115 cases) and the maxilla (60 cases) the most common extranodal site. Plasmablastic lymphoma (159 cases) was the most common histologic subtype, seen more frequently as a result of its strong association with HIV/AIDS. The most common Hodgkin's lymphoma was the nodular sclerosing variant (21 cases). Of the head and neck lymphomas in patients with a known HIV status, 56% had plasmablastic lymphoma, 43.9% diffuse large B cell lymphoma and 25% Burkitt lymphoma. There is an increase in head and neck lymphoma frequency, contrary to that found in Western countries. The high HIV prevalence in certain lymphomas provides strong indication of the role of HIV/AIDS in pathogenesis of lymphomas. This study serves as a baseline for future studies, especially in South Africa. Copyright © 2017 Elsevier Ltd. All rights reserved.

  17. The Influence of John Dewey on Curriculum Development in South Africa.

    ERIC Educational Resources Information Center

    Mentz, Paulus J.

    The influence of John Dewey's educational theory on curriculum development in South Africa is examined in this paper. The two main streams of thinking about curriculum theory in South Africa include the traditional perspective, which is heavily influenced by the national Christianity movement, and the alternative curriculum development…

  18. The Emerging Role of the Republic of South Africa as a Regional Power

    DTIC Science & Technology

    2003-04-07

    effect national power. It is written from the perspective that South Africa, even with its past of racial separation and minority rule, is overcoming...facing these issues head-on, has overcome racial diverseness, and is developing into a leading regional role. South Africa is transforming. Since 1994...that effect national power. It is written from the perspective that South Africa, even with its past of racial separation and minority rule, is

  19. Design Thinking: A Methodology towards Sustainable Problem Solving in Higher Education in South Africa

    ERIC Educational Resources Information Center

    Munyai, Keneilwe

    2016-01-01

    This short paper explores the potential contribution of design thinking methodology to the education and training system in South Africa. Design thinking is slowly gaining traction in South Africa. Design Thinking is gaining traction in South Africa. There is offered by the Hasso Plattner Institute of Design Thinking at the University of Cape Town…

  20. Conservation Education in South Africa

    ERIC Educational Resources Information Center

    Sewell, Keira

    2012-01-01

    Lawrence Anthony is a conservationist for whom actions speak far louder than words. An imposing figure, Anthony does not take "no" for an answer and uses his commitment, enthusiasm and indefatigable drive to change situations, both in his native South Africa and around the world. Anthony has worked tirelessly alongside tribal leaders…

  1. State of Transition: Post-Apartheid Educational Reform in South Africa. Monographs in International Education.

    ERIC Educational Resources Information Center

    Harber, Clive

    This book reviews the major dimensions of post-apartheid educational change and continuity in South Africa since 1994. It sets educational reform in the context of the nature of the anti-apartheid struggle inside South Africa and in the global economic environment in which South Africa re-entered the world stage as a legitimate actor. Recognizing…

  2. The epidemiology of major depression in South Africa: Results from the South African Stress and Health study

    PubMed Central

    Tomlinson, Mark; Grimsrud, Anna T; Stein, Dan J; Williams, David R; Myer, Landon

    2011-01-01

    Background Mental disorders are a major contributor to the burden of disease in all regions of the world. There are limited data on the epidemiology of major depressive disorder in South Africa. Methods A nationally representative household survey was conducted between 2002 and 2004 using the World Health Organization Composite International Diagnostic Interview (CIDI) to establish a diagnosis of depression. The dataset analysed included 4 351 adult South Africans of all racial groups. Results The prevalence of major depression was 9.7% for lifetime and 4.9% for the 12 months prior to the interview. The prevalence of depression was significantly higher among females than among males. The prevalence was also higher among those with a low level of education. Over 90% of all respondents with depression reported global role impairment. Conclusion In comparison with data from other countries, South Africa has lower rates of depression than the USA but higher rates than Nigeria. The findings are broadly consistent with previous findings in South Africa. These findings are the first step in documenting a level of need for care in a context of significant under-funding of mental health services and research in South Africa PMID:19588800

  3. Cape Province, South Africa as seen from STS-58

    NASA Image and Video Library

    1993-10-30

    STS058-77-083 (18 Oct-1 Nov 1993) --- In this scene of the south coast of Africa, Cape Agulhas, the southernmost point on the continent, appears as the leftmost cape. Viewed with the Earth's limb top left, clouds at bottom, the view direction is west and north top right. The Cape of Good Hope, with Cape Town nearby, is the thin spike beyond. The great bay in the foreground is Algoa Bay with the city of Port Elizabeth. This was the first time European voyagers are known to have rounded the Cape of Good Hope in their quest to reach India by sea. The entire fold mountain belt of southern Africa is visible: these mountains appear as green (forested) wavy structures stretching west form the foreground, to the Cape of Good Hope, and then northwards some distance. One theory about their origin is that the Falkland Plateau, now an undersea extension of South America, was jostled up against Africa more than 150 million years ago, in times before the Atlantic Ocean existed, before Africa and South America drifted apart from one another. The jostling caused the evolution of the fold mountain belt.

  4. South Africa: Country Status Report.

    ERIC Educational Resources Information Center

    McFerren, Margaret

    A survey of the status of language usage in South Africa begins with an overview of the distribution among the population of the official languages, Afrikaans and English, and the principle languages of the Black majority: Zulu, Xhosa, Tswana, Nothern Sotho (Pedi), Southern Sotho, Tsonga, Swazi, and Venda. The influence of apartheid policy on…

  5. Television, Censorship and South Africa.

    ERIC Educational Resources Information Center

    Giffard, C. Anthony; Cohen, Lisa

    Network television news has often been accused of inciting and prolonging incidents of public violence, whether riots or terrorism, and in South Africa this type of thinking has led to increasingly stringent restrictions on both domestic and foreign media covering the violent unrest there. A study determined a chronology of events and analyzed the…

  6. Perspectives on Learnerships: A Critique of South Africa's Transformation of Apprenticeships

    ERIC Educational Resources Information Center

    Smith, Matthew J.; Jennings, Ross; Solanki, Geetesh

    2005-01-01

    This article provides a critique of South Africa's attempt to transform apprenticeships using data from the 2004 Baseline Survey of the Learnership Programme in South Africa. The data suggests that Learnerships provide important opportunities for those in work to learn new theoretical and practical capabilities and thus deepen the skills base of…

  7. Exploring Important Issues through Keypal Connections: South Africa and the USA.

    ERIC Educational Resources Information Center

    Eastmond, Nick; Lester, Olivia

    2001-01-01

    Focuses on a class at Utah State University on race and communication issues in the United States and the New South Africa, which included an "email pen pal" correspondence. Highlights include: setting the stage; analysis and results; race and communication issues; economic and social conditions in South Africa; white privilege; pride in…

  8. Educational Development in South Africa: From Social Reproduction to Capitalist Expansion?

    ERIC Educational Resources Information Center

    Boughey, Chrissie

    2007-01-01

    At an international level, the peaceful transition to democracy in South Africa has often been lauded as miraculous. While political transformation might have been highly successful, changes in other spheres have proved to be much more problematic. This paper examines the change in higher education in South Africa and, more particularly, the role…

  9. Historical Amnesia? The Politics of Textbooks in Post-Apartheid South Africa.

    ERIC Educational Resources Information Center

    Polakow-Suransky, Sasha S.

    The issue of history, specifically history textbooks, has been at the center of South Africa's educational reform debates for years. One of the consequences of South Africa's delayed curricular reform is the continued use of apartheid-era history textbooks, which, among other things, deny European colonization and conquest and claim that whites…

  10. Learner Outcomes in Science in South Africa: Role of the Nature of Learner Difficulties with the Language for Learning and Teaching Science

    NASA Astrophysics Data System (ADS)

    Oyoo, Samuel Ouma

    2017-08-01

    Paul Leslie Gardner pioneered the study of student difficulties with everyday words presented in the science context (Gardner 1971); several similarly designed studies (e.g. Cassels and Johnstone 1985; Tao in Research in Science Education, 24, 322-330, 1994; Farell and Ventura in Language and Education, 12(4), 243-254, 1998; Childs and O'Farell in Chemistry Education: Research and Practice, 4(3), 233-247, 2003) have since been reported in literature. This article draws from an exploratory study of the difficulties South African High School physical science learners encounter with everyday English words when presented in the science context. The participants (1107 learners and 35 respective physical science teachers) were drawn from 35 public secondary schools in Johannesburg area of South Africa. Data were obtained through a word test to participant learners followed by group interviews but face-to-face interviews with each physical science teacher. This study has revealed that in similar ways as have been reported in each of the studies so far, South African learners also face difficulties with meanings of everyday words presented in a science context. The main source of difficulties encountered was learner inability to distinguish between the meanings of familiar everyday words as used in everyday parlance from the `new' meanings of the same everyday words when used in the science context. Interpretations of learner interview responses revealed that fewer difficulties would have been experienced by learners if science teachers generally explained the context meanings of the words as used during science teaching. The findings suggest that focusing on contextual proficiency more than on general proficiency in the language of learning and teaching (LOLT) during teaching perhaps holds more promise for enhanced learning and achievement in science. Steps necessary to raise teacher awareness of the potential impact of context on meanings of everyday words of the LOLT

  11. Perceptions and Misperceptions: The Middle East and South Africa.

    ERIC Educational Resources Information Center

    Moore, Michael; Tyson, G. A.

    1990-01-01

    Reports findings of a study examining the opinions and awareness level of South African, Israeli, and United States undergraduates about conflicts in either the Middle East or South Africa. Finds religious and racial characteristics determining differences in knowledge level and political support. Reveals South African Blacks and U.S. students…

  12. Monitoring Optimism in South Africa

    ERIC Educational Resources Information Center

    Harris, Mari

    2007-01-01

    An article with exactly this same title was published in Social Indicators Research (41:279-304, 1997). The purpose of the current article is to update the findings discussed in that first article. Therefore the abstract published previously is still relevant: The last few decades have been the most crucial and eventful ones in South Africa's…

  13. Collection Development: Sporty South Africa

    ERIC Educational Resources Information Center

    Lamont, Loraine; Pulver, A. Issac

    2010-01-01

    This summer, sports-crazy South Africa, recently named by the "New York Times" as one of the "31 Places To Go in 2010," will become the first African nation to host the FIFA World Cup. Soccer fans making the trip will be rewarded with world-class facilities, modern infrastructure, and a nation of startling contrasts and…

  14. Economics of health in South Africa: past, present and future.

    PubMed

    Benatar, S R

    1989-01-01

    Some of the background to the present structure of medicine in South Africa, an outline of some economic aspects of our current (inadequate) health care service and tentative suggestions regarding the directions in which our health services should be moving to facilitate the legitimization (political) and accumulation (economic) processes required to meet the needs and demands of all the people of an internationally recognized, just and free South Africa are presented.

  15. Teaching Business Ethically in the "New" South Africa.

    ERIC Educational Resources Information Center

    Nkomo, Stella M.

    2003-01-01

    Describes the author's experience teaching a course on leadership and organizational dynamics to master of business administration students at the Graduate School of Business Leadership, University of South Africa. Considers how the structures of apartheid that permeated all sectors of South African society are only gradually being dismantled. (SG)

  16. "A man's game": cricket, war and masculinity, South Africa, 1899-1902.

    PubMed

    Allen, Dean

    2011-01-01

    As practitioners of the imperial sport of the Victorian age, cricketers rallied whenever war descended upon England and its colonies. The South African War of 1899-1902 was no different. Adding to existing work on cricket's imperial development within South Africa, this study marks a significant contribution to research on the link between masculinity, war and sport during the Victorian era. A concept emerging from the English public schools of the mid- to late nineteenth century, the masculine ethos of sport and military honour had reached colonial South Africa by the outbreak of war in 1899. In its analysis of cricket and masculinity, this essay examines the events surrounding the war in South Africa and provides an example of the distinct relationship that existed between the military and the masculinity of sport and its organisation during this era.

  17. ICT-Supported Pedagogical Policies and Practices in South Africa and Chile: Emerging Economies and Realities

    ERIC Educational Resources Information Center

    Howie, S. J.

    2010-01-01

    South Africa participated in all three of the Second International Technology in Education Study (SITES). In the first international study, South Africa was the only developing country, and therefore, stark contrasts were found in the international study between South Africa and the other participating countries. Chile participated in the SITES…

  18. “If I buy the Kellogg’s then he should [buy] the milk”: young women’s perspectives on relationship dynamics, gender power and HIV risk in Johannesburg, South Africa

    PubMed Central

    Pettifor, Audrey; MacPhail, Catherine; Anderson, Althea D.; Maman, Suzanne

    2012-01-01

    Ideals of masculinity and femininity may limit South African women’s decision making power in relationships and increase their risk of HIV infection. We conducted 30 in-depth interviews with 18-24 year old women in inner-city Johannesburg with the aim of understanding young women’s expectations of intimate relationships with men, their perceptions of gender and power, and how this influences HIV risk. We found that the majority of young women reported expectations of power in relationships that conform to a model of femininity marked by financial independence, freedom to make decisions, including over sexuality, and equality (resistant femininity). The majority of young women, however, were in relationships marked by intimate partner violence, infidelity or lack of condom use. In spite of this, more young women who subscribed to a resistant model of femininity were in less risky relationships than young women who subscribed to acquiescent models, in which power was vested in their male partners. Further, young women who subscribed to resistant femininity had more education than women who subscribed to an acquiescent model. The disconnect between expectations of relationships and young women’s lived realities emphasises the need for structural changes that afford women greater economic and thus decision making power. PMID:22449022

  19. Decentralisation and the Construction of Inclusion Education Policy in South Africa

    ERIC Educational Resources Information Center

    Sayed, Yusuf; Soudien, Crain

    2005-01-01

    This paper critically reviews the ways in which the policy of education decentralisation in post-apartheid South Africa results in both forms of inclusion and new forms of exclusion. Drawing on a two-year research project carried out in three provinces in South Africa, it shows how in the governance of schools, new forms of exclusion are being…

  20. Deadly Fire in Kruger National Park, South Africa

    NASA Technical Reports Server (NTRS)

    2002-01-01

    An explosive fire in Kruger National Park in the northern Republic of South Africa has killed at least 21 people and injured several others, perhaps fatally. This true-color image from NASA's Moderate-resolution Imaging Spectroradiometer (MODIS) shows the location of that fire and several others in the region indicated in red. Kruger National Park runs along the border of The Republic of South Africa, which takes up most of the western half of the image, and Mozambique, which takes up most of the eastern half. The deadly fire started on Tuesday, September 4, and burned just to the right of the center of this image, near the town of Skukuza. The fire spread rapidly in the winds that blow across South Africa at the end of the region's dry season. This image, made from MODIS data acquired on September 5, shows the perimeter of the fire burning and emitting heavy smoke. An irregularly shaped burn scar stands out in dark brown against the landscape, indicating the extent of the fire. What appears to be another large burn scar can be seen just to the southeast. Image courtesy Jacques Descloitres, MODIS Land Rapid Response Team at NASA GSFC

  1. South Africa’s Technology Sector

    DTIC Science & Technology

    2007-08-01

    Somchem’s rocket motor propellant casting pits were destroyed and sealed with concrete .135 In taking this step, South Africa became the only country...principles of restraint, responsibility, and translucence .163 Translucence or semi-transparency is distinct from the more rigorous concept of total

  2. "Cape Town, South Africa taken from Atlantis during STS-106"

    NASA Image and Video Library

    2000-09-19

    STS106-713-057 (19 September 2000) --- One of the STS-106 crew members on board the Space Shuttle Atlantis used a handheld 70mm camera to photograph this image of Cape Town and the Karroo Ranges in South Africa. Cape Town occupies the north end of the Cape of Good Hope peninsula and extends to the shore of False Bay. The city is home to about 2.7 million people. Tourism and viticulture contribute importantly to the local economy, and the city is a service center for government and industry -- particularly mining. The great folded mountain ranges of South Africa were formed during the assembly of the ancient super continent of Gondwana. Broad N-trending folds of the Cedarburg range, South Africa formed first, according to geologists, about 230 million years ago, and the W-trending Karroo ranges formed a little later.

  3. Receptor modelling and risk assessment of volatile organic compounds measured at a regional background site in South Africa

    NASA Astrophysics Data System (ADS)

    Jaars, Kerneels; Vestenius, Mika; van Zyl, Pieter G.; Beukes, Johan P.; Hellén, Heidi; Vakkari, Ville; Venter, Marcell; Josipovic, Miroslav; Hakola, Hannele

    2018-01-01

    Volatile organic compounds (VOCs) can have significant impacts on climate and human health. Certain VOCs are proven to be carcinogenic and toxic, which can affect human health directly and indirectly. In order to develop climate change reduction strategies and to assess the impacts of VOCs on human health, it is crucial to determine the sources of VOCs, which can be emitted from biogenic and anthropogenic sources. The aim of this study was to perform source apportionment using positive matrix factorisation (PMF) analysis on VOC data collected at a regional background location affected by the major sources in the interior of South Africa, which include the western- and eastern Bushveld Igneous Complex, the Johannesburg-Pretoria metropolitan conurbation, the Vaal Triangle, the Mpumalanga Highveld and also a region of anti-cyclonic recirculation of air mass over the interior of South Africa. In addition, a risk assessment study was also performed in view of the major source regions affecting Welgegund in order to quantify the impacts of anthropogenic VOCs measured at Welgegund on human health. Measurements were conducted at the Welgegund measurement station located on a commercial farm approximately 100 km west of Johannesburg for a period of more than two years. PMF analysis revealed ten meaningful factor solutions, of which five factors were associated with biogenic emissions and five with anthropogenic sources. Three of the biogenic factors were characterised by a specific biogenic species, i.e. isoprene, limonene and 2-methyl-3-buten-2-ol (MBO), while the other two biogenic factors comprised mixtures of biogenic species with different tracer species. The temporal factor contribution for the isoprene, limonene and MBO factors correlated relatively well with the seasonal wet pattern. One anthropogenic factor was associated with emissions from a densely populated anthropogenic source region to the east of Welgegund with a large number of industrial activities, while

  4. Looking Back at Doctoral Education in South Africa

    ERIC Educational Resources Information Center

    Herman, Chaya

    2017-01-01

    This article provides a quantitative picture of doctoral education in South Africa up to 2010, from the time the first doctorate was awarded in 1899. It identifies the different institutional profiles and emphases of doctoral graduation in South African universities at various periods of time in the context of economic, political and social…

  5. Patterns of glacial-interglacial vegetation and climate variability in eastern South Africa

    NASA Astrophysics Data System (ADS)

    Dupont, Lydie; Caley, Thibaut; Malaizé, Bruno; Giraudeau, Jacques

    2010-05-01

    Vegetation is an integrated part of the earth system and our understanding needs records of its glacial-interglacial variability. Although the data coverage for South Africa is slightly better than for some other parts of Africa, there are only very few records that allow us a glimpse of the vegetation history and development through one or more late Quaternary climate cycles. The existing evidence is fragmentary and in some cases contradictory. Marine sediments can offer here continuous sequences that cover large periods of time and provide a record of a signal that integrates rather large continental regions. Core MD96-2048 has been cored off the Limpopo River mouth at 26°10'S 34°01'E in 660 m water depth. This area is under the double influence of continental discharge and Agulhas current water advection. The sedimentation is slow and continuous. The upper 5 meter (down till 250 ka) have been analysed for pollen and spores at millennial resolution. The terrestrial pollen assemblages indicate that during interglacials the vegetation of eastern South Africa and southern Mozambique largely consisted of evergreen and deciduous forests with an increase of dry deciduous forest and open woodland during interglacial optima. During glacials open mountainous shrubland extended. The pattern strongly suggests a shifting of altitudinal vegetation belts in the mountains primarily depending on temperature, although the decline of forested areas during glacial times might also be the effect of low atmospheric carbon dioxide concentrations. This pattern in eastern South Africa differs from that suggested for western South Africa, where extension of the winter rain climate seems likely, and corroborates findings of increased C4 vegetation during the Glacial of eastern South Africa. The spread of dry deciduous forest and open woodland suggests a hot and dry climate during interglacial optima. The vegetation and climate of eastern South Africa seems to follow a mid to high

  6. Burn care in South Africa: a micro cosmos of Africa.

    PubMed

    Rode, H; Cox, S G; Numanoglu, A; Berg, A M

    2014-07-01

    Burn injuries in Africa are common with between 300,000 and 17.5 million children under 5 years sustaining burn injuries annually, resulting in a high estimated fatality rate. These burns are largely environmentally conditioned and therefore preventable. The Western Cape Province in South Africa can be regarded as a prototype of paediatric burns seen on the continent, with large numbers, high morbidity and mortality rates and an area inclusive of all factors contributing to this extraordinary burden of injury. Most of the mechanisms to prevent burns are not easily modified due to the restraint of low socio-economic homes, overcrowding, unsafe appliances, multiple and complex daily demands on families and multiple psycho-social stressors. Children <4 years are at highest risk of burns with an average annual rate of 6.0/10,000 child-years. Burn care in South Africa is predominantly emergency driven and variable in terms of organization, clinical management, facilities and staffing. Various treatment strategies were introduced. The management of HIV positive children poses a problem, as well as the conflict of achieving equity of burn care for all children. Without alleviating poverty, developing minimum standards for housing, burn education, safe appliances and legislation, we will not be able to reduce the "curse of poor people" and will continue to treat the consequences.

  7. Republic of South Africa: unraveling the population puzzle. Country profile.

    PubMed

    Spain, D

    1984-06-01

    This discussion of the Republic of South Africa focuses on population growth, regions and cities, ethnicity and religion of the population, age distribution, housing and households, education, employment, income, and marketing and communication. South Africans, condemmed by the world community for their policy of racial discriminatioon, contend that outsiders fail to understand the system they legalized in 1948. Apartheid calls for developing different political institutions for blacks and whites in preparation for their eventual separation. According to this reasoning, black Africans are not considered permanent residents of South Africa, but rather of the "homelands" to which each tribal group has been assigned by the government. 4 homelands have been made independent, and if the remaining 6 become independent as scheduled, South Africa theoretically will no longer have any black citizens. Under this plan, nearly 90% of the current area of South Africa would go to whites, while the remaining 10% would be divided among the 10 homelands. The UN has condemmed the homelands policy, and no country has recognized their independence. By law South Africa has 4 distinct populations: Africans, whites, coloureds, and asians. Rhe combination of Afrikaners and British makes up the white population. Whites are in the minority and numbered only 4.7 million in 1983, or 15% of the total population. Since whites rule the country, their importance is far disproportionate to their numbers. There were 2.7 million coloureds in 1983, approximately 9% of all South Africans. Black africans, the single largest population group, numbered 22.7 million in 1983, or 73% of the total population. Blacks are divided in 10 subgroups corresponding to the 10 ethnicallyy based homelands. The largest groups are the Zulu (5.9 million in 1981) and the Xhosa (3.1 million). Population growth varies by race. The annual growth rate for the entire country was 2.4% in 1983, but for blacks it was 2.7% and for

  8. 76 FR 50495 - Stainless Steel Plate From Belgium, Italy, Korea, South Africa, and Taiwan

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-15

    ... Review] Stainless Steel Plate From Belgium, Italy, Korea, South Africa, and Taiwan Determinations On the.... 1675(c)), that revocation of the countervailing duty order on stainless steel plate from South Africa... Africa, and Taiwan would be likely to lead to continuation or recurrence of material injury to an...

  9. Clinical correlates of HIV-associated neurocognitive disorders in South Africa.

    PubMed

    Joska, John A; Fincham, Dylan S; Stein, Dan J; Paul, Robert H; Seedat, Soraya

    2010-04-01

    Human immunodeficiency virus-associated neurocognitive disorders (HAND) occurs globally and across different genetic clades of the virus. However, few studies have examined HAND in South Africa, despite the prevalence of HIV in this region of the world, and the predominance of clade C. The present study examined the relationship between a number of demographic and clinical variables in a sample of 536 patients attending HIV clinics in South Africa. HAND was present in 23.5% of the sample and was associated with older age, a low educational level among those with post-traumatic stress disorder (PTSD) and alcohol abuse among those with many months since diagnosis. These results suggest that HAND is common among patients in South Africa, and is associated with clinical variables such as PTSD and alcohol abuse. This underlines the impact of HIV on the nervous system and the importance of screening for co morbid mental health conditions.

  10. Will Democracy Come to South Africa?

    ERIC Educational Resources Information Center

    Winchester, N. Brian

    1990-01-01

    Discusses prospects for democracy in South Africa. Explores the complexities and contradictions endemic to the process of overcoming 300 years of racist laws and practices. Considers the risks of concessions for both Black and White leaders; problems resulting from enduring political and economic inequalities; and constitutional alternatives.…

  11. Modelling the healthcare costs of skin cancer in South Africa.

    PubMed

    Gordon, Louisa G; Elliott, Thomas M; Wright, Caradee Y; Deghaye, Nicola; Visser, Willie

    2016-04-02

    Skin cancer is a growing public health problem in South Africa due to its high ambient ultraviolet radiation environment. The purpose of this study was to estimate the annual health system costs of cutaneous melanoma, squamous cell carcinoma (SCC) and basal cell carcinoma (BCC) in South Africa, incorporating both the public and private sectors. A cost-of-illness study was used to measure the economic burden of skin cancer and a 'bottom-up' micro-costing approach. Clinicians provided data on the patterns of care and treatments while national costing reports and clinician fees provided cost estimates. The mean costs per melanoma and per SCC/BCC were extrapolated to estimate national costs using published incidence data and official population statistics. One-way and probabilistic sensitivity analyses were undertaken to address the uncertainty of the parameters used in the model. The estimated total annual cost of treating skin cancers in South Africa were ZAR 92.4 million (2015) (or US$15.7 million). Sensitivity analyses showed that the total costs could vary between ZAR 89.7 to 94.6 million (US$15.2 to $16.1 million) when melanoma-related variables were changed and between ZAR 78.4 to 113.5 million ($13.3 to $19.3 million) when non-melanoma-related variables were changed. The primary drivers of overall costs were the cost of excisions, follow-up care, radical lymph node dissection, cryotherapy and radiation therapy. The cost of managing skin cancer in South Africa is sizable. Since skin cancer is largely preventable through improvements to sun-protection awareness and skin cancer prevention programs, this study highlights these healthcare resources could be used for other pressing public health problems in South Africa.

  12. Vertebrate endemism in south-eastern Africa numerically redefines a biodiversity hotspot.

    PubMed

    Perera, Sandun J; ProcheŞ, Şerban; Ratnayake-Perera, Dayani; Ramdhani, Syd

    2018-02-20

    We use numerical methods to explore patterns of vertebrate endemism in south-eastern Africa, refining the boundaries of the intuitively-defined Maputaland-Pondoland-Albany biodiversity hotspot, also proposing a zoogeographic regionalisation. An incidence matrix of 300 vertebrate species endemic to south-eastern Africa sensu lato in 37 operational geographic units were used in (a) phenetic cluster analysis (PCA) using the algorithm of unweighted pair-group method with arithmetic averages (phenetic approach), and (b) parsimony analysis of endemicity (PAE; parsimony approach), in order to numerically evaluate the bioregional delimitations. The analyses provide a valid biogeographical entity 37% larger than the Maputaland-Pondoland-Albany hotspot, but substantially (131%) higher in vertebrate endemicity viz. the Greater Maputaland-Pondoland-Albany (GMPA) region of vertebrate endemism. South-east Africa is recognised as a dominion in the global zoogeographical area hierarchy, with subordinate units including the GMPA province. Various spatially-based measures of endemism were mapped for vertebrate species restricted to the dominion, i.e. endemic to south-eastern Africa sensu stricto. Areas and centres of endemism detected respectively from PAE and PCA, within the south-east Africa dominion also support the refined boundary of the GMPA region of endemism, which provides a better spatial conservation priority compared to the Maputaland-Pondoland-Albany hotspot. Reptiles and amphibians are found to be the main drivers of the overall pattern of endemism, while the pattern in freshwater fish is the most distinctive. Our analyses also indicate a good congruence of the centres of endemism across different terrestrial vertebrate taxa.

  13. HIV/Aids in South Africa: A Review of Sexual Behavior among Adolescents

    ERIC Educational Resources Information Center

    Hartell, Cycil George

    2005-01-01

    South Africa has a fast-growing HIV/AIDS rate, with the highest prevalence among young people (15 to 24 years), especially females. This paper is a comprehensive analytical review of available research concerning the sexual behavior of adolescents in South Africa. It offers insight into HIV infection among adolescents and provides an important…

  14. Negotiating Indigenous Language Narratives from Canada and South Africa: A Comparative Approach

    ERIC Educational Resources Information Center

    Iseke, Judy M.; Ndimande, Bekisizwe S.

    2014-01-01

    Indigenous cultural and language negotiations ongoing in the contexts of South Africa and Canada are documented in two studies, one sharing narratives from Black parents in South Africa and the other sharing narratives of Métis Elders in Canada. Black parents' perspectives on Indigenous language and cultures and the role of education in…

  15. Skills for Inclusive Growth in South Africa: Promising Tides amidst Perilous Waters

    ERIC Educational Resources Information Center

    Akoojee, Salim

    2012-01-01

    Skills development is critical to South Africa's development. It has been argued that South Africa's twin post-Apartheid challenges, poverty and unemployment requires a level of skills development not undertaken before (RSA, 2008a; ANC, 2007). The creation of a separate ministry, the department of higher education and training (DHET), which has…

  16. Standards-Based Accountability in South Africa

    ERIC Educational Resources Information Center

    Taylor, Nick

    2009-01-01

    The implementation of standards-based accountability (SBA) interventions aimed at improving school performance often focuses on the testing component, at the expense of capacity building. This was the case in South Africa when a SBA programme was instituted by government in 2000, which was accompanied by substantial rises in senior certificate…

  17. Reflections on Apartheid in South Africa: Perspectives and an Outlook for the Future. A Curriculum Unit. Fulbright-Hays Summer Seminar Abroad 1996 (South Africa).

    ERIC Educational Resources Information Center

    Warnsley, Johnnye R.

    This curriculum unit is designed for students to achieve a better understanding of the South African society and the numerous changes that have recently occurred. The four-week unit can be modified to fit existing classroom needs. The nine lessons include: (1) "A Profile of South Africa"; (2) "South African Society"; (3)…

  18. Population specific genetic heterogeneity of familial hypercholesterolemia in South Africa.

    PubMed

    Smyth, Natalie; Ramsay, Michèle; Raal, Frederick J

    2018-04-01

    To describe the prevalence and population-specific genetic heterogeneity of familial hypercholesterolemia in South Africa. This review highlights the paucity of data on familial hypercholesterolemia in South Africa, and the urgent need to uncover the mutation profiles in lipid-associated genes, causing an increase in LDL-cholesterol in the different ethnic groups. Case reports and small studies have shown that familial hypercholesterolemia, although apparently uncommon, is present in black Africans. Local founder effects have led to an increased prevalence of familial hypercholesterolemia in several South African populations: Afrikaner founder mutations (c.681 C>G, c.1285 G>A, c.523 G>A), Ashkenazi founder mutation (c.654_656del) and possible Indian founder mutation (c.2054 C>T). Preliminary data in black Africans with elevated LDL-cholesterol identified a possible common mutation, c.137_142del. The South African multiethnic society and well described founder effects emphasize the need for differential approaches to diagnosis and management of familial hypercholesterolemia. Studies involving larger cohorts and inclusive of different ethnicities are paramount to establishing an accurate prevalence of familial hypercholesterolemia in black Africans, not only in South Africa but in the Sub-Saharan African region. It is clear that the estimated world prevalence of one in 250 cannot be generally applied across African populations.

  19. The specialist physician’s approach to rheumatoid arthritis in South Africa

    PubMed Central

    Bester, Frederik C. J.; Bosch, Fredricka J.; van Rensburg, Barend J. Jansen

    2016-01-01

    Rheumatoid arthritis (RA) is expected to increase in Africa and South Africa. Due to the low numbers of rheumatologists in South Africa, specialist physicians also have to care for patients with RA. Furthermore several new developments have taken place in recent years which improved the management and outcome of RA. Classification criteria were updated, assessment follow-up tools were refined and above all, several new biological disease-modifying anti-rheumatic drugs were developed. Therefore it is imperative for specialist physicians to update themselves with the newest developments in the management of RA. This article provides an overview of the newest developments in the management of RA in the South African context. This approach may well apply to countries with similar specialist to patient ratios and disease profiles. PMID:26932399

  20. Informing road traffic intervention choices in South Africa: the role of economic evaluations

    PubMed Central

    Wesson, Hadley K.H.; Boikhutso, Nkuli; Hyder, Adnan A.; Bertram, Melanie; Hofman, Karen J.

    2016-01-01

    Introduction Given the burden of road traffic injuries (RTIs) in South Africa, economic evaluations of prevention interventions are necessary for informing and prioritising public health planning and policy with regard to road safety. Methods In view of the dearth of RTI cost analysis, and in order to understand the extent to which RTI-related costs in South Africa compare with those in other low- and middle-income countries (LMICs), we reviewed published economic evaluations of RTI-related prevention in LMICs. Results Thirteen articles were identified, including cost-of-illness and cost-effectiveness studies. Although RTI-related risk factors in South Africa are well described, costing studies are limited. There is minimal information, most of which is not recent, with nothing at all on societal costs. Cost-effective interventions for RTIs in LMICs include bicycle and motorcycle helmet enforcement, traffic enforcement, and the construction of speed bumps. Discussion Policy recommendations from studies conducted in LMICs suggest a number of cost-effective interventions for consideration in South Africa. They include speed bumps for pedestrian safety, strategically positioned speed cameras, traffic enforcement such as the monitoring of seatbelt use, and breathalyzer interventions. However, interventions introduced in South Africa will need to be based either on South African cost-effectiveness data or on findings adapted from similar middle-income country settings. PMID:27396485

  1. Choosing a University: Important Attributes Used by Access Students in South Africa

    ERIC Educational Resources Information Center

    Aungamuthu, Yvette; Vigar-Ellis, Debbie

    2017-01-01

    Universities in South Africa are operating in an increasingly competitive environment with each institution aiming to attract the best students and meet their enrolment targets. The Department of Education's (DoE's) strategy to address the inadequacies of the past and the shortage of skills in maths and science in South Africa has also affected…

  2. Improving Schools through Evaluation: The Experience of Catholic Schools in South Africa

    ERIC Educational Resources Information Center

    Potterton, Mark; Northmore, Colin

    2014-01-01

    This article addresses the development of quality assurance approaches in South Africa, with particular reference to Catholic schools. It also addresses questions of why whole school evaluation in general has failed to play any meaningful role in improving the quality of schools in South Africa. Reference is also made to specific school cases. The…

  3. The Rollback of South Africa’s Chemical and Biological Warfare Program

    DTIC Science & Technology

    2001-04-01

    Weapons and on Their Destruction (the BWC). 1974-1975 —Détente“ between South Africa and Zambia leads to cease-fire and SAP withdrawal from Rhodesia...to UNITA and leads to isolation of South Africa in Angola. vii February 1976 Defense Minister P.W. Botha delivers a speech to the South African...1977, leading to a call for more effective crowd control CBW agents. 1976-1979 War in Rhodesia (Zimbabwe) intensifies and leads to accusations of

  4. 77 FR 23754 - Notice Pursuant to the National Cooperative Research and Production Act of 1993; Advanced Media...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-20

    ..., Media-Alliance, Brescia, SPAIN; and SuperSport, Randburg, Johannesburg, SOUTH AFRICA, have been added as..., NJ; and Salvador Villa Vidaler, Madrid, SPAIN, have withdrawn as parties to this venture. No other...

  5. The Substance Abuse Treatment Workforce of South Africa

    PubMed Central

    Watson, Donnie W.; Rataemane, Solomon; Rataemane, Lusanda; Ntlhe, Nomvuyo; Rawson, Richard

    2009-01-01

    The purpose of this paper is to describe characteristics of substance abuse treatment counselors in the Republic of South Africa, including demographics, education, training, and job duties. Counselors recruited from 24 treatment centers completed a survey after signing informed consent. Counselors were primarily female (75%), racially diverse (36.4% White, 30.8% Black, 18.9% Coloured, 12.6% Indian or Asian, and 1.4% Cape Malay), and were 38 years old on average. The majority (62.3%) held at least an equivalent of a bachelor’s degree, and just under half (49%) were registered social workers. Counselors had a mean of 5.3 years’ experience in substance abuse treatment. The substance abuse treatment workforce of South Africa appears to be young and educated, yet only one third of the counselors had any formal training in Cognitive Behavioral Therapy. South African counselors could benefit from more training in evidence-based techniques. PMID:21037947

  6. Analysis of a National Toll Free Suicide Crisis Line in South Africa

    ERIC Educational Resources Information Center

    Meehan, Sue-Ann; Broom, Yvonne

    2007-01-01

    The first national toll free suicide crisis line for South Africa was launched in October 2003 with the aim of providing a service dedicated to the prevention of suicide in this country. The intervention was motivated by South Africa's suicide rate which had risen higher than the global suicide rate, with the majority of attempted suicides…

  7. ICT Policies and Strategies in Higher Education in South Africa: National and Institutional Pathways

    ERIC Educational Resources Information Center

    Cross, Michael; Adam, Fatima

    2007-01-01

    This paper focuses on policy initiatives and strategies used to promote the use of information and communication technologies (ICTs) in higher education in South Africa. It explores a wider international outlook and current debates in South Africa to map out an emerging South African perspective concerning the integration of ICT in higher…

  8. Illicit drug use and treatment in South Africa: a review.

    PubMed

    Peltzer, Karl; Ramlagan, Shandir; Johnson, Bruce D; Phaswana-Mafuya, Nancy

    2010-11-01

    This review synthesizes available epidemiological data on current drug use and substance user treatment admissions in South Africa since 1994, and how changes in the political, economic, and social structures within South Africa, both before and after Apartheid, has made the country more vulnerable to drug use. Based on national surveys, current use of cannabis ranged among adolescents from 2% to 9% and among adults it was 2%, cocaine/crack (0.3%), mandrax/sedatives (0.3%), club drugs/amphetamine-type stimulants (0.2%), opiates (0.1%), and hallucinogens (0.1%). The use of primary illicit substance at admission to South African drug user treatment centers was cannabis 16.9%, methamphetamine (tik) 12.8%, crack/cocaine 9.6%, cannabis and mandrax 3.4%, heroin/opiates 9.2%, and prescription and OTC drugs 2.6%. An increase in substance user treatment admissions has increased. While the prevalence of illicit drug use in South Africa is relatively low compared to the United States and Australia, prevention and intervention policies need to be designed to reduce these levels by targeting the more risky subpopulations identified from this review.

  9. Lifelong Learning Within Higher Education in South Africa: Emancipatory Potential?

    NASA Astrophysics Data System (ADS)

    Walters, Shirley

    1999-11-01

    In South Africa under apartheid higher education was inaccessible to the majority. This article argues that in the new South Africa there is an opportunity to redress this situation and promote equity though lifelong learning. This would involve greatly widening access and providing programmes to develop broadly applicable abilities such as computer literacy and problem-solving skills, which would increase the economic competitiveness and personal empowerment of learners. At the same time, the author argues, new educational approaches are needed to promote active citizenship.

  10. Career Psychology in South Africa: Addressing and Redressing Social Justice

    ERIC Educational Resources Information Center

    Watson, Mark

    2010-01-01

    This paper explores the definition of social justice in career psychology and how this might be understood in the South African context. In particular, macro-contextual factors that define social justice issues in South African career psychology are described. The extent to which the discipline of career psychology in South Africa has addressed…

  11. Undisciplining Knowledge Production: Development Driven Higher Education in South Africa

    ERIC Educational Resources Information Center

    Winberg, Christine

    2006-01-01

    South African higher education institutions are increasingly under scrutiny to produce knowledge that is more relevant to South Africa's social and economic needs, more representative of the diversity of its knowledge producers, and more inclusive of the variety of the sites where knowledge is produced. Only a small percentage of South Africans…

  12. Homicide-Suicide in Durban, South Africa

    ERIC Educational Resources Information Center

    Roberts, Kerry; Wassenaar, Douglas; Canetto, Silvia Sara; Pillay, Anthony

    2010-01-01

    This study investigated homicide-suicide in Durban, South Africa, for the years 2000 to 2001. The incidence was 0.89 per 100,000, higher than the international average. A majority of perpetrators (91%) and victims (87%) were Black African, proportional to their representation in the population. Perpetrators were typically men (in 95% of cases),…

  13. South Africa, 2004: Power, Passion, Promise

    ERIC Educational Resources Information Center

    Bruckner, Martha

    2005-01-01

    Although the education system in post-apartheid South Africa has its share of serious challenges, the accompanying reforms carried out are inspiring as the ASCD Board of Directors and staff discovered when they visited the country in October 2004. The visit was organized around the theme of the 2005 ASCD Annual Conference: "Voices of…

  14. LANGUAGE AND "NATIONALISM" IN SOUTH AFRICA.

    ERIC Educational Resources Information Center

    BERGHE, P. VAN DEN

    THE ONLY GROUP IN SOUTH AFRICA TO HAVE DEVELOPED A NATIONALISM BASED, AT LEAST PARTLY, ON ETHNICITY AND LANGUAGE ARE THE AFRIKANERS. DUE TO AFRIKANER FEELINGS OF NATIONALISM, ATTEMPTS HAVE BEEN MADE TO SEGREGATE AFRICANS AND NON-AFRICANS OF DIFFERENT LANGUAGE GROUPS FROM THE AFRIKANERS AND FROM EACH OTHER. MOTHER-TONGUE INSTRUCTION IS STRESSED AT…

  15. Health promotion in South Africa.

    PubMed

    Onya, Hans

    2007-01-01

    Health promotion first entered the South African health system in 1990. Today, Health Promotion is a Directorate located within the Social Sector Cluster (SSC) within Primary Health Care (PHC), District and Development operations which falls under the Deputy Director General for Health Service Delivery in the National Department of Health (DoH). The first significant piece of new policy for health promotion in South Africa appeared in the African National Congress (ANC) health policy document, health care services including reproductive health care. At the moment, health promotion service delivery is the responsibility of the national, provincial and local governments with provincial and local governments mainly implementing and the National Health Promotion Directorate offering support. Funding for health promotion activities comes from the Department of Health budget allocation by the National Treasury. One major problem for Health Promotion development is infrastructure. There is significant community participation in South Africa including health promotion policy and strategy document development. Health Promotion research and evaluation is limited. The National Department of Health considers the settings approach to be crucial in driving the progress of health promotion. There are very few trained health promotion specialists either capable or in the position to inform politicians and opinion leaders about the relationship between health and social determinants, and the evidence of effectiveness of health promotion action. Mechanisms for demonstrating evidence of health promotion effectiveness in terms of health, social, economic and political impact are lacking and occupational standards for health promotion education and training are needed.

  16. Changes in elevated cholesterol in the era of tenofovir in South Africa: risk factors, clinical management and outcomes.

    PubMed

    Jamieson, L; Evans, D; Brennan, A T; Moyo, F; Spencer, D; Mahomed, K; Maskew, M; Long, L; Rosen, S; Fox, M P

    2017-09-01

    Antiretroviral therapy (ART) has been associated with unfavourable lipid profile changes and increased risk of cardiovascular disease (CVD). With a growing population on ART in South Africa, there has been concern about the increase in noncommunicable diseases such as CVD. We determined risk factors associated with increased total cholesterol (TC) in a large cohort on ART and describe the clinical management thereof. We conducted an observational cohort study of ART-naïve adults initiating standard first-line ART in a large urban clinic in Johannesburg, South Africa. TC was measured annually for most patients. A proportional hazards regression model was used to determine risk factors associated with incident high TC (≥ 6 mmol/L). Significant risk factors included initial regimen non-tenofovir vs. tenofovir [hazard ratio (HR) 1.54; 95% confidence interval (CI) 1.14-2.08], age ≥40 vs. <30 years (HR 3.22; 95% CI 2.07-4.99), body mass index (BMI) ≥ 30 kg/m 2 (HR 1.65; 95% CI 1.18-2.31) and BMI 25-29.9 kg/m 2 (HR 1.70; 95% CI 1.30-2.23) vs. 18-24.9 kg/m 2 , and baseline CD4 count < 50 cells/μL (HR 1.55; 95% CI 1.10-2.20) and 50-99 cells/μL (HR 1.40; 95% CI 1.00-1.97) vs. > 200 cells/μL. Two-thirds of patients with high TC were given cholesterol-lowering drugs, after repeat TC measurements about 12 months apart, while 31.8% were likely to have received dietary counselling only. Older age, higher BMI, lower CD4 count and a non-tenofovir regimen were risk factors for incident elevated TC. Current guidelines do not indicate regular cholesterol testing at ART clinic visits, which are the main exposure to regular clinical monitoring for most HIV-positive individuals. If regular cholesterol monitoring is conducted, improvements can be made to identify and treat patients sooner. © 2017 British HIV Association.

  17. Hilton College Farm School, Natal, South Africa.

    ERIC Educational Resources Information Center

    Beveridge, Sue

    1989-01-01

    The Hilton College Farm School is a primary school providing for the educational needs of children in a rural area of Natal, South Africa. Described are the school's historical development, funding sources, staffing, and development of an affiliated pre-primary school. (JDD)

  18. Status of marine pollution research in South Africa (1960-present).

    PubMed

    Wepener, V; Degger, N

    2012-07-01

    The published literature on marine pollution monitoring research in South Africa from 1960 to present was evaluated. There has been a general decline in the number of papers from the 1980s and this can be linked to the absence of a marine pollution monitoring programme in South Africa. General trends observed were that contaminant exposure monitoring of metals predominates the research conducted to date. Monitoring results indicate that there has been a general decrease in metal concentrations in South African coastal waters and concentrations of metals and most organics in mussels are lower than in other industrialised nations. This is reflected in the general pristine nature and high biodiversity of the South African coastline. The establishment of a national marine pollution monitoring framework would stimulate marine pollution research. Copyright © 2012 Elsevier Ltd. All rights reserved.

  19. Report on Portfolio Companies with Operations in South Africa.

    ERIC Educational Resources Information Center

    Harvard Univ., Cambridge, MA.

    The activities of portfolio companies in South Africa are reviewed in this report from the Advisory Committee on Shareholder Responsibility of Harvard University. A brief review of recent South African political and economic events includes a discussion of the nation's leadership, long-term social and political projections, labor policies, and the…

  20. Obstacles to HIV prevention, treatment and care in selected public universities in South Africa.

    PubMed

    Mbatha, Blessing

    2014-09-01

    South Africa, like the rest of Southern Africa, is ravaged by AIDS. Higher education in South Africa has a significant role to play in the fight against the spread of HIV and AIDS. This article reports the factors contributing to the spread of HIV and AIDS in three selected public universities in South Africa. To achieve the stated aim, the study answered the following research question: What are the factors contributing to the spread of HIV and AIDS in South African public universities? The problem in this study stems from South Africa's HIV and AIDS infection rate, one of the highest in the world, especially in KwaZulu-Natal. A qualitative approach was adopted by conducting focus group interviews with the students. The data were analysed using axial coding and open coding, where dominant themes from the discussions were identified and discussed in detail. The findings show that barriers to HIV and AIDS prevention, care and treatment exist in the tertiary institutions under study. Social and economic interventions are needed to stem the spread of HIV and AIDS at tertiary institutions. A range of recommendations for halting the spread of HIV and AIDS in these institutions is provided.

  1. The journey: Women in physics in South Africa

    NASA Astrophysics Data System (ADS)

    Diale, M.; Maphanga, R. R.; Tibane, M. M.; Thaoge, M. L.; Gledhill, I.

    2015-12-01

    Efforts by the group Women in Physics in South Africa are described, ranging from informal networking in departmental lunches, to programs to increase the visibility and entrepreneurial skills of women physicists, to outreach and community engagement. The current president of the South African Institute of Physics is female, and the arrival of the Square Kilometer Array (SKA) project should open many doors for women.

  2. Integrated Education and Black Development in Post-apartheid South Africa: A Critical Analysis.

    ERIC Educational Resources Information Center

    Abdi, Ali A.

    2001-01-01

    Focuses on the problems of education and development in post-apartheid South Africa. Argues that there must be a focus on the uneven terrain of educational attainment and long term socio-economic development. Discusses factors hindering educational development. Calls for reconstitution of South Africa's educational programs for all citizens. (CAJ)

  3. Food inflation in South Africa: some implications for economic policy.

    PubMed

    Rangasamy, Logan

    2011-01-01

    This paper analyses the trends in food price movements in South Africa between 1980 and 2008. There are three main results emanating from the analysis in this paper. Firstly, food price movements have played a large role in generating inflationary episodes in South Africa. Secondly, while external influences do matter, South African food price movements are mainly due to domestic influences. This implies that national policy has an important role to play in taming domestic food price inflation. Thirdly, given the strong second round impacts, food price movements warrant special attention in monetary policymaking. Core measures of inflation that exclude food price movements may not accurately reflect the underlying inflationary pressures in the economy and could compromise the attainment of the goal of price stability.

  4. Evaluating South Africa's tobacco control policy using a synthetic control method.

    PubMed

    Chelwa, Grieve; van Walbeek, Corné; Blecher, Evan

    2016-09-01

    South Africa has since 1994 consistently increased the excise tax on cigarettes to maintain a total tax burden of 50% (1997-2003) and 52% (after 2004) of the average retail selling price. Between 1994 and 2004, the real (inflation-adjusted) excise tax increased by 249%, and the average real retail price of cigarettes increased by 110%. In addition, advertising and smoking bans were implemented in 2001. These measures, which we collectively refer to as tax-led, coincided with a 46% decrease in per capita consumption of cigarettes. No evaluation of South Africa's tobacco control policies has created a counterfactual of what would have happened if the tax-led measures had not occurred. (1) To create a credible counterfactual of what would have happened to per capita cigarette consumption if the tax-led measures had not happened. (2) To use this counterfactual to estimate their impact on cigarette consumption in South Africa. We use a synthetic control method to create a synthetic South Africa, as a weighted average of countries (the 'donor pool') that are similar to South Africa, but that did not engage in large-scale tobacco control measures between 1990 and 2004. Per capita cigarette consumption would not have continued declining in the absence of the tax-led measures that began in 1994. By 2004, per capita cigarette consumption was 36% lower than it would have been in the absence of the tax-led measures. These results, which we mostly attribute to tax increases, are robust to different specifications of the 'donor pool'. Significant public health dividends can be obtained by consistently increasing the real tax on cigarettes. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  5. Costs of food waste in South Africa: Incorporating inedible food waste.

    PubMed

    de Lange, Willem; Nahman, Anton

    2015-06-01

    The economic, social and environmental costs of food waste are being increasingly recognised. Food waste consists of both edible and inedible components. Whilst wastage of edible food is problematic for obvious reasons, there are also costs associated with the disposal of the inedible fraction to landfill. This is the third in a series of papers examining the costs of food waste throughout the value chain in South Africa. The previous papers focused on the edible portion of food waste. In this paper, costs associated with inedible food waste in South Africa are estimated, in terms of the value foregone by not recovering this waste for use in downstream applications, such as energy generation or composting; as well as costs associated with disposal to landfill. Opportunity costs are estimated at R6.4 (US$0.64) billion per annum, or R2668 (US$266) per tonne. Adding this to the previous estimate for edible food waste of R61.5 billion per annum (in 2012 prices; equivalent to R65 billion in 2013 prices) results in a total opportunity cost of food waste in South Africa (in terms of loss of a potentially valuable food source or resource) of R71.4 (US$7.14) billion per annum, or R5667 (US$567) per tonne. Thereafter, estimates of the costs associated with disposal of this food waste to landfill, including both financial costs and externalities (social and environmental costs), are taken into account. These costs amount to R255 (US$25) per tonne, giving rise to a total cost of food waste in South Africa of R75 billion (US$7.5 billion) per annum, or R5922 (US$592) per tonne. This is equivalent to 2.2% of South Africa's 2013 GDP. Copyright © 2015 Elsevier Ltd. All rights reserved.

  6. Fires in South Africa, snow in Lesotho

    NASA Technical Reports Server (NTRS)

    2002-01-01

    The precipitation that brought snow fall to the Drakensberg Mountains in Lesotho in southern Africa was not enough to quench the numerous fires (marked with red dots) burning throughout the Republic of South Africa. These Moderate Resolution Imaging Spectroradiometer (MODIS) images from June 18, 2002, and July 2, 2002, show the snowfall in landlocked Lesotho contrasting sharply with the country's brown, mountainous terrain. (In the false-color image, vegetation is bright green, bare soil is brown, and burned areas are reddish-brown. In northeast Republic of South Africa, right along the border with Mozambique, the smooth, gray-brown terrain shows the boundaries of Kruger National Park. The Park was established in the late 1800s to protect game species, such as elephants, antelope, and bison, which were being hunted in great numbers. In this image, dark brown patches reveal the location of previous fires. The vegetation has yet to come back, and the landscape is virtually bare. NASA scientists study fire behavior in Kruger as part of the SAFARI field campaign. Running southward through Mozambique and into the Indian Ocean is the muddy Limpopo River--known to many through Rudyard Kipling's 'Just-so' story about how the elephant got its trunk. Credit: Jacques Descloitres, MODIS Land Rapid Response Team, NASA/GSFC

  7. History of Newcastle disease in South Africa.

    PubMed

    Abolnik, Celia

    2017-02-24

    Poultry production in South Africa, a so-called developing country, may be seen as a gradient between two extremes with highly integrated commercial enterprises with world-class facilities on one hand and unimproved rural chickens kept by households and subsistence farmers on the other. Although vaccination against Newcastle disease is widely applied to control this devastating infection, epizootics continue to occur. Since the first official diagnosis in 1945, through the sporadic outbreaks of the 1950s and early 1960s, to serious epizootics caused by genotype VIII (late 1960s-2000), genotype VIIb (1993-1999), genotype VIId (2003-2012) and most recently genotype VIIh (2013 to present), South Africa's encounters with exotic Newcastle disease follow global trends. Importation - probably illegal - of infected poultry, poultry products or exotic birds and illegal swill dumping are likely routes of entry. Once the commercial sector is affected, the disease spreads rapidly within the region via transportation routes. Each outbreak genotype persisted for about a decade and displaced its predecessor.

  8. Telemedicine in South Africa: success or failure?

    PubMed

    Gulube, S M; Wynchank, S

    2001-01-01

    A national telemedicine system for South Africa was planned in 1998. In the first phase, starting in 1999, 28 pilot sites were established in six provinces. The initial applications were teleradiology, tele-ultrasound for antenatal services, telepathology and tele-ophthalmology. Telemedicine equipment was connected by ISDN at 256 kbit/s. From January to September 2000, 2663 radiographic studies were performed at the three Northwest Province teleradiology transmission sites, of which 264 studies (10%) were selected for specialist radiologist reporting by teleradiology. From June to August 2000, nine antenatal care tele-ultrasound consultations were performed in the Northern Cape Province and four transfers were avoided through the use of telemedicine. One area of concern is the relatively low usage of the telemedicine system, which raises questions about its cost-effectiveness. The experience of telemedicine in South Africa confirmed, as others have found, that common problems relate to the technical and organizational challenges of introducing telemedicine.

  9. Mental health nurses in South Africa's public rural primary care settings: a human resource crisis.

    PubMed

    De Kock, Johannes H; Pillay, Basil J

    2016-01-01

    South Africa is a middle-income country with serious socioeconomic risk factors for mental illness. Of its population of 52 million, 53% live below the poverty line, 24% are unemployed and 11% live with HIV/AIDS, all of which are factors associated with an increased burden of neuropsychiatric disease. The negative social implications due to the mortality caused by AIDS are immense: thousands of children are being orphaned, increasing the risk of intergenerational mental illness. Ensuring sufficient mental health human resources has been a challenge, with South Africa displaying lower workforce numbers than many low- and middle-income countries. It is in South Africa's public rural primary healthcare (PRPHC) areas where access to mental healthcare services, especially medical prescribers, is most dire. In 1994, primary healthcare (PHC) was mainstreamed into South Africa's public healthcare system as an inclusive, people-orientated healthcare system. Nurses provide for the majority of the human resources at PHC level and are therefore seen as the backbone of this sector. Efforts to decentralize mental healthcare and integrate it into the PHC system rely on the availability of mental health nurses (MHNs), to whom the task of diagnosing mental illness and prescribing psychotropic medications can be shifted. The goal of this situation analysis was to fill knowledge gaps with regard to MHN human resources in South Africa's PRPHC settings, where an estimated 40% of South Africa's population reside. Both primary and secondary data were analysed. Primary data was collected by inviting 160 (98%) of South African rural hospitals' clinical heads to participate in an interview schedule regarding mental health human resources at their institutions. Primary data were collated and then analysed using descriptive quantitative analysis to produce lists of MHNs per institution and per province. Secondary data was obtained from an extensive literature review of MHNs in South Africa

  10. Lead Toxicosis in a Southern Ground Hornbill Bucorvus leadbeateri in South Africa.

    PubMed

    Koeppel, Katja N; Kemp, Lucy V

    2015-12-01

    The southern ground hornbill (Bucorvus leadbeateri) has been classified as globally vulnerable and, in South Africa, regionally endangered, with a negative population trend. Factors contributing to the population decline in South Africa are poisoning, electrocution, and illegal capture for trade, coupled with slow reproductive rates and extensive habitat requirements. Lead toxicosis is a previously undescribed threat for the population. An adult southern ground hornbill presented with acute lead toxicosis due to lead particles in the gizzard, which required intensive treatment. Two other hornbills were likely exposed. The source of the lead in these cases was likely a carcass of a porcupine that was killed with lead shot. This report highlights the importance of the use of lead-free ammunition within the habitat of the southern ground hornbill in South Africa.

  11. Migration challenges among Zimbabwean refugees before, during and post arrival in South Africa.

    PubMed

    Idemudia, Erhabor Sunday; Williams, John K; Wyatt, Gail E

    2013-01-01

    Zimbabweans are immigrating to South Africa with a commonly cited reason being economic opportunities. Prospects of finding employment may be a significant reason to leave behind family, friends, and community, sources that buffer and offer social support against life's challenges. Currently, there is a dearth of research examining the motivators for Zimbabweans immigrating and the experiences encountered along the way and after arrival in South Africa. Such research is essential as large numbers of Zimbabweans may be at risk for emotional and physical trauma during this process. Two gender specific focus group discussions, each lasting 90-minutes and consisting of homeless Zimbabwean refugees, were conducted in the Limpopo Province of South Africa. A semi-structured interview assessed for experiences in and reasons for leaving Zimbabwe, as well as experiences en-route and within South Africa. Discussions were audio-recorded, transcribed, and analyzed using consensual qualitative research and a constant comparison qualitative method. Three temporal themes were identified and included challenges and trauma experienced in Zimbabwe (pre-migration), during the immigration journey (mid-migration), and upon arrival in South Africa (post-migration). While there were some experiential differences, Zimbabwean men and women shared numerous traumatic commonalities. In addition to the themes, three subthemes contributing to reasons for leaving Zimbabwe, two subthemes of negative and traumatic experiences incurred mid-migration, and two post-migration subthemes of challenges were identified. Despite the difficulties encountered in their homeland, newly arrived Zimbabweans in South Africa may be exchanging old struggles for a new array of foreign and traumatic challenges. Reasons to immigrate and the psychological and physical toll of migration exacted at the individual and community levels are discussed. Recommendations advocating for culturally congruent mental health research

  12. Urbanisation and women's health in South Africa.

    PubMed

    Pick, W; Cooper, D

    1997-03-01

    For many decades the migrant labor system and the influx control legislation in South Africa exacerbated male-dominant patterns of migration typical of Africa. In recent years, however, and especially following the easing of influx control legislation in 1986, migration in South Africa has increasingly involved women. This paper reports on a study conducted in Khayelitsha, Cape Town, which explored the relationship between urbanisation and the health of women. The objectives were to relate age, migration, length of stay in urban areas, employment status, and occupation to the health, including reproductive health, of women living in Khayelitsha. Interviews with 659 women (61 households had no senior woman) revealed that women enjoyed considerable social support through their neighbours, church organisations, and women's organisations. Women who lived in the most deprived section of Khayelitsha enjoyed more support from their neighbours but reported less satisfaction with the area in which they lived. Child-care support was poor and a considerable proportion of the women were disempowered by their male partners. More than 90 percent of the women had access to antenatal care. Recent immigrants had more pregnancies, were less aware of screening for cervical cancer, less likely to have had a Pap smear, less knowledgeable about where to have a Pap smear done, and less likely to have heard AIDS. More women were aware of AIDS (86%) than Pap smears (45%). More than half of those of childbearing age used contraception, mainly intramuscular hormones (76%). A significant proportion (53%) of the women reported that they had had their first pregnancy as teenagers and younger, less educated women were more likely to have had adolescent pregnancies. Policy makers are confronted by a compelling need to redress well-known urban-rural inequalities in health care in South Africa. Policy attention must also be given to the increasing urbanisation of women and the growing health care

  13. Naturally occurring resistance mutations within the core and NS5B regions in hepatitis C genotypes, particularly genotype 5a, in South Africa.

    PubMed

    Prabdial-Sing, N; Blackard, J T; Puren, A J; Mahomed, A; Abuelhassan, W; Mahlangu, J; Vermeulen, M; Bowyer, S M

    2016-03-01

    Approximately 1 million South Africans are infected with Hepatitis C virus (HCV). The standard of care (SOC) in South Africa is combination therapy (pegylated interferon and ribavirin). HCV genotypes and/or mutations in the core/non-structural regions have been associated with response to therapy and/or disease progression. This study examines mutations in the core (29-280 amino acids, including ∼ 90 E1 amino acids) and NS5B (241-306 amino acids) regions on pre-treatment isolates from patients attending Johannesburg hospitals or asymptomatic South African blood donors. Diversity within known CD4+ and CD8+ T-cell epitopes was also explored. Samples grouped into subtypes 1a(N = 10) 1b(N = 12), 3a(N = 5), 4a(N = 3) and 5a(N = 61). Two mutations, associated with interferon resistance-R70Q and T110N-were present in 29 genotype 5a core sequences. No resistance mutation to NS5B nucleotide inhibitors, sofosbuvir was found. Six putative CD8+ and one CD4+ T-cell epitope sequence in the core region showed binding scores of <300 IC50nM to HLA alleles frequently observed in the South African population. No known CD8+ and CD4+ T-cell epitopes were mapped in the NS5B region. The analysis begs the question whether those infected with genotype 5a will benefit better on interferon-free combination therapies. This study provides new insight into one of the lesser studied HCV genotypes and compares the diversity seen in a large pre-treatment cohort with other subtypes. Copyright © 2015 Elsevier B.V. All rights reserved.

  14. Teaching medical ethics to undergraduate students in post-apartheid South Africa, 2003 2006.

    PubMed

    Moodley, Keymanthri

    2007-11-01

    The apartheid ideology in South Africa had a pervasive influence on all levels of education including medical undergraduate training. The role of the health sector in human rights abuses during the apartheid era was highlighted in 1997 during the Truth and Reconciliation Commission hearings. The Health Professions Council of South Africa (HPCSA) subsequently realised the importance of medical ethics education and encouraged the introduction of such teaching in all medical schools in the country. Curricular reform at the University of Stellenbosch in 1999 presented an unparalleled opportunity to formally introduce ethics teaching to undergraduate students. This paper outlines the introduction of a medical ethics programme at the Faculty of Health Sciences from 2003 to 2006, with special emphasis on the challenges encountered. It remains one of the most comprehensive undergraduate medical ethics programmes in South Africa. However, there is scope for expanding the curricular time allocated to medical ethics. Integrating the curriculum both horizontally and vertically is imperative. Implementing a core curriculum for all medical schools in South Africa would significantly enhance the goals of medical education in the country.

  15. Apartheid medicine. Health and human rights in South Africa.

    PubMed

    Nightingale, E O; Hannibal, K; Geiger, H J; Hartmann, L; Lawrence, R; Spurlock, J

    Human rights and health care under apartheid in South Africa were studied. Human rights violations, such as detention without charge or trial, assault and torture in police custody, and restriction orders, have had devastating effects on the health of persons experiencing them. These violations have occurred in the context of a deliberate policy of discriminatory health care favoring the white minority over the black majority. South Africa's medical societies have had mixed responses to the health problems raised by human rights violations and inequities in the health care system. The amelioration of health care for all and prevention of human rights violations depend on ending apartheid and discrimination and greater government attention to these problems.

  16. U.S.-Related Corporate Trusts in South Africa: An Introduction and a Guide. South African Information Exchange Working Paper #5.

    ERIC Educational Resources Information Center

    Micou, Ann McKinstry

    U.S.-related corporate trusts that are currently funding (or planning to fund) projects to promote change in South Africa are reviewed to guide support-seeking organizations in South Africa to appropriate sources of funds and to encourage donors to share information. Each write-up offers basic information on the trust's mission, objectives, board…

  17. Professional Counseling in South Africa: A Landscape under Construction

    ERIC Educational Resources Information Center

    Maree, Jacobus G.; van der Westhuizen, Carol N.

    2011-01-01

    The focus of this article is on the history, status, and trends of the counseling profession in South Africa and on the similarities with the development of the counseling profession in the United States. A need exists for South African professional counselors to refocus their research efforts to reflect the realities of the 21st century and link…

  18. Another Lost Generation? The Impact of HIV/AIDS on Schooling in South Africa

    ERIC Educational Resources Information Center

    Moletsane, Relebohile

    2003-01-01

    This article examines the different ways in which the HIV/AIDS pandemic is negatively impacting on affected and infected children's willingness and ability to attend school in South Africa. Within the context of HIV/AIDS, South Africa has the mammoth responsibility of saving the present generation of children from a fate similar to or worse than…

  19. Language and Social Justice in South Africa's Higher Education: Insights from a South African University

    ERIC Educational Resources Information Center

    Mwaniki, Munene

    2012-01-01

    The paper interrogates the issue of language and social justice in South Africa's higher education using quantitative and qualitative data collected at the University of the Free State (UFS). Data were collected using questionnaires. Through purposive sampling based on South African and UFS demographics, 120 questionnaires were administered to UFS…

  20. Costs of a school-based dental mobile service in South Africa.

    PubMed

    Molete, M P; Chola, L; Hofman, K J

    2016-10-19

    The burden of untreated tooth decay remains high and oral healthcare utilisation is low for the majority of children in South Africa. There is need for alternative methods of improving access to low cost oral healthcare. The mobile dental unit of the University of the Witwatersrand (Wits) has been operational for over 25 years, providing alternative oral healthcare to children and adults who otherwise would not have access. The aim of this study was to conduct a cost-analysis of a school based oral healthcare program in the Wits mobile dental unit. The objectives were to estimate the general costs of the school based program, costs of oral healthcare per patient and the economic implications of providing services at scale. In 2012, the Wits mobile dental unit embarked on a 5 month project to provide oral healthcare in four schools located around Johannesburg. Cost and service use data were retrospectively collected from the program records for the cost analysis, which was undertaken from a provider perspective. The costs considered included both financial and economic costs. Capital costs were annualised and discounted at 6 %. One way sensitivity tests were conducted for uncertain parameters. The total economic costs were R813.701 (US$76,048). The cost of screening and treatment per patient were R331 (US$31) and R743 (US$69) respectively. Furthermore, fissure sealants cost the least out of the treatments provided. The sensitivity analysis indicated that the Wits mobile dental unit was cost efficient at 25 % allocation of staff time and that a Dental Therapy led service could save costs by 9.1 %. Expanding the services to a wider population of children and utilising Dental Therapists as key personnel could improve the efficiency of mobile dental healthcare provision.

  1. Investigation of Rickettsia, Coxiella burnetii and Bartonella in ticks from animals in South Africa.

    PubMed

    Halajian, Ali; Palomar, Ana M; Portillo, Aránzazu; Heyne, Heloise; Luus-Powell, Wilmien J; Oteo, José A

    2016-03-01

    Ticks are involved in the epidemiology of several human pathogens including spotted fever group (SFG) Rickettsia spp., Coxiella burnetii and Bartonella spp. Human diseases caused by these microorganisms have been reported from South Africa. The presence of SFG Rickettsia spp., C. burnetii and Bartonella spp. was investigated in 205 ticks collected from domestic and wild animals from Western Cape and Limpopo provinces (South Africa). Rickettsia massiliae was detected in 10 Amblyomma sylvaticum and 1 Rhipicephalus simus whereas Rickettsia africae was amplified in 7 Amblyomma hebraeum. Neither C. burnetii nor Bartonella spp. was found in the examined ticks. This study demonstrates the presence of the tick borne pathogen R. massiliae in South Africa (Western Cape and Limpopo provinces), and corroborates the presence of the African tick-bite fever agent (R. africae) in this country (Limpopo province). Copyright © 2015 Elsevier GmbH. All rights reserved.

  2. South Africa, Namibia Diamond Deposits

    NASA Technical Reports Server (NTRS)

    1998-01-01

    This radar image covers a portion of the Richtersveld National Park and Orange River (top of image) in the Northern Cape Province of the Republic of South Africa. The Orange River marks the boundary between South Africa to the south and Namibia to the north. This is an area of active mining for diamonds, which were washed downstream from the famous Kimberley Diamond Area, millions of years ago when the river was much larger. The mining is focused on ancient drainages of the Orange River which are currently buried by think layers of sand and gravel. Scientists are investigating whether these ancient drainages can be seen with the radar's ability to penetrate sand cover in extremely dry regions. A mine, shown in yellow, is on the southern bank of the river in an abandoned bend which is known as an 'oxbow.' The small bright circular areas (left edge of image) west of the mine circles are fields of a large ostrich farm that are being watered with pivot irrigation. The large dark area in the center of the image is the Kubus Pluton, a body of granite rock that broke through the surrounding rocks about 550 million years ago. North is toward the upper right. The area shown is about 55 by 60 kilometers (34 by 37 miles) centered at 28.4 degrees south latitude, 16.8 degrees east longitude. Colors are assigned to different radar frequencies and polarizations as follows: red is L-band horizontally transmitted and horizontally received; green is L-band horizontally transmitted and vertically received; blue is C-band horizontally transmitted and vertically received. The image was acquired on April 18, 1994 by the Spaceborne Imaging Radar-C/X-band Synthetic Aperture (SIR-C/X-SAR) imaging radar when it flew aboard the space shuttle Endeavour. SIR-C/X-SAR is a joint mission of the U.S./German and Italian space agencies.

  3. Regional, Continental, and Global Mobility to an Emerging Economy: The Case of South Africa

    ERIC Educational Resources Information Center

    Lee, Jenny J.; Sehoole, Chika

    2015-01-01

    This study examined mobility within the understudied region of southern Africa and particularly, the factors that drive and shape educational migration toward South Africa as a regional, continental, and global destination. Based on a survey administered to international students across seven South African universities, the findings revealed…

  4. Quality of generic medicines in South Africa: perceptions versus reality - a qualitative study.

    PubMed

    Patel, Aarti; Gauld, Robin; Norris, Pauline; Rades, Thomas

    2012-09-03

    Generic Medicines are an important policy option allowing for access to affordable, essential medicines. Quality of generic medicines must be guaranteed through the activities of national medicines regulatory authorities. Existing negative perceptions surrounding the quality of generic medicines must be addressed to ensure that people use them with confidence. Campaigns to increase the uptake of generic medicines by consumers and providers of healthcare need to be informed by local norms and practices. This study sought to compare South African consumers' and healthcare providers' perceptions of quality of generics to the actual quality of selected products. The study was conducted at the local level in three cities of South Africa: Johannesburg, Durban and Cape Town. Purposive sampling was used to recruit consumer participants (n = 73) and random sampling used to recruit healthcare providers from public and private sectors (n = 15). Data were obtained through twelve focus group discussions with consumers and semi-structured interviews (n = 15) with healthcare providers in order to gain familiarity with perceptions of quality. One hundred and thirty five products comprising paracetamol tablets (n = 47), amoxicillin capsules (n = 45) and hydrochlorothiazide tablets (n = 43) were sourced from public and private sector healthcare providers. These products were subjected to in vitro dissolution, uniformity of weight and identity (Fourier Transformed Infrared Spectroscopy) tests using prescribed methods from the British (2005) and United States Pharmacopeias (2006). Respondents described drug quality in relation to the effect on symptoms. Procurement and use behavior of healthcare providers was influenced by prior experience, manufacturers' names and consumers' ability to pay. All formulations passed the in vitro tests for quality. This study showed clear differences between perceptions of quality and actual quality of medicines suggesting

  5. A picture of health? Animal use and the Faraday traditional medicine market, South Africa.

    PubMed

    Williams, Vivienne Linda; Whiting, Martin John

    2016-02-17

    The use of animals and plants as traditional remedies for both medical afflictions and social or cultural issues (symbolism) has a long history in South Africa and a reasonably large proportion of the population will consult a traditional healer during their life-time. Compared to plants, the use of animal parts in traditional medicine and folklore is poorly documented. We interviewed 32 traders from South Africa's largest traditional medicine market, the Faraday Street market in Johannesburg, of which only 20 consented to supplying some species use information. Traders are particularly protective of the medicinal properties of their wares. Given the sensitive nature of this information (12 traders declined to be interviewed), we were only able to gather data on their perceived uses and no data on dosages, efficacy, or individual turn-over of products. We assessed the trade of animal parts from the perspective of consumer needs by analysing use-categories (e.g. headaches, strokes, skin problems, bad luck, etc.) and the degree of informant consensus in the selection of fauna to treat certain conditions. We documented 301 uses for animal parts from 52 species and 18 'morphospecies' that we allocated to 122 broad-use categories. Overall, reptiles and mammals were the most frequently used taxa in traditional medicine and some species had multiple uses (i.e., appeared in multiple use-categories) including crocodiles, lizards generally, chameleons, striped polecats, elephants and jackals. Animals were mostly used for 'strength' (physical or overcoming fear), but also as love charms, warding off bad luck or bad spirits or improving one's luck. Only 36% of our categories were medicinal (e.g., headaches, skin problems, swollen feet, etc.). We also found a high rate of non-disclosure of uses per species (a mean 86% of traders did not reveal information on the use of a species), and a variable degree of consensus between the traders on what particular species are actually

  6. The Actuarial Society of South Africa AIDS model.

    PubMed

    1997-01-01

    The AIDS Committee of the Actuarial Society of South Africa has developed a demographic model to allow researchers to project the impact of HIV and AIDS in South Africa. The model is available for use as a projection tool rather than to endorse a given projected scenario as being representative. It is very flexible and can be adapted to suit different purposes by anyone with a working knowledge of Microsoft Excel. The need for a model, calibration of the model, the lack of allowance in the model for racial and cultural heterogeneity in the underlying population, and default scenario projections are discussed. The model is available free of charge via E-mail and on the worldwide web at the following respective addresses: awhitelo@oldmutual.com and http://www.und.ac.za/und/eco/eru/eru.htm.

  7. South Africa: Current Issues and U.S. Relations

    DTIC Science & Technology

    2009-04-15

    former President Nelson Mandela played a leading role in brokering a peace agreement. South African forces also played a key role in the African...Assembly chose as President Nelson Mandela , the ANC leader who had been released from prison in 1990, after serving 27 years. His release followed...war in Iraq, and former President Nelson Mandela has been vocal in his opposition to what he views as U.S. unilateralism on Iraq. South Africa has

  8. Situation Report--Ghana, India, and South Africa.

    ERIC Educational Resources Information Center

    International Planned Parenthood Federation, London (England).

    Data relating to population and family planning in three foreign countries are presented in these situation reports. Countries included are Ghana, India, and South Africa. Information is provided under two topics: general background and family planning situation, where appropriate and if it is available. General background covers ethnic groups,…

  9. Science Education as South Africa's Trojan Horse.

    ERIC Educational Resources Information Center

    Rogan, John M.; Gray, Brian V.

    1999-01-01

    Presents the story of one nongovernmental organization (NGO) and the role it played in reconceptualizing science education in South Africa. Describes the success of the Science Education Project (SEP) in confronting authoritarian practices of government organizations and those within its own ranks. Science education can become the Trojan horse of…

  10. Techno Generation: Social Networking amongst Youth in South Africa

    NASA Astrophysics Data System (ADS)

    Basson, Antoinette; Makhasi, Yoliswa; van Vuuren, Daan

    Internet and cell phones can be considered as new media compared to traditional media types and have become a fundamental part of the lives of many young people across the globe. The exploratory research study investigated the diffusion and adoption of new media innovations among adolescents. It was found that new media have diffused at a high rate among South African adolescents who are not only the innovators in this area, but also changing their life styles to adapt to the new media. Social networking grew to prominence in South Africa especially among the youth. The protection of children from potential harmful exposure and other risks remain a concern and adequate measures need to be initiated and implemented for children to enjoy social networks and other forms of new media. The exploratory research study provided worthwhile and interesting insights into the role of the new media, in the lives of adolescents in South Africa.

  11. Astronomy in post-apartheid South Africa

    NASA Astrophysics Data System (ADS)

    Whitelock, Patricia Ann

    2011-06-01

    Astronomy was one of the sciences earmarked for major support by South Africa's first democratically elected government in 1994. This was a very remarkable decision for a country with serious challenges in poverty, health and unemployment, but shows something of the long term vision of the new government. In this paper I give one astronomer's perception of the reasons behind the decision and some of its consequences.

  12. Holocene climate variability and oceanographic changes off western South Africa

    NASA Astrophysics Data System (ADS)

    Zhao, Xueqin; Dupont, Lydie; E Meadows, Michael; Schefuß, Enno; Bouimetarhan, Ilham; Wefer, Gerold

    2017-04-01

    South Africa is located at a critical transition zone between subtropical and warm-temperate climate zones influenced by the Indian and Atlantic oceans. Presently, the seasonal changes of atmospheric and oceanic systems induce a pronounced rainfall seasonality comprised of two different rainfall zones over South Africa. How did this seasonality develop during the Holocene? To obtain a better understanding of how South African climates have evolved during the Holocene, we conduct a comprehensive spatial-temporal approach including pollen and dinoflagellate cyst records from marine sediment samples retrieved from the Namaqualand mudbelt, a Holocene terrigenous mud deposit on the shelf of western South Africa. The representation of different vegetation communities in western South Africa is assessed through pollen analysis of surface sediments. This approach allows for climate reconstructions of the summer rainfall zone (SRZ) using Group 1 (Poaceae, Cyperaceae, Phragmites-type and Typha) and winter rainfall zone (WRZ) using Group 2 (Restionaceae, Ericaceae, Anthospermum, Stoebe/Elytropappus-type, Cliffortia, Passerina, Artemisia-type and Pentzia-type) from a single marine archive. The fossil pollen data from gravity core GeoB8331-4 indicate contrasting climate patterns in the SRZ and WRZ especially during the early and middle Holocene. The rainfall amount in the SRZ is dominated by insolation forcing, while in the WRZ it is mainly attributed to the latitudinal position of the southern westerlies. Dinoflagellate cyst data show significantly different oceanographic conditions associated with climate changes on land. High percentages of autotrophic taxa like Operculodinium centrocarpum and Spiniferites spp. indicate warm and stratified conditions during the early Holocene, suggesting reduced upwelling. In contrast, the middle Holocene is characterized by a strong increase in heterotrophic taxa in particular Lejeunecysta paratenella and Echinidinium spp., indicating cool

  13. Trauma and posttraumatic stress disorder in South Africa: analysis from the South African Stress and Health Study.

    PubMed

    Atwoli, Lukoye; Stein, Dan J; Williams, David R; Mclaughlin, Katie A; Petukhova, Maria; Kessler, Ronald C; Koenen, Karestan C

    2013-07-03

    South Africa's unique history, characterised by apartheid, a form of constitutional racial segregation and exploitation, and a long period of political violence and state-sponsored oppression ending only in 1994, suggests a high level of trauma exposure in the general population. The aim of this study was to document the epidemiology of trauma and posttraumatic stress disorder (PTSD) in the South African general population. The South African Stress and Health Study is a nationally representative survey of South African adults using the WHO's Composite International Diagnostic Interview (CIDI) to assess exposure to trauma and presence of DSM-IV mental disorders. The most common traumatic events were the unexpected death of a loved one and witnessing trauma occurring to others. Lifetime and 12-month prevalence rates of PTSD were 2.3% and 0.7% respectively, while the conditional prevalence of PTSD after trauma exposure was 3.5%. PTSD conditional risk after trauma exposure and probability of chronicity after PTSD onset were both highest for witnessing trauma. Socio-demographic factors such as sex, age and education were largely unrelated to PTSD risk. The occurrence of trauma and PTSD in South Africa is not distributed according to the socio-demographic factors or trauma types observed in other countries. The dominant role of witnessing in contributing to PTSD may reflect the public settings of trauma exposure in South Africa and highlight the importance of political and social context in shaping the epidemiology of PTSD.

  14. Estimating the burden of disease attributable to diabetes in South Africa in 2000.

    PubMed

    Bradshaw, Debbie; Norman, Rosana; Pieterse, Desiréé; Levitt, Naomi S

    2007-08-01

    To estimate the burden of disease attributable to diabetes by sex and age group in South Africa in 2000. The framework adopted for the most recent World Health Organization comparative risk assessment (CRA) methodology was followed. Small community studies used to derive the prevalence of diabetes by population group were weighted proportionately for a national estimate. Population-attributable fractions were calculated and applied to revised burden of disease estimates. Monte Carlo simulation-modelling techniques were used for uncertainty analysis. South Africa. Adults 30 years and older. Mortality and disability-adjusted life years (DALYs) for ischaemic heart disease (IHD), stroke, hypertensive disease and renal failure. Of South Africans aged >or= 30 years, 5.5% had diabetes which increased with age. Overall, about 14% of IHD, 10% of stroke, 12% of hypertensive disease and 12% of renal disease burden in adult males and females (30+ years) were attributable to diabetes. Diabetes was estimated to have caused 22,412 (95% uncertainty interval 20,755 - 24,872) or 4.3% (95% uncertainty interval 4.0 - 4.8%) of all deaths in South Africa in 2000. Since most of these occurred in middle or old age, the loss of healthy life years comprises a smaller proportion of the total 258,028 DALYs (95% uncertainty interval 236,856 - 290,849) in South Africa in 2000, accounting for 1.6% (95% uncertainty interval 1.5 - 1.8%) of the total burden. Diabetes is an important direct and indirect cause of burden in South Africa. Primary prevention of the disease through multi-level interventions and improved management at primary health care level are needed.

  15. Stress-Testing South Africa: The Tenuous Foundations of One of Africa’s Stable States

    DTIC Science & Technology

    2011-07-01

    Africa 7 and unable to deliver the benefits promised to the population by the liberators . Fully 72 percent of South Africans believe some, most, or all...the apartheid-era National Intelligence Service (NIS) was downsized and integrated with the intelligence structures of the liberation movement, the...and Africa’s Energy Resources” in Portugal, os Estados Unidos e a Africa Austral (Instituto Português de Relações Internacionais, 2006). Among the

  16. Risk to tourists posed by wild mammals in South Africa.

    PubMed

    Durrheim, D N; Leggat, P A

    1999-09-01

    One of South Africa's principal tourist attractions is the opportunity to encounter Africa's large mammals in the wild. Attacks by these mammals can be exceptionally newsworthy with potentially deleterious effects on tourism. Little is known about the risk of injury and death caused by wild mammals to visitors to South Africa's nature reserves. The aim of this study was to determine the incidence of fatal and nonfatal attacks on tourists by wild mammals in South Africa and to ascertain avoidable factors, if any. Commercial press records covering all South African Newspapers archived at the Independent Newspapers' central library were systematically reviewed for a 10-year period, January 1988 to December 1997 inclusive, to identify all deaths and injuries to domestic and international tourists resulting from encounters with wild mammals in South Africa. All of these incidents were analyzed to ascertain avoidable factors. During the review period seven tourists, including two students from Thailand and a German traveler, were killed by wild mammals in South Africa. Three of the four deaths ascribed to lions resulted from tourists carelessly approaching prides on foot in lion reserves. A judicial inquiry found that the management of a KwaZulu-Natal Reserve was culpable for the remaining death. Tourist ignorance of animal behavior and flagrant disregard of rules contributed to the two fatalities involving hippopotami. The unusual behavior manifested by the bull elephant responsible for the final death, resulted from discomfort caused by a dental problem to this pachyderm. During the same period there were 14 nonfatal attacks on tourists, including five by hippo, three by buffalo, two by rhino, and one each by a lion, leopard, zebra and musth elephant. Only the latter occurred while the visitor was in a motor vehicle. Tourist ethological naivete and failure to determine the experience of trail guides prior to travel, resulted in inadvertent agonistic behavior

  17. Origin, imports and exports of HIV-1 subtype C in South Africa: A historical perspective.

    PubMed

    Wilkinson, Eduan; Rasmussen, David; Ratmann, Oliver; Stadler, Tanja; Engelbrecht, Susan; de Oliveira, Tulio

    2016-12-01

    While the HIV epidemic in South Africa had a later onset than epidemics in other southern African countries, prevalence grew rapidly during the 1990's when the country was going through socio-political changes with the end of Apartheid. South Africa currently has the largest number of people living with HIV in the world and the epidemic is dominated by a unique subtype, HIV-1 subtype C. This large epidemic is also characterized by high level of genetic diversity. We hypothesize that this diversity is due to multiple introductions of the virus during the period of change. In this paper, we apply novel phylogeographic methods to estimate the number of viral imports and exports from the start of the epidemic to the present. We assembled 11,289 unique subtype C pol sequences from southern Africa. These represent one of the largest sequence datasets ever analyzed in the region. Sequences were stratified based on country of sampling and levels of genetic diversity were estimated for each country. Sequences were aligned and a maximum-likelihood evolutionary tree was inferred. Least-Squares Dating was then used to obtain a dated phylogeny from which we estimated the number of introductions into and exports out of South Africa using parsimony-based ancestral location reconstructions. Our results identified 189 viral introductions into South Africa with the largest number of introductions attributed to Zambia (n=109), Botswana (n=32), Malawi (n=26) and Zimbabwe (n=13). South Africa also exported many viral lineages to its neighbours. The bulk viral imports and exports appear to have occurred between 1985 and 2000, coincident with the period of socio-political transition. The high level of subtype C genetic diversity in South Africa is related to multiple introductions of the virus to the country. While the number of viral imports and exports we identified was highly sensitive to the number of samples included from each country, they mostly clustered around the period of

  18. Women's experiences with oral and vaginal pre-exposure prophylaxis: the VOICE-C qualitative study in Johannesburg, South Africa.

    PubMed

    van der Straten, Ariane; Stadler, Jonathan; Montgomery, Elizabeth; Hartmann, Miriam; Magazi, Busiswe; Mathebula, Florence; Schwartz, Katie; Laborde, Nicole; Soto-Torres, Lydia

    2014-01-01

    In VOICE, a multisite HIV pre-exposure prophylaxis (PrEP) trial, plasma drug levels pointed to widespread product nonuse, despite high adherence estimated by self-reports and clinic product counts. Using a socio-ecological framework (SEF), we explored socio-cultural and contextual factors that influenced participants' experience of daily vaginal gel and oral tablet regimens in VOICE. In Johannesburg, a qualitative ancillary study was concurrently conducted among randomly selected VOICE participants assigned to in-depth interviews (n = 41), serial ethnographic interviews (n = 21), or focus group discussions (n = 40). Audiotaped interviews were transcribed, translated, and coded thematically for analysis. Of the 102 participants, the mean age was 27 years, and 96% had a primary sex partner with whom 43% cohabitated. Few women reported lasting nonuse, which they typically attributed to missed visits, lack of product replenishments, and family-related travel or work. Women acknowledged occasionally skipping or mistiming doses because they forgot, were busy, felt lazy or bored, feared or experienced side effects. However, nearly all knew or heard of other study participants who did not use products daily. Three overarching themes emerged from further analyses: ambivalence toward research, preserving a healthy status, and managing social relationships. These themes highlighted the profound and complex meanings associated with participating in a blinded HIV PrEP trial and taking antiretroviral-based products. The unknown efficacy of products, their connection with HIV infection, challenges with daily regimen given social risks, lack of support-from partners and significant others-and the relationship tradeoffs entailed by using the products appear to discourage adequate product use. Personal acknowledgment of product nonuse was challenging. This qualitative inquiry highlighted key influences at all SEF levels that shaped women's perceptions of trial participation and

  19. The status of fatherhood and fathering in South Africa

    PubMed Central

    Richter, Linda; Chikovore, Jeremiah; Makusha, Tawanda

    2013-01-01

    This paper begins with estimates of fatherhood in South Africa, in the absence of formal measures of paternity. It highlights several salient features of fatherhood in the country, particularly low rates of marriages and father absence from households, and it traces their roots in colonialism and Apartheid, the political system in South Africa under which Black people were systematically oppressed. We point out that some forms of father absence illustrate the commitment of men to supporting their families by their willingness to seek migrant work far from their homes. Examples are given of government policies to support fathers and some of the major civil society efforts are described. The paper closes with important themes about fatherhood in work with young children. PMID:23864733

  20. The Challenge of the "Second Economy" in South Africa: The Contribution of Skills Development

    ERIC Educational Resources Information Center

    Kraak, Andre

    2005-01-01

    This article investigates the contribution skills development can make in promoting South Africa's wider socio-economic development. It provides a broad overview of the emerging gap between those who are benefiting from South Africa's transition to democracy and those who are not. Overcoming these worsening social conditions has become a major…

  1. Health Research Ethics Committees in South Africa 12 years into democracy

    PubMed Central

    Moodley, Keymanthri; Myer, Landon

    2007-01-01

    Background Despite the growth of biomedical research in South Africa, there are few insights into the operation of Research Ethics Committees (RECs) in this setting. We investigated the composition, operations and training needs of health RECs in South Africa against the backdrop of national and international guidelines. Methods The 12 major health RECs in South Africa were surveyed using semi-structured questionnaires that investigated the composition and functions of each REC as well as the operational issues facing committees. Results Health RECs in SA have an average of 16 members and REC members are predominantly male and white. Overall, there was a large discrepancy in findings between under-resourced RECs and well resourced RECs. The majority of members (56%) are scientists or clinicians who are typically affiliated to the same institution as the health REC. Community representatives account for only 8% of membership. Training needs for health REC members varied widely. Conclusion Most major health RECs in South Africa are well organized given the resource constraints that exist in relation to research ethics in developing countries. However, the gender, racial and occupational diversity of most of these RECs is suboptimal, and most RECs are not constituted in accordance with South African guidelines. Variability in the operations and training needs of RECs is a reflection of apartheid-entrenched influences in tertiary education in SA. While legislation now exists to enforce standardization of research ethics review systems, no provision has been made for resources or capacity development, especially to support historically-disadvantaged institutions. Perpetuation of this legacy of apartheid represents a violation of the principles of justice and equity. PMID:17254335

  2. National audit of critical care resources in South Africa - nursing profile.

    PubMed

    Scribante, Juan; Bhagwanjee, Sats

    2007-12-01

    (i) To determine the profile and number of nurses working in South African intensive care units (ICUs) and high care units (HCUs); (ii) to determine the number of beds in ICU and HCUs in South Africa; and (iii) to determine the ratio of nurses to ICU/HC beds. A descriptive, non-interventive, observational study design was used. An audit of all public and private sector ICU and HCUs in South Africa was undertaken. A 100% was sample obtained; 74.8% of the ICU nursing managers were ICU-trained nurses with an average of 12.8 years of ICU experience. Only 25.6% of nurses working in ICU were ICU trained. The majority were registered nurses (49.2%), while 21.4% were semi-professional nurses. Private sector nurses represented 50.3% of all nurses. Some 42.8% of the professional nurses had 0 - 5 years of experience and 28.7% had 5 - 10 years. The groups 10 - 15 and 15 - 20 years represented 16.1% and 6.6% respectively. Only 5.7% nurses had 20 and more years' experience. In the units that used agency staff the ratio of permanent to agency nursing staff for the month of June 2003 was 64.5% versus 35.5%. In total there are 4,168 ICU and HC beds in South Africa that are serviced by 4,584 professional nurses. The nurse:bed ratio is 1.1 nurses per ICU/HC bed. This study demonstrates that ICU nursing in South Africa faces the challenge of an acute shortage of trained and experienced nurses. Our nurses are tired, often not healthy, and are plagued by discontent and low morale.

  3. International Spread of MDR TB from Tugela Ferry, South Africa

    PubMed Central

    Beaton, R. Kate; Lessells, Richard J.; John, Laurence; Ashworth, Simon; Kon, Onn Min; Williams, O. Martin; Supply, P.; Moodley, P.; Pym, Alexander S.

    2011-01-01

    We describe a death associated with multidrug-resistant tuberculosis and HIV infection outside Africa that can be linked to Tugela Ferry (KwaZulu-Natal, South Africa), the town most closely associated with the regional epidemic of drug-resistant tuberculosis. This case underscores the international relevance of this regional epidemic, particularly among health care workers. PMID:22099091

  4. Survey on the implementation of the Occupational Health and Safety Act at an academic hospital in Johannesburg.

    PubMed

    Foromo, Muraga R; Chabeli, Mary; Satekge, Mpho M

    2016-09-28

    Despite the available research findings, recommendations and the South African Occupational Health and Safety Act (OHSA) (Act 85 of 1993), there are still challenges with regard to the implementation of selected sections and regulations of the OHSA. This is evidenced by the occupational injuries and illness claims registered with the compensation fund (South Africa, Department of Labour 1993). To determine the extent to which the OHSA was implemented at an academic hospital in Johannesburg, from the senior professional nurses and nursing managers' perspective, and to describe recommendations in order to facilitate the implementation of the Act. A contextual, quantitative, exploratory and descriptive survey was conducted. A purposive sampling method was used to select the participants that met the inclusion criteria. A structured Likert-scale questionnaire was used to collect data (Brink 2011). Stata version 12 was used to analyse the data. Cronbach's alpha, with a cut-off point of 0.7 was used to test for internal consistency. Ethical considerations were strictly adhered to. Results are presented in the form of graphs, frequency distributions and tables. The study revealed that overall there is 93.3% non-implementation of the selected sections and regulations of the OHSA. These results have serious implications on the health and safety of employees in the workplace. The study recommends that the replication of the study should be conducted in order to determine the extent of implementation of the selected sections and regulations of the OHSA in other government institutions.

  5. Poor health kills small business: illness and microenterprises in South Africa.

    PubMed

    Chao, Li-Wei; Pauly, Mark; Szrek, Helena; Pereira, Nuno Sousa; Bundred, Frances; Cross, Catherine; Gow, Jeff

    2007-01-01

    Small businesses contribute almost 50 percent of total employment and 30 percent of gross domestic product in South Africa, but the impact of poor health and AIDS on these businesses is poorly documented. Using three waves of longitudinal data from predominantly African neighborhoods in peri-urban Durban, South Africa, this project investigates the connections between the health of the owner of a micro- and small enterprise (MSE) and the MSE's growth, survival, or exit. The results show that poor baseline health and declines in health over time are both significantly associated with subsequent business closure.

  6. Housing conditions and mental health of orphans in South Africa

    PubMed Central

    Marais, Lochner; Sharp, Carla; Pappin, Michele; Lenka, Molefi; Cloete, Jan; Skinner, Donald; Serekoane, Joe

    2013-01-01

    Literature from the developed world suggests that poor housing conditions and housing environments contribute to poor mental health outcomes, although research results are mixed. This study investigates the relationship between housing conditions and the socio-emotional health of orphans and vulnerable children (OVC) in South Africa. The results of the study are mainly inconclusive, although it is suggested that methodological considerations play a vital role in explaining the mixed results. However, a positive relationship was found between living in informal settlements and better socio-emotional health of the OVC. We speculate that the historical context of informal settlement formation in South Africa helps to explain this unexpected result. PMID:24013088

  7. Sleights of Hand: South Africa's Gold Mines and Occupational Disease.

    PubMed

    McCulloch, Jock

    2016-02-01

    South Africa's gold mines were the first to compensate silicosis and tuberculosis as occupational diseases. They were also the first mines to introduce a state-sanctioned regime of medical surveillance. Despite those innovations, the major mining houses are currently facing class actions by former miners with occupational lung disease. The obvious reason for this medical and legislative failure is to be found in the economic fabric of South Africa's gold industry. In this article, I will argue that it is also found in the system of mine medicine, which was designed to hide rather than reveal the actual disease rates. © The Author(s) 2016.

  8. Popular Education in Three Organisations in Cape Town, South Africa

    ERIC Educational Resources Information Center

    Endresen, Kristin

    2013-01-01

    In the past, non-formal education in South Africa was committed to supporting the Mass Democratic Movement (MDM) in opposition to apartheid. Such non-formal political education was concerned with education for democracy. Post 1994, South African adult education policy has exclusively concentrated on vocational training, shifting the focus away…

  9. Educational Consultation in Two Emerging Democracies: Kazakstan and South Africa.

    ERIC Educational Resources Information Center

    Rothenberg, Julia Johnson; McDermott, Peter M.

    In this paper two educational consultants, one a researcher in South African issues and the other a researcher in Kazakstan issues, share their respective experiences of teaching in South Africa and Kazakstan and examine their assumptions and methods of consultation. The paper analyzes how the consultants' observations of education in these…

  10. The burden of antenatal heart disease in South Africa: a systematic review

    PubMed Central

    2012-01-01

    Background Maternal mortality in South Africa is rising, and heart conditions currently account for 41 per cent of indirect causes of deaths. Little is known about the burden of heart disease in pregnant South Africans. Methods We systematically reviewed the contemporary epidemiology and peripartum outcomes of heart disease in South African women attending antenatal care. Searches were performed in PubMed, ISI Web of Science, the EBSCO Africa-Wide database, the South African Union Catalogue, and the Current and Completed Research database (South Africa). References of included articles were also hand-searched. Studies reporting epidemiologic data on antenatal heart disease in South Africa were included. Data on morbidity and mortality were also collected. Results Seven studies were included in the systematic review. The prevalence of heart disease ranged from 123 to 943 per 100,000 deliveries, with a median prevalence of 616 per 100,000. Rheumatic valvular lesions were the commonest abnormalities, although cardiomyopathies were disproportionately high in comparison with other developing countries. Peripartum case-fatality rates were as high as 9.5 per cent in areas with limited access to care. The most frequent complications were pulmonary oedema, thromboembolism, and major bleeding with warfarin use. Perinatal mortality ranged from 8.9 to 23.8 per cent, whilst mitral lesions were associated with low birth weight. Meta-analysis could not be performed due to clinical and statistical heterogeneity of the included studies. Conclusion Approximately 0.6 per cent of pregnant South Africans have pre-existing cardiac abnormalities, with rheumatic lesions being the commonest. Maternal and perinatal morbidity and mortality continue to be very high. We conclude this review by summarising limitations of the current literature and recommending standard reporting criteria for future reports. PMID:22463484

  11. Emissions of mercury in southern Africa derived from long-term observations at Cape Point, South Africa

    NASA Astrophysics Data System (ADS)

    Brunke, E.-G.; Ebinghaus, R.; Kock, H. H.; Labuschagne, C.; Slemr, F.

    2012-08-01

    Mercury emissions in South Africa have so far been estimated only by a bottom-up approach from activities and emission factors for different processes. In this paper we derive GEM/CO (GEM being gaseous elemental mercury, Hg0), GEM/CO2, GEM/CH4, CO/CO2, CH4/CO2, and CH4/CO emission ratios from plumes observed during long-term monitoring of these species at Cape Point between March 2007 and December 2009. The average observed GEM/CO, GEM/CO2, GEM/CH4, CO/CO2, CH4/CO2, and CH4/CO emission ratios were 2.40 ± 2.65 pg m-3 ppb-1 (n = 47), 62.7 ± 80.2 pg m-3 ppm-1 (n = 44), 3.61 ± 4.66 pg m-3 ppb-1 (n = 46), 35.6 ± 25.4 ppb ppm-1 (n = 52), 20.2 ± 15.5 ppb ppm-1 (n = 48), and 0.876 ± 1.106 ppb ppb-1 (n = 42), respectively. The observed CO/CO2, CH4/CO2, and CH4/CO emission ratios agree within the combined uncertainties of the observations and emissions with the ratios calculated from EDGAR (version 4.2) CO2, CO, and CH4 inventories for South Africa and southern Africa (South Africa, Lesotho, Swaziland, Namibia, Botswana, Zimbabwe, and Mozambique) in 2007 and 2008 (inventories for 2009 are not available yet). Total elemental mercury emission of 13.1, 15.2, and 16.1 t Hg yr-1 are estimated independently using the GEM/CO, GEM/CO2, and GEM/CH4 emission ratios and the annual mean CO, CO2, and CH4 emissions, respectively, of South Africa in 2007 and 2008. The average of these independent estimates of 14.8 t GEM yr-1 is much less than the total emission of 257 t Hg yr-1 shown by older inventories which are now considered to be wrong. Considering the uncertainties of our emission estimate, of the emission inventories, and the fact that emission of GEM represents 50-78 % of all mercury emissions, our estimate is comparable to the currently cited GEM emissions in 2004 and somewhat smaller than emissions in 2006. A further increase of mercury emissions due to increasing electricity consumption will lead to a more pronounced difference. A quantitative assessment of the difference

  12. Moving across boundaries: migration in South Africa, 1950-2000.

    PubMed

    Reed, Holly E

    2013-02-01

    Existing knowledge about historical patterns of black internal migration in South Africa is incomplete, primarily because of the lack of good life course studies as well as the apartheid government's suppression and censoring of data. This article provides a comprehensive picture of historical internal migration patterns with an analysis of a unique individual retrospective life history data set. This sample of the black population, collected in 2000, is the only known nationally representative life history data for South Africa; it includes all residential moves for each individual during his/her lifetime. Various mobility outcomes are analyzed: moves within/across provinces, moves within/across rural and urban areas, forced moves, moves with a nuclear family, and individual moves. The results indicate that migration significantly increased among black South Africans during the last half of the twentieth century, and that this increase began before the Pass Laws were repealed in 1986 and well before the official end of apartheid in 1991 or the first free election in 1994. The timing of this increase in migration rates suggests that migration in defiance of the Pass Laws (albeit a dangerous and desperate proposition) was a way of life for many black South Africans.

  13. Entrepreneurial Education in a Tertiary Context: A Perspective of the University of South Africa

    ERIC Educational Resources Information Center

    Amadi-Echendu, Anthea P.; Phillips, Magaret; Chodokufa, Kudakwashe; Visser, Thea

    2016-01-01

    South Africa is characterised by high unemployment levels, a low Total Early Stage Entrepreneurial Activity rate, and a high small business failure rate. Entrepreneurship and small business development is seen as a solution to end unemployment in South Africa. A study to understand how to improve small business support was conducted at the…

  14. Higher Education Research Expenditure in South Africa: A Review of the New Funding Framework

    ERIC Educational Resources Information Center

    Odhiambo, Nicholas M.; Ntenga, Lydia

    2015-01-01

    The trends and the trajectory of higher education research expenditure in South Africa since the introduction of the New Funding Formula in 2004 have been analysed. The paper also compares the level of South Africa's total gross expenditure on research and development with those of other selected economies. The findings show that following…

  15. Cultural Astronomy in Africa South of the Sahara

    NASA Astrophysics Data System (ADS)

    Holbrook, Jarita

    This chapter examines two foci of cultural astronomy found in Africa south of the Sahara: creation myths and celestial art. The examples highlighted are from the Akan, the Bahima, the Boshongo, the Fon, the Igbo, the Mambila, the Yoruba, and the Zulu people.

  16. Cervical cancer screening among university students in South Africa: a theory based study.

    PubMed

    Hoque, Muhammad Ehsanu; Ghuman, Shanaz; Coopoosmay, Roger; Van Hal, Guido

    2014-01-01

    Cervical cancer is a serious public health problem in South Africa. Even though the screening is free in health facilities in South Africa, the Pap smear uptake is very low. The objective of the study is to investigate the knowledge and beliefs of female university students in South Africa. A cross sectional study was conducted among university women in South Africa to elicit information about knowledge and beliefs, and screening history. A total of 440 students completed the questionnaire. The average age of the participants was 20.39 years (SD  = 1.71 years). Regarding cervical cancer, 55.2% (n = 243) had ever heard about it. Results indicated that only 15% (22/147) of the students who had ever had sex and had heard about cervical cancer had taken a Pap test. Pearson correlation analysis showed that cervical cancer knowledge had a significantly negative relationship with barriers to cervical cancer screening. Susceptibility and seriousness score were significantly moderately correlated with benefit and motivation score as well as barrier score. Self-efficacy score also had a moderate correlation with benefit and motivation score. Students who had had a Pap test showed a significantly lower score in barriers to being screened compared to students who had not had a Pap test. This study showed that educated women in South Africa lack complete information on cervical cancer. Students who had had a Pap test had significantly lower barriers to cervical cancer screening than those students who had not had a Pap test.

  17. Marine Biodiversity in South Africa: An Evaluation of Current States of Knowledge

    PubMed Central

    Griffiths, Charles L.; Robinson, Tamara B.; Lange, Louise; Mead, Angela

    2010-01-01

    Continental South Africa has a coastline of some 3,650 km and an Exclusive Economic Zone (EEZ) of just over 1 million km2. Waters in the EEZ extend to a depth of 5,700 m, with more than 65% deeper than 2,000 m. Despite its status as a developing nation, South Africa has a relatively strong history of marine taxonomic research and maintains comprehensive and well-curated museum collections totaling over 291,000 records. Over 3 million locality records from more than 23,000 species have been lodged in the regional AfrOBIS (African Ocean Biogeographic Information System) data center (which stores data from a wider African region). A large number of regional guides to the marine fauna and flora are also available and are listed. The currently recorded marine biota of South Africa numbers at least 12,914 species, although many taxa, particularly those of small body size, remain poorly documented. The coastal zone is relatively well sampled with some 2,500 samples of benthic invertebrate communities have been taken by grab, dredge, or trawl. Almost none of these samples, however, were collected after 1980, and over 99% of existing samples are from depths shallower than 1,000 m—indeed 83% are from less than 100 m. The abyssal zone thus remains almost completely unexplored. South Africa has a fairly large industrial fishing industry, of which the largest fisheries are the pelagic (pilchard and anchovy) and demersal (hake) sectors, both focused on the west and south coasts. The east coast has fewer, smaller commercial fisheries, but a high coastal population density, resulting in intense exploitation of inshore resources by recreational and subsistence fishers, and this has resulted in the overexploitation of many coastal fish and invertebrate stocks. South Africa has a small aquaculture industry rearing mussels, oysters, prawns, and abalone—the latter two in land-based facilities. Compared with many other developing countries, South Africa has a well

  18. Slaves of the state - medical internship and community service in South Africa.

    PubMed

    Erasmus, Nicolette

    2012-06-05

    Owing to a chronic shortage of medical staff in South Africa, sleep-deprived medical interns and community service doctors work up to 200 hours of overtime per month under the state's commuted overtime policy. Nurses moonlight in circumvention of the Basic Conditions of Employment Act. For trainee doctors, overtime over 80 hours is unpaid, and rendered involuntarily under threat of not qualifying to practise medicine in South Africa. As forced labour, and sleep deprivation amounting to cruel and degrading treatment, it is outlawed in international law. No other professional group in the country is subjected to such levels of exploitation and discrimination by the state. These abuses should be challenged under the Constitution. Solutions include the installation of electronic time-recording in state hospitals, cessation of unpaid overtime, limits on medical intern shifts to a maximum of 16 hours, and an investigation by the Human Rights Commission of South Africa.

  19. Energy drink consumption and marketing in South Africa.

    PubMed

    Stacey, Nicholas; van Walbeek, Corné; Maboshe, Mashekwa; Tugendhaft, Aviva; Hofman, Karen

    2017-12-01

    Energy drinks are a fast-growing class of beverage containing high levels of caffeine and sugar. Advertising and marketing have been key to their growth in South Africa. This paper documents trends in energy drink consumption and energy drink advertising, and examines the relationship between exposure to energy drink advertising and consumption. Logistic regressions were estimated of categories of energy drink consumption on individual characteristics, as well as exposure to energy drink advertising. Exposure to advertising is measured by reported viewing of channels high in energy drink advertising. Energy drink consumption in South Africa is higher among younger, wealthier males. Spending on energy drink advertising is mostly focused on television. Targeted channels include youth, sports and general interest channels. Viewers of channels targeted by energy drink advertisers have higher odds of any and moderate levels of energy drinks consumption. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. Perceived discrimination, race and health in South Africa.

    PubMed

    Williams, David R; Gonzalez, Hector M; Williams, Stacey; Mohammed, Selina A; Moomal, Hashim; Stein, Dan J

    2008-08-01

    To assess the levels of perceived acute and chronic racial and non-racial discrimination in South Africa, their association with health, and the extent to which they contribute to racial differences in physical and mental health, data were used from a national probability sample of adults, the South African Stress and Health Study (SASH). All Black groups in South Africa (African, Coloured and Indian) were two to four times more likely than Whites to report acute and chronic experiences of racial discrimination. Africans and Coloureds report higher levels of ill health than Whites, but acute and chronic racial discrimination were unrelated to ill health and unimportant in accounting for racial differences in self-rated health. In contrast, all Black groups had higher levels of psychological distress than Whites, and perceived chronic discrimination was positively associated with distress. Moreover, these experiences accounted for some of the residual racial differences in distress after adjustment for socioeconomic status. Our main findings indicate that, in a historically racialized society, perceived chronic racial and especially non-racial discrimination acts independently of demographic factors, other stressors, psychological factors (social desirability, self-esteem and personal mastery), and multiple SES indicators to adversely affect mental health.

  1. Migration challenges among Zimbabwean refugees before, during and post arrival in South Africa

    PubMed Central

    Idemudia, Erhabor Sunday; Williams, John K.; Wyatt, Gail E.

    2013-01-01

    Abstract: Background: Zimbabweans are immigrating to South Africa with a commonly cited reason being economic opportunities. Prospects of finding employment may be a significant reason to leave behind family, friends, and community, sources that buffer and offer social support against life’s challenges. Currently, there is a dearth of research examining the motivators for Zimbabweans immigrating and the experiences encountered along the way and after arrival in South Africa. Such research is essential as large numbers of Zimbabweans may be at risk for emotional and physical trauma during this process. Methods: Two gender specific focus group discussions, each lasting 90-minutes and consisting of homeless Zimbabwean refugees, were conducted in the Limpopo Province of South Africa. A semi-structured interview assessed for experiences in and reasons for leaving Zimbabwe, as well as experiences en-route and within South Africa. Discussions were audio-recorded, transcribed, and analyzed using consensual qualitative research and a constant comparison qualitative method. Results: Three temporal themes were identified and included challenges and trauma experienced in Zimbabwe (pre-migration), during the immigration journey (mid-migration), and upon arrival in South Africa (post-migration). While there were some experiential differences, Zimbabwean men and women shared numerous traumatic commonalities. In addition to the themes, three subthemes contributing to reasons for leaving Zimbabwe, two subthemes of negative and traumatic experiences incurred mid-migration, and two post-migration subthemes of challenges were identified. Conclusions: Despite the difficulties encountered in their homeland, newly arrived Zimbabweans in South Africa may be exchanging old struggles for a new array of foreign and traumatic challenges. Reasons to immigrate and the psychological and physical toll of migration exacted at the individual and community levels are discussed. Recommendations

  2. Balancing Economic and other Discourses in the Internationalization of Higher Education in South Africa

    NASA Astrophysics Data System (ADS)

    Dunn, Mel; Nilan, Pam

    2007-05-01

    Since the end of the apartheid era in South Africa, "internationalization" of higher education has been a popular theme as the country takes its place as a regional leader in education and research in sub-Saharan Africa. However, competing discourses of internationalization have produced economic and moral dilemmas rather than the realization of philanthropic academic aims. The process of internationalizing higher education in South Africa has been greatly compromised by under-funding and over-crowding of post-secondary education institutions in the country.

  3. Homeschooling as an Alternative Form of Educational Provision in South Africa and the USA

    ERIC Educational Resources Information Center

    de Waal, Esther; Theron, Tinie

    2003-01-01

    This paper studies homeschooling as an alternative form of educational provision in South Africa and USA to determine what knowledge and experiences from research on homeschooling in the USA may be relevant to the South Africa situation. Homeschooling in the USA has a sound legal foundation and has become an acceptable educational alternative.…

  4. An update on the status and management of the Sirex woodwasp in South Africa

    Treesearch

    Brett P. Hurley; Bernard Slippers; Michael J. Wingfield

    2011-01-01

    The woodwasp Sirex noctilio was first detected in South Africa in 1994. By 2009, it had spread to most of the pine-growing provinces in the country, and it continues to move northwards to the remaining pine areas and toward Zimbabwe. In the summer rainfall area of South Africa, S. noctilio has caused serious losses.

  5. Critical Issues in Language and Education Planning in Twenty First Century in South Africa

    ERIC Educational Resources Information Center

    Brook Napier, Diane

    2011-01-01

    Language and education planning issues and democratic policy implementation in the post-apartheid era in South Africa encompass a range of language-related issues and dilemmas that have counterparts in many countries, within the emerging global education system. The issues in South Africa were and continue to be shaped by the historical legacy of…

  6. Changing Forms of Teacher Education in South Africa: A Case Study of Policy Change

    ERIC Educational Resources Information Center

    Sayed, Yusuf

    2002-01-01

    This paper examines some aspects of teacher education policy change in South Africa. It contextualises the changes by firstly examining the apartheid teacher education system and then mapping the changes that have occurred in teacher education in South Africa since 1994. Using a case study of the Further Diploma in Educational Management at the…

  7. Women in Physics in South Africa: The Story to 2008

    NASA Astrophysics Data System (ADS)

    Diale, M.; Buchner, S. J.; Buthelezi, Z.; Gledhill, I. M. A.; Grayson, D. J.; Kgabi, N. A.

    2009-04-01

    Overall about 40% of South African researchers in science, engineering, and technology are women, but the percentage of women in the physical sciences is significantly lower. In 2006, it appeared that about 16% of the 500 members of the South African Institute of Physics were women. Many of the issues of women in physics in South Africa parallel those of black physicists, including discrimination, both conscious and unconscious, in hiring and in awarding grants. The situation is slowly improving with the advent of policies aimed at redress and with far-reaching joint projects from the South African Department of Science and Technology and the South African Institute of Physics. Women in Physics in South Africa Project (WiPiSA), launched in 2005, aims to stimulate an increased interest in physics among girls and women, and assist in removing or overcoming obstacles to the study of physics and to work in physics-related careers. WiPiSA conducted a baseline survey of women who graduated with postgraduate degrees in physics between 1995 and 2005, and a surprisingly large database of 188 women has been formed. WiPiSA has also overseen a number of additional projects aimed at students, teachers, physics departments, and graduates.

  8. Teaching medical ethics to undergraduate students in post‐apartheid South Africa, 2003–2006

    PubMed Central

    Moodley, Keymanthri

    2007-01-01

    The apartheid ideology in South Africa had a pervasive influence on all levels of education including medical undergraduate training. The role of the health sector in human rights abuses during the apartheid era was highlighted in 1997 during the Truth and Reconciliation Commission hearings. The Health Professions Council of South Africa (HPCSA) subsequently realised the importance of medical ethics education and encouraged the introduction of such teaching in all medical schools in the country. Curricular reform at the University of Stellenbosch in 1999 presented an unparalleled opportunity to formally introduce ethics teaching to undergraduate students. This paper outlines the introduction of a medical ethics programme at the Faculty of Health Sciences from 2003 to 2006, with special emphasis on the challenges encountered. It remains one of the most comprehensive undergraduate medical ethics programmes in South Africa. However, there is scope for expanding the curricular time allocated to medical ethics. Integrating the curriculum both horizontally and vertically is imperative. Implementing a core curriculum for all medical schools in South Africa would significantly enhance the goals of medical education in the country. PMID:17971474

  9. Ethnic disparities in access to care in post-apartheid South Africa.

    PubMed

    Kon, Zeida R; Lackan, Nuha

    2008-12-01

    We investigated ethnic disparities in obtaining medical care among the 4 major ethnic groups (Blacks, Whites, Coloreds [i.e., those of mixed race], and Asians) in post-apartheid South Africa. Data for the study came from the 2002 Afrobarometer: Round II Survey of South Africa. Bivariate and multivariate analyses were used to examine differences across racial and ethnic groups in how often respondents went without medical care. A total of 40.8% of Blacks and 22.9% of Coloreds reported going without medical care at some point in the past year, compared with 10.9% of Whites and 6.9% of Asians. Disparities were found not only in health but in education, income, and basic public health infrastructures. Sociodemographic characteristics and perceptions regarding democracy, markets, and civil society were similar for Blacks and Coloreds and for Whites and Asians. Fourteen years after the end of apartheid, Blacks and Coloreds in South Africa are still underserved and disadvantaged compared with their White and Asian counterparts, especially regarding health care.

  10. Globalisation and local power: influences on health matters in South Africa.

    PubMed

    Gilbert, Tal; Gilbert, Leah

    2004-03-01

    This paper reviews some of the multiple influences on health issues in South Africa, placing them in the context of globalisation. By examining the complexity of factors, both domestic and global, which impact on these issues, it questions the extent to which global patterns in areas such as health policy, HIV/AIDS, health care pluralism, and neo-liberal macroeconomic policy have played out in South Africa. The identification of some of the multiple and complex forces in each case reveals a relatively consistent story of global pressures interacting with domestic realities, with some recognizably local results. There is no doubt that a full and nuanced understanding of health in South Africa requires an appreciation of developments in the global political economy, international organizations such as the WHO and World Bank, and forces which operate outside of institutions. In each case, however, the specific opportunities available to actors within the country, as well as the relative power of those actors, should be given their due consideration in analysing their potential impact on health matters.

  11. Barriers to early presentation of breast cancer among women in Soweto, South Africa

    PubMed Central

    McCormack, Valerie Ann; Das, Ishani; Neugut, Alfred I.; Jacobson, Judith S.

    2018-01-01

    Purpose Reported breast cancer incidence is rising in South Africa, where some women are diagnosed late and have poor outcomes. We studied patient and provider factors associated with clinical stage at diagnosis among women diagnosed at the Chris Hani Baragwanath Academic Hospital in Soweto, Johannesburg in 2015–2016. Methods From face-to-face interviewer-administered questionnaires we compared self-reported socioeconomics, demographics, comorbidities, risk factors, personal and health system barriers, and from patient clinical records, clinical staging, receptor subtype, and tumor grade among 499 consecutive women newly diagnosed with advanced stage (III/IV) breast cancer versus those diagnosed early (stage 0/I/II). Logistic regression models were used to identify factors associated with advanced stage at diagnosis. Results Among the women, 243 (49%) were diagnosed at early and 256 (51%) at advanced stages. In the multiple logistic regression adjusted model, completion of high school or beyond (odds ratio (OR) 0.59, and greater breast cancer knowledge and awareness (OR 0.86) were associated with lower stage of breast cancer at presentation. Advanced stage was associated with Luminal B (OR 2.25) and triple-negative subtypes (OR 3.17) compared to luminal A, with delays >3 months from first breast symptoms to accessing the health system (OR 2.79) and with having more than 1 visit within the referral health system (OR 3.19) for 2 visits; OR 2.73 for ≥3 visits). Conclusions Limited patient education, breast cancer knowledge and awareness, and health system inefficiencies were associated with advanced stage at diagnosis. Sustained community and healthcare worker education may down-stage disease and improve cancer outcomes. PMID:29394271

  12. Pharmacogenomic Research in South Africa: Lessons Learned and Future Opportunities in the Rainbow Nation.

    PubMed

    Warnich, Louise; Drögemöller, Britt I; Pepper, Michael S; Dandara, Collet; Wright, Galen E B

    2011-09-01

    South Africa, like many other developing countries, stands to benefit from novel diagnostics and drugs developed by pharmacogenomics guidance due to high prevalence of disease burden in the region. This includes both communicable (e.g., HIV/AIDS and tuberculosis) and non-communicable (e.g., diabetes and cardiovascular) diseases. For example, although only 0.7% of the world's population lives in South Africa, the country carries 17% of the global HIV/AIDS burden and 5% of the global tuberculosis burden. Nobel Peace Prize Laureate Archbishop Emeritus Desmond Tutu has coined the term Rainbow Nation, referring to a land of wealth in its many diverse peoples and cultures. It is now timely and necessary to reflect on how best to approach new genomics biotechnologies in a manner that carefully considers the public health needs and extant disease burden in the region. The aim of this paper is to document and review the advances in pharmacogenomics in South Africa and importantly, to evaluate the direction that future research should take. Previous research has shown that the populations in South Africa exhibit unique allele frequencies and novel genetic variation in pharmacogenetically relevant genes, often differing from other African and global populations. The high level of genetic diversity, low linkage disequilibrium and the presence of rare variants in these populations question the feasibility of the use of current commercially available genotyping platforms, and may partially account for genotype-phenotype discordance observed in past studies. However, the employment of high throughput technologies for genomic research, within the context of large clinical trials, combined with interdisciplinary studies and appropriate regulatory guidelines, should aid in acceleration of pharmacogenomic discoveries in high priority therapeutic areas in South Africa. Finally, we suggest that projects such as the H3Africa Initiative, the SAHGP and PGENI should play an integral role

  13. Pharmacogenomic Research in South Africa: Lessons Learned and Future Opportunities in the Rainbow Nation

    PubMed Central

    Warnich, Louise; Drögemöller, Britt I; Pepper, Michael S; Dandara, Collet; Wright, Galen E.B

    2011-01-01

    South Africa, like many other developing countries, stands to benefit from novel diagnostics and drugs developed by pharmacogenomics guidance due to high prevalence of disease burden in the region. This includes both communicable (e.g., HIV/AIDS and tuberculosis) and non-communicable (e.g., diabetes and cardiovascular) diseases. For example, although only 0.7% of the world’s population lives in South Africa, the country carries 17% of the global HIV/AIDS burden and 5% of the global tuberculosis burden. Nobel Peace Prize Laureate Archbishop Emeritus Desmond Tutu has coined the term Rainbow Nation, referring to a land of wealth in its many diverse peoples and cultures. It is now timely and necessary to reflect on how best to approach new genomics biotechnologies in a manner that carefully considers the public health needs and extant disease burden in the region. The aim of this paper is to document and review the advances in pharmacogenomics in South Africa and importantly, to evaluate the direction that future research should take. Previous research has shown that the populations in South Africa exhibit unique allele frequencies and novel genetic variation in pharmacogenetically relevant genes, often differing from other African and global populations. The high level of genetic diversity, low linkage disequilibrium and the presence of rare variants in these populations question the feasibility of the use of current commercially available genotyping platforms, and may partially account for genotype-phenotype discordance observed in past studies. However, the employment of high throughput technologies for genomic research, within the context of large clinical trials, combined with interdisciplinary studies and appropriate regulatory guidelines, should aid in acceleration of pharmacogenomic discoveries in high priority therapeutic areas in South Africa. Finally, we suggest that projects such as the H3Africa Initiative, the SAHGP and PGENI should play an integral role

  14. Enablers towards establishing and growing South Africa's waste to electricity industry.

    PubMed

    Amsterdam, Heinrich; Thopil, George Alex

    2017-10-01

    In South Africa the electricity generation mix is relatively un-diverse whereas globally the transformation of the sector is advancing rapidly. Coal remains the predominant fuel source and limited success has to date been achieved in the renewable energy sector. The electricity generation sector is therefore hindered from moving towards an electricity generation landscape where alternative fuel sources is utilised. This research is aimed at gaining insight into the enablers that led towards an increasing trend (observed globally) in exploiting waste as a fuel for electricity generation, and to outline the presence of obstacles that hinder separation of waste for electricity use in the South African context. Furthermore it is an attempt at informing what appropriate interventions (operational and policy) may be considered suitable for South Africa to overcome these barriers in order to enable a sustainable South African waste to electricity (WTE) Industry. Findings show that numerous barriers to a WTE exists in the South African context, however overcoming these barriers is not as simple as adopting the European model with the aim to modify the electricity generation mix and waste management landscape. Selected enablers deemed appropriate in the South African context are adapted from the European model, and are greatly influenced by the prevailing socio-economic status of South Africa. Primary enablers identified were, (i) government support is needed especially in the form of subsidisation for green energy, (ii) increase landfill costs through the implementation of a landfill tax, (iii) streamline the process for Independent Private Power Producers (IPPPs) to connect to the national grid with off-take guaranteed and the inclusion of WTE into an electricity roadmap (effectively government's strategy). The proposed enabling interventions would help in overcoming the barriers for a South African WTE industry. Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. Truncating a disease. The reduction of silica hazards to silicosis at the 1930 international labor office conference on silicosis in Johannesburg.

    PubMed

    Rosental, P A

    2015-11-01

    The current nosology and etiology of silicosis were officially adopted by the 1930 International Labor Office (ILO) Conference on silicosis in Johannesburg. Convened by the International Labor Office and by the Transvaal Chamber of Mines, it paved the way to the adoption of a 1934 ILO convention which recognized silicosis as an occupational disease. Even though it constituted a social and sanitary turning point, the Johannesburg conference, strongly influenced by South African physicians working for the gold mining industry, reduced silica hazards to silicosis, an equation which is questioned nowadays. While the definition of silicosis adopted in 1930 was a major step in the recognition of occupational pneumoconioses, it also led to the under-identification of some pathogenic effects of silica. Going back to history opens new avenues for contemporary medical research. © 2015 Wiley Periodicals, Inc.

  16. What the U.S. Could Learn from South Africa about Education and Social Justice

    ERIC Educational Resources Information Center

    Books, Sue; Ndlalane, Thembi

    2011-01-01

    Educational policy and practice has resided and continues to reside at the vortex of social and political strife in South Africa, as in the United States. Although school poverty and inequities among schools in the U.S. pale in comparison to conditions in South Africa, the two nations have much in common, including histories of state-sanctioned…

  17. The African Renaissance and the Transformation of the Higher Education Curriculum in South Africa

    ERIC Educational Resources Information Center

    Higgs, Philip

    2016-01-01

    The curriculum is a critical element in the transformation of higher education, and as a result, I argue for the inclusion of what I refer to as an African epistemic in higher education curricula in South Africa. In so doing, attention is directed at the decolonisation of the curriculum in higher education in South Africa, which aims to give…

  18. Coaches’ Preferences for Continuing Coaching Education in South Africa

    PubMed Central

    Coopoo, Yoga; Morris-Eyton, Heather

    2016-01-01

    Abstract The purpose of this study was to examine coaches’ preferences for continuing coaching education. The sample consisted of 122 male and 102 female coaches from the Gauteng Province of South Africa who were purposively recruited to participate in this study. The results of this study showed that the coaches wanted to learn more about motivational techniques, advanced instructional drills, advanced first aid, goal setting, character building and conditioning drills. The results further indicated that sport coaches would be more likely to continue their coaching education if they had a desire to coach at a high level, if topics were relevant and if courses were in line with league requirements and were available online. The practical implications of the findings for the development of coaching education programmes in South Africa were discussed. PMID:28149360

  19. Monitoring the Quality of Medicines: Results from Africa, Asia, and South America

    PubMed Central

    Hajjou, Mustapha; Krech, Laura; Lane-Barlow, Christi; Roth, Lukas; Pribluda, Victor S.; Phanouvong, Souly; El-Hadri, Latifa; Evans, Lawrence; Raymond, Christopher; Yuan, Elaine; Siv, Lang; Vuong, Tuan-Anh; Boateng, Kwasi Poku; Okafor, Regina; Chibwe, Kennedy M.; Lukulay, Patrick H.

    2015-01-01

    Monitoring the quality of medicines plays a crucial role in an integrated medicines quality assurance system. In a publicly available medicines quality database (MQDB), the U.S. Pharmacopeial Convention (USP) reports results of data collected from medicines quality monitoring (MQM) activities spanning the period of 2003–2013 in 17 countries of Africa, Asia, and South America. The MQDB contains information on 15,063 samples collected and tested using Minilab® screening methods and/or pharmacopeial methods. Approximately 71% of the samples reported came from Asia, 23% from Africa, and 6% from South America. The samples collected and tested include mainly antibiotic, antimalarial, and antituberculosis medicines. A total of 848 samples, representing 5.6% of total samples, failed the quality test. The failure proportion per region was 11.5%, 10.4%, and 2.9% for South America, Africa, and Asia, respectively. Eighty-one counterfeit medicines were reported, 86.4% of which were found in Asia and 13.6% in Africa. Additional analysis of the data shows the distribution of poor-quality medicines per region and by therapeutic indication as well as possible trends of counterfeit medicines. PMID:25897073

  20. Plans for an Enhanced Terrestrial and Freshwater Environmental Observation Network in South Africa

    NASA Astrophysics Data System (ADS)

    Everson, C. S.; Bond, W. J.; Moncrieff, G. R.; Everson, T. M.

    2015-12-01

    There is currently little information in South Africa concerning the influence of terrestrial ecosystems on biosphere-atmosphere interactions and their impact on the earth system. Climate modellers require data on energy exchanges between the soil-plant-atmosphere continuum to develop surface models of carbon, energy and water to scale up from the different biomes in South Africa, to regional and, ultimately, global scales. Atmospheric exchanges of South African biomes (ecosystems) are important due to the large and varied pant diversity they represent. The important ecosystem services (including water) delivered by these natural systems and their potential role in the long-term CO2 uptake from the atmosphere and carbon storage is a key gap in South African research. South Africa is already a water-scarce country so the predicted impacts of climate change on water resources are likely to have devastating effects. It is against this diminishing water supply that the South African government must develop innovative investments in water technologies and infrastructure to mitigate the impacts of growing water shortages due to climate change. The Department of Science and Technology of South Africa is planning a multi-million rand investment in long-term ecological infrastructure with a focus on carbon, water and energy. The terrestrial programme will comprise six to seven landscape-scale 'climate change observatories', some in urban and agricultural situations, with eddy covariance flux towers for carbon water and energy measurements, regular remote sensing, for the long-term collection of environmental, ecological and social data. The South African flux network measurement programme aims to become a key role player in the assessment of the consequences of rapid land use change and future impacts of climate change both regionally and internationally. Key words: flux towers, eddy co-variance, carbon, water and energy

  1. European NGOs Providing Resources for Development and Social Justice in South Africa: A Handbook. South African Information Exchange Working Paper Number 18.

    ERIC Educational Resources Information Center

    Micou, Ann McKinstry

    This handbook explores Europe's nonprofit nongovernmental organizations (NGOs) that have been working for change in South Africa and now are engaged, or planning to engage in the economic, social, and human resource development of a democratic South Africa. The purposes of the document are to: (1) illuminate for both donor agencies and groups…

  2. Quality of generic medicines in South Africa: Perceptions versus Reality – A qualitative study

    PubMed Central

    2012-01-01

    Background Generic Medicines are an important policy option allowing for access to affordable, essential medicines. Quality of generic medicines must be guaranteed through the activities of national medicines regulatory authorities. Existing negative perceptions surrounding the quality of generic medicines must be addressed to ensure that people use them with confidence. Campaigns to increase the uptake of generic medicines by consumers and providers of healthcare need to be informed by local norms and practices. This study sought to compare South African consumers’ and healthcare providers’ perceptions of quality of generics to the actual quality of selected products. Methods The study was conducted at the local level in three cities of South Africa: Johannesburg, Durban and Cape Town. Purposive sampling was used to recruit consumer participants (n = 73) and random sampling used to recruit healthcare providers from public and private sectors (n = 15). Data were obtained through twelve focus group discussions with consumers and semi-structured interviews (n = 15) with healthcare providers in order to gain familiarity with perceptions of quality. One hundred and thirty five products comprising paracetamol tablets (n = 47), amoxicillin capsules (n = 45) and hydrochlorothiazide tablets (n = 43) were sourced from public and private sector healthcare providers. These products were subjected to in vitro dissolution, uniformity of weight and identity (Fourier Transformed Infrared Spectroscopy) tests using prescribed methods from the British (2005) and United States Pharmacopeias (2006). Results Respondents described drug quality in relation to the effect on symptoms. Procurement and use behavior of healthcare providers was influenced by prior experience, manufacturers’ names and consumers’ ability to pay. All formulations passed the in vitro tests for quality. Conclusions This study showed clear differences between perceptions of quality

  3. Private Observatories in South Africa

    NASA Astrophysics Data System (ADS)

    Rijsdijk, C.

    2016-12-01

    Descriptions of private observatories in South Africa, written by their owners. Positions, equipment descriptions and observing programmes are given. Included are: Klein Karoo Observatory (B. Monard), Cederberg Observatory (various), Centurion Planetary and Lunar Observatory (C. Foster), Le Marischel Observatory (L. Ferreira), Sterkastaaing Observatory (M. Streicher), Henley on Klip (B. Fraser), Archer Observatory (B. Dumas), Overbeek Observatory (A. Overbeek), Overberg Observatory (A. van Staden), St Cyprian's School Observatory, Fisherhaven Small Telescope Observatory (J. Retief), COSPAR 0433 (G. Roberts), COSPAR 0434 (I. Roberts), Weltevreden Karoo Observatory (D. Bullis), Winobs (M. Shafer)

  4. Language Loyalty in South Africa. Volume 1: Bilingual Policy in South Africa - Opinions of White Adults in Urban Areas.

    ERIC Educational Resources Information Center

    Hauptfleisch, T.

    This report is the first in a series of four intended to study language attitudes and language maintenance among whites in the Republic of South Africa. The series is based on data provided by a large-scale survey conducted during 1973-1974. The present report deals with attitudes toward English and Afrikaans as official languages, about…

  5. Compassion, Citizenship and Education in South Africa: An Opportunity for Transformation?

    NASA Astrophysics Data System (ADS)

    Waghid, Yusef

    2004-11-01

    This study explores how citizenship education in South Africa is guided by liberal and communitarian concepts of citizenship. Its contention is that citizenship education, as it has evolved through policy discourses on "Values, Education and Democracy", is heavily influenced by liberal and communitarian concepts of citizenship. Nonetheless, the liberal-communitarian concept of citizenship education is not sufficient on its own to bring about educational transformation in institutions. Instead, citizenship education initiatives in South Africa need to promote a sense of compassion, motivating learners to take seriously the suffering of others. It is argued that such compassion represents a precondition of genuine educational transformation.

  6. Housing conditions and mental health of orphans in South Africa.

    PubMed

    Marais, Lochner; Sharp, Carla; Pappin, Michele; Lenka, Molefi; Cloete, Jan; Skinner, Donald; Serekoane, Joe

    2013-11-01

    Literature from the developed world suggests that poor housing conditions and housing environments contribute to poor mental health outcomes, although research results are mixed. This study investigates the relationship between housing conditions and the socio-emotional health of orphans and vulnerable children (OVC) in South Africa. The results of the study are mainly inconclusive, although it is suggested that methodological considerations play a vital role in explaining the mixed results. However, a positive relationship was found between living in informal settlements and better socio-emotional health of the OVC. We speculate that the historical context of informal settlement formation in South Africa helps to explain this unexpected result. © 2013 Elsevier Ltd. All rights reserved.

  7. The Substance Abuse Treatment Workforce of South Africa

    ERIC Educational Resources Information Center

    Sodano, Ruthlyn; Watson, Donnie W.; Rataemane, Solomon; Rataemane, Lusanda; Ntlhe, Nomvuyo; Rawson, Richard

    2010-01-01

    The purpose of this paper is to describe characteristics of substance abuse treatment counselors in the Republic of South Africa, including demographics, education, training, and job duties. Counselors recruited from 24 treatment centers completed a survey after signing informed consent. Counselors were primarily female (75%), racially diverse…

  8. Chromite Ore from the Transvaal Region of South Africa

    EPA Pesticide Factsheets

    In 2001, EPA finalized a rule to to delete both chromite ore mined in the Transvaal Region of South Africa and the unreacted ore component of the chromite ore processing residue (COPR) from TRI reporting requirements.

  9. Emissions of mercury in Southern Africa derived from long-term observations at Cape Point, South Africa

    NASA Astrophysics Data System (ADS)

    Brunke, E.-G.; Ebinghaus, R.; Kock, H. H.; Labuschagne, C.; Slemr, F.

    2012-05-01

    Mercury emissions in South Africa have so far been estimated only by a bottom-up approach from activities and emission factors for different processes. In this paper we derive GEM/CO (GEM being gaseous elemental mercury, Hg0), GEM/CO2, GEM/CH4, CO/CO2, CH4/CO2, and CH4/CO emission ratios from plumes observed during long-term monitoring of these species at Cape Point between March 2007 and December 2009. The average observed GEM/CO, GEM/CO2, GEM/CH4, CO/CO2, CH4/CO2, and CH4/CO emission ratios were 2.40 ± 2.65 pg m-3 ppb-1 (n = 47), 62.7 ± 80.2 pg m-3 ppb-1 (n = 44), 3.61 ± 4.66 pg m-3 ppb-1 (n = 46), 35.6 ± 25.4 ppb ppm-1 (n = 52), 20.2 ± 15.5 ppb ppm-1 (n=48), and 0.876 ± 1.106 ppb ppm-1 (n=42), respectively. The observed CO/CO2, CH4/CO2, and CH4/CO emission ratios agree within the combined uncertainties of the observations and emissions with the ratios calculated from EDGAR (version 4.2) CO2, CO, and CH4 inventories for South Africa and Southern Africa (South Africa, Lesotho, Swaziland, Namibia, Botswana, Zimbabwe, and Mozambique) in 2007 and 2008 (inventories for 2009 are not available yet). Total elemental mercury emission of 13.1, 15.2, and 16.1 t Hg yr-1 are estimated independently using the GEM/CO, GEM/CO2, and GEM/CH4 emission ratios and the annual mean CO, CO2, and CH4 emissions, respectively, of South Africa in 2007 and 2008. The average of these independent estimates of 14.8 ± 1.5 t GEM yr-1 is much less than the total emission of 257 t Hg yr-1 from older inventories. Considering that emission of GEM represents only 50-78% of all mercury emissions, our estimates come close to the total mercury emission estimates ranging between 40-50 t Hg yr-1 from more recent inventories.

  10. Reframing Vulnerability: Mozambican Refugees’ Access to State-Funded Pensions in Rural South Africa

    PubMed Central

    2012-01-01

    Researchers at the South African Medical Research Council/University of the Witwatersrand Rural Public Health and Health Transitions Research Unit (Agincourt) fieldsite in rural South Africa consider Mozambican residents more vulnerable than others in the local population. These self-settled refugees, many of whom are still not South African citizens, primarily came to South Africa in the 1980s during the Mozambican Civil War. This perceived economic vulnerability is rooted in their difficulties in accessing social grants, until recently legally available only to those with South African citizenship documentation. This paper focuses on semi-structured interviews with 30 ‘older’ women of Mozambican-descent living in the Agincourt area. These interviews highlight three important aspects of vulnerability; the respondents: (1) perceive a risk of deportation despite their having lived in the country for 20 years, (2) are unable to easily access social grants, namely the state-funded old-age pension, and (3) struggle to make ends meet when faced with daily needs and crisis situations. All three of these vulnerabilities were mediated to some extent by these women’s resourcefulness. They generated ties to South Africa through obtaining identification-documents, used these documents to access pensions, and used the pensions to help them sustain their multigenerational households. PMID:19142721

  11. The genus Ectonura Cassagnau, 1980in South Africa (Collembola, Neanuridae, Neanurinae), with a key to South African Neanurinae

    PubMed Central

    Janion, Charlene; Bedos, Anne; Deharveng, Louis

    2011-01-01

    Abstract Two new species of Neanurinae (Collembola) are described from the Western Cape, South Africa: Ectonura monochaeta sp. n. and Ectonura barrai sp. n. Ectonura monochaeta sp. n. differs from other species in the genus by its strongly reduced chaetotaxy, and the lateral shift of dorso-internal chaetae on Abd. V and their integration in the tubercles (De+DL). Ectonura barrai sp. n. is similar to Ectonura natalensis (Womersley, 1934), but differs in chaetotaxic details and chaetal group arrangement. A key to the seven species of Neanurinae recorded from South Africa is given. PMID:22140347

  12. 77 FR 60966 - Executive-Led Trade Mission to South Africa and Zambia

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-05

    ... Africa and Zambia AGENCY: International Trade Administration, Department of Commerce. ACTION: Notice...- Led Trade Mission to South Africa and Zambia scheduled for November 26- 30, 2012, to revise the dates... and scheduling constraints permit), interested U.S. agriculture, mining, transportation, water, energy...

  13. The epidemiology of tuberculosis in health care workers in South Africa: a systematic review.

    PubMed

    Grobler, Liesl; Mehtar, Shaheen; Dheda, Keertan; Adams, Shahieda; Babatunde, Sanni; van der Walt, Martie; Osman, Muhammad

    2016-08-20

    In South Africa, workplace acquired tuberculosis (TB) is a significant occupational problem among health care workers. In order to manage the problem effectively it is important to know the burden of TB in health care workers. This systematic review describes the epidemiology of TB in South African health care workers. A comprehensive search of electronic databases [MEDLINE, EMBASE, Web of Science (Social Sciences Citation Index/Science Citation Index), Cochrane Library (including CENTRAL register of Controlled Trials), CINAHL and WHO International Clinical Trials Registry Platform (ICTRP)] was conducted up to April 2015 for studies reporting on any aspect of TB epidemiology in health care workers in South Africa. Of the 16 studies included in the review, ten studies reported on incidence of active TB disease in health care workers, two report on the prevalence of active TB disease, two report on the incidence of latent TB infection, three report on the prevalence of latent TB infection and four studies report on the number of TB cases in health care workers in various health care facilities in South Africa. Five studies provide information on risk factors for TB in health care workers. All of the included studies were conducted in publicly funded health care facilities; predominately located in KwaZulu-Natal and Western Cape provinces. The majority of the studies reflect a higher incidence and prevalence of active TB disease in health care workers, including drug-resistant TB, compared to the surrounding community or general population. There is relatively little research on the epidemiology of TB in health care workers in South Africa, despite the importance of the issue. To determine the true extent of the TB epidemic in health care workers, regular screening for TB disease should be conducted on all health care workers in all health care facilities, but future research is required to investigate the optimal approach to TB screening in health care workers in

  14. The Didactics Tradition in South Africa: A Reply to Richard Kruger

    ERIC Educational Resources Information Center

    Le Grange, Lesley

    2008-01-01

    There has been a growing interest in the European "Didaktik" tradition as part of a process of "internationalizing" curriculum studies. Kruger provides useful insights into some aspects of "Didaktiek" in South Africa. However, the essay does not contextualize this tradition within the broader history of South African…

  15. Rethinking the Poverty-disease Nexus: the Case of HIV/AIDS in South Africa.

    PubMed

    Pienaar, Kiran

    2017-09-01

    While it is well-established that poverty and disease are intimately connected, the nature of this connection and the role of poverty in disease causation remains contested in scientific and social studies of disease. Using the case of HIV/AIDS in South Africa and drawing on a theoretically grounded analysis, this paper reconceptualises disease and poverty as ontologically entangled. In the context of the South African HIV epidemic, this rethinking of the poverty-disease dynamic enables an account of how social forces such as poverty become embodied in the very substance of disease to produce ontologies of HIV/AIDS unique to South Africa.

  16. Subjective Well-Being, Poverty and Ethnicity in South Africa: Insights from an Exploratory Analysis

    ERIC Educational Resources Information Center

    Neff, Daniel F.

    2007-01-01

    South Africa has one of the highest inequality levels in the world. In 1993, nearly half of the population were considered poor. These poverty and inequality levels were and still are a legacy of South Africa's colonial and apartheid past. Since the end of apartheid, there has been a strong governmental effort to combat poverty and in this light a…

  17. Carnivoran Remains from the Malapa Hominin Site, South Africa

    PubMed Central

    Kuhn, Brian F.; Werdelin, Lars; Hartstone-Rose, Adam; Lacruz, Rodrigo S.; Berger, Lee R.

    2011-01-01

    Recent discoveries at the new hominin-bearing deposits of Malapa, South Africa, have yielded a rich faunal assemblage associated with the newly described hominin taxon Australopithecus sediba. Dating of this deposit using U-Pb and palaeomagnetic methods has provided an age of 1.977 Ma, being one of the most accurately dated, time constrained deposits in the Plio-Pleistocene of southern Africa. To date, 81 carnivoran specimens have been identified at this site including members of the families Canidae, Viverridae, Herpestidae, Hyaenidae and Felidae. Of note is the presence of the extinct taxon Dinofelis cf. D. barlowi that may represent the last appearance date for this species. Extant large carnivores are represented by specimens of leopard (Panthera pardus) and brown hyaena (Parahyaena brunnea). Smaller carnivores are also represented, and include the genera Atilax and Genetta, as well as Vulpes cf. V. chama. Malapa may also represent the first appearance date for Felis nigripes (Black-footed cat). The geochronological age of Malapa and the associated hominin taxa and carnivoran remains provide a window of research into mammalian evolution during a relatively unknown period in South Africa and elsewhere. In particular, the fauna represented at Malapa has the potential to elucidate aspects of the evolution of Dinofelis and may help resolve competing hypotheses about faunal exchange between East and Southern Africa during the late Pliocene or early Pleistocene. PMID:22073222

  18. Carnivoran remains from the Malapa hominin site, South Africa.

    PubMed

    Kuhn, Brian F; Werdelin, Lars; Hartstone-Rose, Adam; Lacruz, Rodrigo S; Berger, Lee R

    2011-01-01

    Recent discoveries at the new hominin-bearing deposits of Malapa, South Africa, have yielded a rich faunal assemblage associated with the newly described hominin taxon Australopithecus sediba. Dating of this deposit using U-Pb and palaeomagnetic methods has provided an age of 1.977 Ma, being one of the most accurately dated, time constrained deposits in the Plio-Pleistocene of southern Africa. To date, 81 carnivoran specimens have been identified at this site including members of the families Canidae, Viverridae, Herpestidae, Hyaenidae and Felidae. Of note is the presence of the extinct taxon Dinofelis cf. D. barlowi that may represent the last appearance date for this species. Extant large carnivores are represented by specimens of leopard (Panthera pardus) and brown hyaena (Parahyaena brunnea). Smaller carnivores are also represented, and include the genera Atilax and Genetta, as well as Vulpes cf. V. chama. Malapa may also represent the first appearance date for Felis nigripes (Black-footed cat). The geochronological age of Malapa and the associated hominin taxa and carnivoran remains provide a window of research into mammalian evolution during a relatively unknown period in South Africa and elsewhere. In particular, the fauna represented at Malapa has the potential to elucidate aspects of the evolution of Dinofelis and may help resolve competing hypotheses about faunal exchange between East and Southern Africa during the late Pliocene or early Pleistocene.

  19. Adult Literacy in Africa--Nigeria, Rhodesia, South Africa, Sudan, Tanzania. Literacy Bibliographies 23.

    ERIC Educational Resources Information Center

    International Inst. for Adult Literacy Methods, Teheran (Iran).

    Approximately 200 items are listed in this bibliography of materials pertaining to adult literacy in Nigeria, Rhodesia, South Africa, the Sudan, and Tanzania. The listed materials are categorized according to country and deal with a variety of topics, including the following: (1) adult education and adaptation to change in Nigeria; (2) adult…

  20. Social Justice and Rural Education in South Africa

    ERIC Educational Resources Information Center

    Hlalele, Dipane

    2012-01-01

    Social justice is undeniably grounded in efforts at circumventing provisions that seek to uphold ostracism and exclusionary practices which have permeated South Africa and many other societies worldwide for extensive periods of time. Vast incongruities and/or inequalities between better resourced urban communities and neglected rural areas impinge…

  1. Gendered Patterns of Migration in Rural South Africa

    PubMed Central

    Camlin, Carol S.; Snow, Rachel C.; Hosegood, Victoria

    2013-01-01

    Gender is increasingly recognized as fundamental to understanding migration processes, causes and consequences. In South Africa, it is intrinsic to the social transformations fueling high levels of internal migration and complex forms of mobility. While female migration in Africa has often been characterized as less prevalent than male migration, and primarily related to marriage, in South Africa a feminization of internal migration is underway, fueled by women’s increasing labor market participation. In this paper, we report sex differences in patterns, trends and determinants of internal migration based on data collected in a demographic surveillance system between 2001 and 2006 in rural KwaZulu-Natal. We show that women were somewhat more likely than men to undertake any migration, but sex differences in migration trends differed by migration flow, with women more likely to migrate into the area than men, and men more likely to out-migrate. Out-migration was suppressed by marriage particularly for women, but most women were not married; both men’s and women’s out-migrations were undertaken mainly for purposes of employment. Over half of female out-migrations (versus 35% of male out-migrations) were to nearby rural areas. The findings highlight the high mobility of this population and the extent to which gender is intimately related to the processes determining migration. We consider the implications of these findings for the measurement of migration and mobility, in particular for health and social policy and research among highly mobile populations in southern Africa. PMID:25332690

  2. The effects of obesity on doctor-diagnosed chronic diseases in Africa: empirical results from Senegal and South Africa.

    PubMed

    Asfaw, Abay

    2006-01-01

    While inadequate food and communicable infectious diseases have been a concern of researchers and policy makers in Africa, little attention has been given to obesity and chronic, non-communicable diseases. Africa is not usually associated with obesity and chronic diseases. Yet there has been a sharp rise in the incidence of obesity and chronic diseases, a major public health problem in many countries. The paper examines the impact of obesity on the prevalence of four doctor-diagnosed chronic diseases in Senegal and South Africa. The results reveal that obese respondents were 4.7, 2.8, and 4.8% more likely to face the risks of arthritis, diabetes, and heart diseases in South Africa and 6.5 and 7.4% more likely to face the risks of heart disease and asthma in Senegal than their lean counterparts. Obesity imposes a real and substantial danger, affecting the prevalence of chronic diseases. Unchecked it can be a major public health problem, impose a serious challenge to the health sector, and can jeopardize future developments.

  3. Mentoring for School Leadership in South Africa: Diversity, Dissimilarity and Disadvantage

    ERIC Educational Resources Information Center

    Moorosi, Pontso

    2012-01-01

    In South Africa, until recently, mentoring has not been formalized as part of school leadership induction programmes or of leadership professional development. However, the South African government identified mentoring as a distinctive aspect of its pilot leadership development programme for school principals. This programme signalled a shift from…

  4. Race and Assessment Practice in South Africa: Understanding Black Academic Experience

    ERIC Educational Resources Information Center

    Jawitz, Jeff

    2012-01-01

    Despite efforts to transform the racialised system of higher education in South Africa inherited from apartheid, there has been little research published that interrogates the relationship between race and the experience of academic staff within the South African higher education environment. Drawing on critical discourse analysis and critical…

  5. Factors influencing the retention of registered nurses in the Gauteng Province of South Africa.

    PubMed

    Mokoka, Kgaogelo E; Ehlers, Valerie J; Oosthuizen, Martha J

    2011-12-14

    South Africa is a source country for many destination countries that recruit registered nurses who emigrate for personal and/or professional reasons. A large number of South African nurses belong to the baby boomer generation (born between 1943 and 1964) who will retire within the foreseeable future. Statistics from the South African Nursing Council show a decline of 42.0% in the number of nurses who completed their training in South Africa from 1996 to 2005. These aspects combine to predict a potential dire shortage of nurses in South Africa within the foreseeable future. Retention of registered nurses should be the focus of health-care planners to avoid crises in South Africa's health-care services. This study attempted to identify factors that would influence registered nurses' decisions to stay with their current employers in the Gauteng Province of South Africa. An exploratory descriptive quantitative design was adopted and questionnaires were sent to a sample of nurses, registered with the South African Nursing Council (SANC), with addresses in the Gauteng Province. A total of 108 nurses completed and returned questionnaires, of whom 77 (73.1%) had considered leaving their current employers. The most important factors that would influence more than 90.0% of these nurses' decisions to stay with their current employers related to finances, safety and security, equipment and/or supplies, management, staff and patients. In terms of Maslow's Hierarchy of Needs Theory, deficiency needs (physiological, safety and social needs) should be met by improved salaries revised on an annual basis, paying long-service and outstanding-service bonuses, and improving the safety and security, as well the available equipment and supplies, at institutions. Sufficient numbers of nurses should be employed and vacancies should be filled rapidly. However, not all changes required to enhance nurses' retention rates involve increased costs. Managers should lead by example and respect

  6. Perceived Discrimination, Race and Health in South Africa

    PubMed Central

    Williams, David R.; Gonzalez, Hector M; Williams, Stacey; Mohammed, Selina A; Moomal, Hashim; Stein, Dan J

    2009-01-01

    To assess the levels of perceived acute and chronic racial and non-racial discrimination in South Africa, their association with health, and the extent to which they contribute to racial differences in physical and mental health, data were used from a national probability sample of adults, the South African Stress and Health Study (SASH). All Black groups in South Africa (African, Coloured and Indian) were two to four times more likely than Whites to report acute and chronic experiences of racial discrimination. Africans and Coloureds report higher levels of ill health than Whites, but acute and chronic racial discrimination were unrelated to ill health and unimportant in accounting for racial differences in self rated health. In contrast, all Black groups had higher levels of psychological distress than Whites, and perceived chronic discrimination, was positively associated with distress. Moreover, these experiences accounted for some of the residual racial differences in distress after adjustment for socioeconomic status. Our main findings indicate that, in a historically racialized society, perceived chronic racial and especially non-racial discrimination acts independently of demographic factors, other stressors, psychological factors (social desirability, self-esteem and personal mastery), and multiple SES indicators to adversely affect mental health. PMID:18486292

  7. Perceived Usefulness and Culture as Predictors of Teachers Attitudes towards Educational Technology in South Africa

    ERIC Educational Resources Information Center

    Hart, Samantha Anne; Laher, Sumaya

    2015-01-01

    The use of educational technology (ET) worldwide is increasing rapidly, and South Africa is no exception. Grouped amongst the emerging economies of the world, South Africa's information and communication technology (ICT) infrastructure is often mentioned as one of the key factors leading to the growth of the country. Integrating ICT into education…

  8. Sharing Ownership in Multicultural Music: A Hands-On Approach in Teacher Education in South Africa

    ERIC Educational Resources Information Center

    Joseph, Dawn

    2012-01-01

    South Africa prides itself in a rich and colorful array of the Arts where music plays a significant role in social regeneration, unity and reconciliation. Little research has been undertaken in teacher education courses in South Africa regarding the inclusion of African music within multicultural music practice. Using the theoretical frameworks of…

  9. Trauma Exposures and Posttraumatic Stress among Zimbabwean refugees in South Africa.

    PubMed

    Idemudia, Erhabor S; Williams, John K; Madu, Sylvester N; Wyatt, Gail E

    2013-09-25

    Zimbabwean refugees can be considered a vulnerable group in terms of how they are displaced with many of them having lived through hardships on their way to South Africa and other African countries. Zimbabwe is known to be Africa's most extraordinary producer of migrants and the biggest producer of refugees in Southern Africa. It is estimated that 3.4 million Zimbabweans, a quarter of the country's population, have fled the country. Economic collapse, hunger and political repression have been blamed for the mass exodus. The present study examines the impact of trauma exposures (pre- and post-migration stressors and poor mental health) on posttraumatic stress disorder (PTSD) among homeless Zimbabwean refugees living in South Africa. Through a guided convenient sampling, in-depth interviews using questionnaires were collected from 125 homeless Zimbabwean refugees in Polokwane, Limpopo Province, South Africa. The study was anchored on the hypothesis that predictor variables (pre- and post- migration stressors, poor mental health) would significantly affect outcomes (PTSD). Participants were assessed on demographic variables, pre- and post-migration difficulties checklists, mental health using the General Health Questionnaire (GHQ-28) and the PTSD Checklist (Civilian Version (PCL). Participants ranged from 18 to 48 years with a mean age of 28.3 years (SD = 6.27). The majority of the sample had at least a secondary education (76.8%) and were employed as unskilled labourers (61.6%) in South Africa. Being married was reported by 54.4% in Zimbabwe but changed to only 19.2% in South Africa. Hierarchical multiple regression analyses showed that the overall model significantly predicted PTSD among homeless Zimbabweans (R 2 = 0.17, adjusted R 2 = 0.11, F (6, 124) = 2.960, p < .01). Thus, the entire set of pre- and post-migration variables (Post total stress, PreThreat to life, Presexabuse, PrePoverty, Postsexabuse, Postpoverty and two mental health symptoms (Anxiety and

  10. Prioritising surveillance for alien organisms transported as stowaways on ships travelling to South Africa.

    PubMed

    Faulkner, Katelyn T; Robertson, Mark P; Rouget, Mathieu; Wilson, John R U

    2017-01-01

    The global shipping network facilitates the transportation and introduction of marine and terrestrial organisms to regions where they are not native, and some of these organisms become invasive. South Africa was used as a case study to evaluate the potential for shipping to contribute to the introduction and establishment of marine and terrestrial alien species (i.e. establishment debt) and to assess how this varies across shipping routes and seasons. As a proxy for the number of species introduced (i.e. 'colonisation pressure') shipping movement data were used to determine, for each season, the number of ships that visited South African ports from foreign ports and the number of days travelled between ports. Seasonal marine and terrestrial environmental similarity between South African and foreign ports was then used to estimate the likelihood that introduced species would establish. These data were used to determine the seasonal relative contribution of shipping routes to South Africa's marine and terrestrial establishment debt. Additionally, distribution data were used to identify marine and terrestrial species that are known to be invasive elsewhere and which might be introduced to each South African port through shipping routes that have a high relative contribution to establishment debt. Shipping routes from Asian ports, especially Singapore, have a particularly high relative contribution to South Africa's establishment debt, while among South African ports, Durban has the highest risk of being invaded. There was seasonal variation in the shipping routes that have a high relative contribution to the establishment debt of the South African ports. The presented method provides a simple way to prioritise surveillance effort and our results indicate that, for South Africa, port-specific prevention strategies should be developed, a large portion of the available resources should be allocated to Durban, and seasonal variations and their consequences for prevention

  11. Efficacy of SISTA South Africa on sexual behavior, HIV stigma and relationship control among isiXhosa women in the Western Cape Province, South Africa: Results of a Randomized Controlled Trial

    PubMed Central

    Wingood, Gina M.; Reddy, Priscilla; Lang, Delia L.; Saleh-Onoya, Dorina; Braxton, Nikia; Sifunda, Sibusiso; DiClemente, Ralph J

    2013-01-01

    Background The HIV epidemic has a devastating impact among South-African women. The current study evaluated the efficacy of SISTA South Africa, a culturally congruent HIV intervention for isiXhosa women in South Africa that was adapted from SISTA, an HIV intervention for African American women. Methods A randomized controlled trial recruited 342 isiXhosa women 18 – 35 years of age. Participants were randomized to the general health comparison or the SISTA South Africa intervention. Xhosa speaking peer health educators tailored the SISTA South Africa curriculum, while maintaining the core elements of the original SiSTA intervention. Participants completed assessments at baseline and 6 months follow-up. Results Relative to participants in the comparison, participants in the HIV intervention reduced the frequency of unprotected vaginal intercourse acts (adjusted mean difference = 1.06; p = .02), were more likely to report not desiring dry sex (AOR = .229; 95% CI = .10, .47; p = .0001) and, were more likely to perceive that their main sexual partner did not desire dry sex (AOR = .24; 95% CI = .11, .52; p = .0001). Additionally, women randomized to the intervention also reported an increase in HIV knowledge, greater relationship control and had more accepting attitudes towards HIV stigma. The HIV intervention did not reduce STI incidence. Conclusions This trial demonstrates that an HIV intervention which is adapted to enhance its gender and cultural relevance for rural isiXhosa women can reduce self-reported sexual risk behaviors and enhance mediators of HIV among this vulnerable population. PMID:23673889

  12. The genus Anthia Weber in the Republic of South Africa, Identification, distribution, biogeography, and behavior (Coleoptera, Carabidae)

    PubMed Central

    Mawdsley, Jonathan R.; Erwin, Terry L.; Sithole, Hendrik; Mawdsley, James L.; Mawdsley, Alice S.

    2011-01-01

    Abstract A key is presented for the identification of the four species of Anthia Weber (Coleoptera: Carabidae) recorded from the Republic of South Africa: Anthia cinctipennis Lequien, Anthia circumscripta Klug, Anthia maxillosa (Fabricius), and Anthia thoracica (Thunberg). For each of these species, illustrations are provided of adult beetles of both sexes as well as illustrations of male reproductive structures, morphological redescriptions, discussions of morphological variation, annual activity histograms, and maps of occurrence localities in the Republic of South Africa. Maps of occurrence localities for these species are compared against ecoregional and vegetation maps of southern Africa; each species of Anthia shows a different pattern of occupancy across the suite of ecoregions and vegetation types in the Republic of South Africa. Information about predatory and foraging behaviors, Müllerian mimicry, and small-scale vegetation community associations is presented for Anthia thoracica based on field and laboratory studies in Kruger National Park, South Africa. PMID:22144866

  13. Estimating the burden of disease attributable to lead exposure in South Africa in 2000.

    PubMed

    Norman, Rosana; Mathee, Angela; Barnes, Brendon; van der Merwe, Lize; Bradshaw, Debbie

    2007-08-01

    To estimate the burden of disease attributable to lead exposure in South Africa in 2000. World Health Organization comparative risk assessment (CRA) methodology was followed. Recent community studies were used to derive mean blood lead concentrations in adults and children in urban and rural areas. Population-attributable fractions were calculated and applied to revised burden of disease estimates for the relevant disease categories for South Africa in the year 2000. Monte Carlo simulation-modelling techniques were used for the uncertainty analysis. South Africa. Children under 5 and adults 30 years and older. Cardiovascular mortality and disability-adjusted life years (DALYs) in adults 30 years and older and mild mental disability DALYs in children under 5 years. Lead exposure was estimated to cause 1,428 deaths (95% uncertainty interval 1,086-1,772) or 0.27% (95% uncertainty interval: 0.21 - 0.34%) of all deaths in South Africa in 2000. Burden of disease attributed to lead exposure was dominated by mild mental disability in young children, accounting for 75% of the total 58,939 (95% uncertainty interval 55,413 - 62,500) attributable DALYs. Cardiovascular disease in adults accounted for the remainder of the burden. Even with the phasing out of leaded petrol, exposure to lead from its ongoing addition to paint, para-occupational exposure and its use in backyard 'cottage industries' will continue to be an important public health hazard in South Africa for decades. Young children, especially those from disadvantaged communities, remain particularly vulnerable to lead exposure and poisoning.

  14. 76 FR 14920 - Trade Mission to South Africa

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-18

    ... prospects. In 2009, total U.S.-South Africa trade was $10.3 billion, a significant decrease from 2008 levels... 40 percent above corresponding 2009 levels and indicate a strong recovery in U.S. exports to the..., both for primary and secondary students/ learners, in the areas of arithmetic, math and science...

  15. Atmospheric Chemistry Over Southern Africa

    NASA Technical Reports Server (NTRS)

    Gatebe, Charles K.; Levy, Robert C.; Thompson, Anne M.

    2011-01-01

    During the southern African dry season, regional haze from mixed industrial pollution, biomass burning aerosol and gases from domestic and grassland fires, and biogenic sources from plants and soils is worsened by a semi-permanent atmosphere gyre over the subcontinent. These factors were a driver of several major international field campaigns in the 1990s and early 2000s, and attracted many scientists to the region. Some researchers were interested in understanding fundamental processes governing chemistry of the atmosphere and interaction with climate change. Others found favorable conditions for evaluating satellite-derived measurements of atmospheric properties and a changing land surface. With that background in mind a workshop on atmospheric chemistry was held in South Africa. Sponsored by the International Commission for Atmospheric Chemistry and Global Pollution (ICACGP; http://www.icacgp.org/), the workshop received generous support from the South African power utility, Eskom, and the Climatology Research Group of the University of the Witwatersrand, Johannesburg, South Africa. The purpose of the workshop was to review some earlier findings as well as more recent findings on southern African climate vulnerability, chemical changes due to urbanization, land-use modification, and how these factors interact. Originally proposed by John Burrows, president of ICACGP, the workshop was the first ICACGP regional workshop to study the interaction of air pollution with global chemical and climate change. Organized locally by the University of the Witwatersrand, the workshop attracted more than 60 delegates from South Africa, Mozambique, Botswana, Zimbabwe, France, Germany, Canada, and the United States. More than 30 presentations were given, exploring both retrospective and prospective aspects of the science. In several talks, attention was focused on southern African chemistry, atmospheric pollution monitoring, and climate processes as they were studied in the field

  16. Family medicine training in sub-Saharan Africa: South-South cooperation in the Primafamed project as strategy for development.

    PubMed

    Flinkenflögel, Maaike; Essuman, Akye; Chege, Patrick; Ayankogbe, Olayinka; De Maeseneer, Jan

    2014-08-01

    Health-care systems based on primary health care (PHC) are more equitable and cost effective. Family medicine trains medical doctors in comprehensive PHC with knowledge and skills that are needed to increase quality of care. Family medicine is a relatively new specialty in sub-Saharan Africa. To explore the extent to which the Primafamed South-South cooperative project contributed to the development of family medicine in sub-Saharan Africa. The Primafamed (Primary Health Care and Family Medicine Education) project worked together with 10 partner universities in sub-Saharan Africa to develop family medicine training programmes over a period of 2.5 years. A SWOT (strengths, weaknesses, opportunities and threats) analysis was done and the training development from 2008 to 2010 in the different partner universities was analysed. During the 2.5 years of the Primafamed project, all partner universities made progress in the development of their family medicine training programmes. The SWOT analysis showed that at both national and international levels, the time is ripe to train medical doctors in family medicine and to integrate the specialty into health-care systems, although many barriers, including little awareness, lack of funding, low support from other specialists and reserved support from policymakers, are still present. Family medicine can play an important role in health-care systems in sub-Saharan Africa; however, developing a new discipline is challenging. Advocacy, local ownership, action research and support from governments are necessary to develop family medicine and increase its impact. The Primafamed project showed that development of sustainable family medicine training programmes is a feasible but slow process. The South-South cooperation between the ten partners and the South African departments of family medicine strengthened confidence at both national and international levels. © The Author 2014. Published by Oxford University Press.

  17. An early and enduring advanced technology originating 71,000 years ago in South Africa.

    PubMed

    Brown, Kyle S; Marean, Curtis W; Jacobs, Zenobia; Schoville, Benjamin J; Oestmo, Simen; Fisher, Erich C; Bernatchez, Jocelyn; Karkanas, Panagiotis; Matthews, Thalassa

    2012-11-22

    There is consensus that the modern human lineage appeared in Africa before 100,000 years ago. But there is debate as to when cultural and cognitive characteristics typical of modern humans first appeared, and the role that these had in the expansion of modern humans out of Africa. Scientists rely on symbolically specific proxies, such as artistic expression, to document the origins of complex cognition. Advanced technologies with elaborate chains of production are also proxies, as these often demand high-fidelity transmission and thus language. Some argue that advanced technologies in Africa appear and disappear and thus do not indicate complex cognition exclusive to early modern humans in Africa. The origins of composite tools and advanced projectile weapons figure prominently in modern human evolution research, and the latter have been argued to have been in the exclusive possession of modern humans. Here we describe a previously unrecognized advanced stone tool technology from Pinnacle Point Site 5-6 on the south coast of South Africa, originating approximately 71,000 years ago. This technology is dominated by the production of small bladelets (microliths) primarily from heat-treated stone. There is agreement that microlithic technology was used to create composite tool components as part of advanced projectile weapons. Microliths were common worldwide by the mid-Holocene epoch, but have a patchy pattern of first appearance that is rarely earlier than 40,000 years ago, and were thought to appear briefly between 65,000 and 60,000 years ago in South Africa and then disappear. Our research extends this record to ~71,000 years, shows that microlithic technology originated early in South Africa, evolved over a vast time span (~11,000 years), and was typically coupled to complex heat treatment that persisted for nearly 100,000 years. Advanced technologies in Africa were early and enduring; a small sample of excavated sites in Africa is the best explanation for any

  18. International Defensive Medicine in Neurosurgery: Comparison of Canada, South Africa, and the United States.

    PubMed

    Yan, Sandra C; Hulou, M Maher; Cote, David J; Roytowski, David; Rutka, James T; Gormley, William B; Smith, Timothy R

    2016-11-01

    Perception of medicolegal risk has been shown to influence defensive medicine behaviors. Canada, South Africa, and the United States have 3 vastly different health care and medicolegal systems. There has been no previous study comparing defensive medicine practices internationally. An online survey was sent to 3672 neurosurgeons across Canada, South Africa, and the United States. The survey included questions on the following domains: surgeon demographics, patient characteristics, physician practice type, surgeon liability profile, defensive behavior-including questions on the frequency of ordering additional imaging, laboratory tests, and consults-and perception of the liability environment. Responses were analyzed, and multivariate logistic regression was used to examine the correlation of medicolegal risk environment and defensive behavior. The response rate was 30.3% in the United States (n = 1014), 36.5% in Canada (n = 62), and 41.8% in South Africa (n = 66). Canadian neurosurgeons reported an average annual malpractice premium of $19,110 (standard deviation [SD] = $11,516), compared with $16,262 (SD = $7078) for South African respondents, $75,857 (SD = $50,775) for neurosurgeons from low-risk U.S. states, and $128,181 (SD = $79,355) for those from high-risk U.S. states. Neurosurgeons from South Africa were 2.8 times more likely to engage in defensive behaviors compared with Canadian neurosurgeons, while neurosurgeons from low-risk U.S. states were 2.6 times more likely. Neurosurgeons from high-risk U.S. states were 4.5 times more likely to practice defensively compared with Canadian neurosurgeons. Neurosurgeons from the United States and South Africa are more likely to practice defensively than neurosurgeons from Canada. Perception of medicolegal risk is correlated with reported neurosurgical defensive medicine within these countries. Copyright © 2016 Elsevier Inc. All rights reserved.

  19. The YES Africa 2011 Symposium: A Key to Developing the Future Geoscience Workforce in Africa

    NASA Astrophysics Data System (ADS)

    Nkhonjera, E.

    2011-12-01

    Africa is facing serious challenges in geoscience education. This has been as a result of absence of or very young/small Earth Science Departments in some universities (e.g., Mauritius, Namibia, Botswana, Swaziland, Malawi): Limited capacity (staff and equipment needed for practicals) to cope with the growing number of students, compounded by brain drain of academic staffs and the fact that current tertiary programmes do not seem to produce graduates suitable for the industry are some of the contributing factors to the challenges, (UNESCO-AEON Report, 2009). As such Earth Science studies in Africa have been one of the career paths that has not been promoted or highly preferred by many students. In January 2011, the YES Network African chapter was launched through the YES Africa 2011 Symposium that took place at the University of Johannesburg South Africa in Conjunction with the 23rd Colloquium of Africa Geology from the 08-14th January 2011. The YES Africa 2011 Symposium was organized by five YES African National networks from Southern, Central, Eastern and Northern Africa to bring young geoscientists from all regions of Africa together to present their research about African geoscience topics. The symposium also included roundtable discussions about increasing the involvement of youth's participation in geoscience issues in Africa, about how to increase the number of youths in African geosciences education university programs, and about how to promote geoscience careers to university students in Africa c. Roundtable discussions revealed that many African colleges and universities do not provide adequate infrastructure and resources to support the students studying in the department. As such, most students graduate with poor preparation for geoscience careers, having gained a theoretical understanding of geology, but not the practical application of the discipline. The recommendations from the YES Africa 2011 Symposium also highlighted on the best ways of

  20. Education Policy Studies in South Africa, 1995-2006

    ERIC Educational Resources Information Center

    Deacon, Roger; Osman, Ruksana; Buchler, Michelle

    2010-01-01

    This article reports on findings pertaining to scholarship in education policy drawn from a wider study on all education research in South Africa from 1995 to 2006. This study, which defined education research as broadly pertaining to teaching and/or learning, obtained extensive data from a wide range of sources, including universities, public…

  1. A Political and Social History of HIV in South Africa.

    PubMed

    Simelela, Nono; Venter, W D Francois; Pillay, Yogan; Barron, Peter

    2015-06-01

    For the past 25 years, South Africa has had to deal with the inexorable and monumental rise of HIV. From one or two isolated cases, in the late 1980s, South Africa now has an estimated 6.4 million people infected with HIV, with high rates of concomitant tuberculosis, which will profoundly affect the country for decades to come. For nearly 10 years, the South African government's response to the HIV epidemic was described as denialist, which was estimated to have resulted in the deaths of 330,000 people because lifesaving antiretroviral therapy (ART) was not provided (Chigwedere et al. J Acquir Immune Defic Syndr. 49:410-15, 2008; Heywood 2004). However, the story of the HIV and AIDS response in South Africa over the past 5 years is one of great progress after almost a decade of complex and tragic denialism that united civil society in a way not seen since the opposition to apartheid. Today, South Africa can boast of close to 3 million people on ART, by far the largest number in the world. Prevention efforts appear to be yielding results but there continues to be large numbers of new infections, with a profound peak in incidence in young women aged 15 to 24 years. In addition, infections occur across the gender spectrum in older age groups. As a result of the massive increase in access to ART after 2004 and particularly after 2008 as political will towards the HIV ART programme improved, there has been a marked increase in life expectancy, from 56 to 61 years in the period 2009-2012 alone; the aggressive expansion of the prevention of mother to child transmission (PMTCT) to HIV-positive pregnant women has been accompanied by dramatic decrease in HIV transmission to infants; and a 25 % decrease in child and infant mortality rates in the period 2009-2012. This progress in access is significantly due to a civil society movement that was prepared to pose a rights-based challenge to a governing party in denial and to brave health officials, politicians and clinicians

  2. Preliminary Bibliography on Africa South of the Sahara for Undergraduate Libraries.

    ERIC Educational Resources Information Center

    Ehrman, Edith; Morehouse, Ward

    This classified bibliography on Africa south of the Sahara and similar bibliographies on South Asia (LI 000 061) and East Asia (LI 000 881) have been compiled under the first phase of a three-year cooperative project to strengthen bibliographical resources for undergraduate libraries on "neglected" foreign areas. The bibliography in its…

  3. Mental health promotion and the prevention of mental disorders in South Africa.

    PubMed

    Petersen, I; Bhana, A; Swartz, L

    2012-11-01

    The need for greater attention to mental health promotion and the prevention of mental disorders in South Africa is highlighted by the cycle of poverty and mental ill-health, the potential for social gains, the question of affordability of treatment in the face of the increasing burden of mental disorders, and the limitations of existing treatment methods. This article, which provides a desk review of the current status of mental health promotion and prevention of mental disorders in South Africa, suggests that South Africa has a number of policies that bode well for promoting mental health from infancy through to old age. There is, however, a need for programmatic interventions to promote resilience in vulnerable populations. Of note, is the need for programmes to address maternal depression and strengthen attachment and psychosocial stimulation during infancy, strengthen families, promote health enhancing school environments, and address intimate partner violence and build health enhancing social capital. Given the multifaceted nature of risk and protective influences, the need for a multi-sectoral plan of action is highlighted.

  4. 'If they have a girlfriend, they have five girlfriends': Accountability and sexism in volunteer workers' talk about HIV/AIDS in a South African health setting.

    PubMed

    McVittie, Chris; McKinlay, Andy; Ranjbar, Vania

    2018-02-01

    Significant challenges remain in tackling the global HIV/AIDS epidemic. Effective action requires both appropriate policy at a global level and informed practice on the local level. Here, we report how workers in a project in Johannesburg, South Africa, make sense of HIV transmission. Discourse analysis of data from interviews with 63 participants shows that project workers routinely attribute transmission to men's sexual relationships with multiple female partners. This explanation is so pervasive that it renders invisible other routes to transmission. Absence of consideration of other routes to infection potentially restricts front-line practice, so hindering local attempts to tackle HIV/AIDS.

  5. Psychological distress amongst AIDS-orphaned children in urban South Africa.

    PubMed

    Cluver, Lucie; Gardner, Frances; Operario, Don

    2007-08-01

    South Africa is predicted to have 2.3 million children orphaned by Acquired Immune Deficiency Syndrome (AIDS) by 2020 (Actuarial Society of South Africa, 2005). There is little knowledge about impacts of AIDS-related bereavement on children, to aid planning of services. This study aimed to investigate psychological consequences of AIDS orphanhood in urban township areas of Cape Town, South Africa, compared to control groups of children and adolescents orphaned by other causes, and non-orphans. One thousand and twenty-five children and adolescents (aged 10-19) were interviewed using socio-demographic questionnaires and standardised scales for assessing depression, anxiety, post-traumatic stress, peer problems, delinquency and conduct problems. Controlling for socio-demographic factors such as age, gender, formal/informal dwelling and age at orphanhood, children orphaned by AIDS were more likely to report symptoms of depression, peer relationship problems, post-traumatic stress, delinquency and conduct problems than both children orphaned by other causes and non-orphaned children. Anxiety showed no differences. AIDS-orphaned children were more likely to report suicidal ideation. Compared to Western norms, AIDS-orphaned children showed higher levels of internalising problems and delinquency, but lower levels of conduct problems. Children orphaned by AIDS may be a particularly vulnerable group in terms of emotional and, to a lesser extent, behavioural problems. Intervention programs are necessary to ameliorate the psychological sequelae of losing a parent to AIDS.

  6. Ergot species of the Claviceps purpurea group from South Africa.

    PubMed

    van der Linde, Elna J; Pešicová, Kamila; Pažoutová, Sylvie; Stodůlková, Eva; Flieger, Miroslav; Kolařík, Miroslav

    2016-08-01

    Results of a survey and study of the Claviceps purpurea group of species in South Africa are being presented and five new species are described. Morphological descriptions are based on the anamorphs and four nuclear genetic loci. Claviceps fimbristylidis sp. nov. on Fimbristylis complanata was discovered wide-spread across five provinces of the country associated with water and represents the fourth Claviceps species recorded from the Cyperaceae. Claviceps monticola sp. nov. is described from Brachypodium flexum growing in mountain forests in Mpumalanga Province, as well as the northern Drakensberg southwards into the Eastern Cape Province. Claviceps pazoutovae sp. nov. is recorded from Stipa dregeana var. dregeana and Ehrharta erecta var. erecta, also associated with these mountain ranges. Claviceps macroura sp. nov. is recorded from Cenchrus macrourus from the Eastern Cape and Claviceps capensis sp. nov. from Ehrharta villosa var. villosa is recorded from the Western Cape Province. Claviceps cyperi, only recorded from South Africa is included in the study. Ergot alkaloid profiles of all species are provided and showed similarity to C. purpurea. Only C. cyperi and in lesser degree C. capensis, C. macroura, and C. pazoutovae produced ergot alkaloids in clinically significant amounts. Several reported species infect invasive grass species, native to South Africa, and thus represent potentially invasive species. Copyright © 2016 British Mycological Society. Published by Elsevier Ltd. All rights reserved.

  7. The cushion–star Parvulastra exigua in South Africa: one species or more?

    PubMed Central

    Payne, Robyn P.; Griffiths, Charles L.; von der Heyden, Sophie; Koch, Erich

    2015-01-01

    Abstract The cushion–star Parvulastra exigua (Lamarck, 1816) is a widely distributed member of the temperate intertidal fauna in the southern hemisphere. In South Africa, it occurs in sympatry with the endemic Parvulastra dyscrita (Clark, 1923), the two species being differentiated predominantly by gonopore placement. Several recent studies have suggested that there may be additional cryptic species within the Parvulastra exigua complex in South Africa, based variously on color morphology, genetic evidence and the differential placement of the gonopores. This paper attempts to resolve whether one or more species are represented within Parvulastra exigua. A total of 346 Parvulastra exigua and 8 Parvulastra dyscrita were collected from sites on the west and south–west coasts of South Africa; morphological, anatomical and genetic analyses were performed to determine whether cryptic species and/or Parvulastra exigua specimens with aboral gonopores were present. Results show that neither cryptic species nor Parvulastra exigua specimens with aboral gonopores occur at these sites. This study thus refutes previous claims of the existence of aboral gonopores in South African Parvulastra exigua, and suggests that a single species is represented. The distinction between Parvulastra exigua and Parvulastra dyscrita is also confirmed, and features separating these two species are clarified and documented. PMID:26478703

  8. Prevalence and incidence of Entamoeba histolytica infection in South Africa and Egypt.

    PubMed

    Stauffer, William; Abd-Alla, Mohamed; Ravdin, Jonathan I

    2006-02-01

    There are little data on the true prevalence and incidence of Entamoeba histolytica infection in Africa. This is due to the inability, historically, to differentiate Entamoeba histolytica from the more common, but non-pathogenic, Entamoeba dispar. In addition, newer studies have demonstrated that the previous gold standard, culture with zymodeme analysis, is insensitive in detecting the presence of infection, especially when compared to PCR. Recent published articles as well as data from the authors' previous work are reviewed and summarized to elucidate what is known about prevalence and incidence of Entamoeba histolytica in Africa. The majority of data on asymptomatic infection are published from South Africa, Egypt and Cote d'Ivoire. Egypt has high rates of asymptomatic infection detected in the stool (>21%), whereas South Africa and Cote d'Ivoire rates range between 0 and 2%. Seroprevalence estimates the rate of recent infection, because anti-amebic antibodies generally persist for <5 years. Seropositivity rates (IgG, IgA) range from approximately 10 to 20%, indicating recent infection in this proportion of the population. Entamoeba histolytica infects a significant proportion of many populations of Africa; however, little data are currently available to indicate true prevalence and incidence. Further studies are needed to determine the burden of infection and disease in Africa.

  9. Lessons Learnt from Teachers' Perspectives on Mobile Learning in South Africa with Cultural and Linguistic Constraints

    ERIC Educational Resources Information Center

    Jantjies, Mmaki; Joy, Mike

    2016-01-01

    South Africa's classrooms are characterised by a wide variety of cultural and linguistic differences, providing teachers with educational challenges, particularly in mathematics and science subjects. In response, various mobile learning systems have been developed and piloted in the North West and Gauteng Provinces of South Africa. A framework has…

  10. Influence of Surface Processes over Africa on the Atlantic Marine ITCZ and South American Precipitation.

    NASA Astrophysics Data System (ADS)

    Hagos, Samson M.; Cook, Kerry H.

    2005-12-01

    Previous studies show that the climatological precipitation over South America, particularly the Nordeste region, is influenced by the presence of the African continent. Here the influence of African topography and surface wetness on the Atlantic marine ITCZ (AMI) and South American precipitation are investigated.Cross-equatorial flow over the Atlantic Ocean introduced by north south asymmetry in surface conditions over Africa shifts the AMI in the direction of the flow. African topography, for example, introduces an anomalous high over the southern Atlantic Ocean and a low to the north. This results in a northward migration of the AMI and dry conditions over the Nordeste region.The implications of this process on variability are then studied by analyzing the response of the AMI to soil moisture anomalies over tropical Africa. Northerly flow induced by equatorially asymmetric perturbations in soil moisture over northern tropical Africa shifts the AMI southward, increasing the climatological precipitation over northeastern South America. Flow associated with an equatorially symmetric perturbation in soil moisture, however, has a very weak cross-equatorial component and very weak influence on the AMI and South American precipitation. The sensitivity of the AMI to soil moisture perturbations over certain regions of Africa can possibly improve the skill of prediction.

  11. Nursing education reform in South Africa--lessons from a policy analysis study.

    PubMed

    Blaauw, Duane; Ditlopo, Prudence; Rispel, Laetitia C

    2014-01-01

    Nursing education reform is identified as an important strategy for enhancing health workforce performance, and thereby improving the functioning of health systems. Globally, a predominant trend in such reform is towards greater professionalisation and university-based education. Related nursing education reform in South Africa culminated in a new Framework for Nursing Qualifications in 2013. We undertook a policy analysis study of the development of the new Nursing Qualifications Framework in South Africa. We used a policy analysis framework derived from Walt and Gilson that interrogated the context, content, actors, and processes of policy development and implementation. Following informed consent, in-depth interviews were conducted with 28 key informants from national and provincial government; the South African Nursing Council; the national nursing association; nursing academics, managers, and educators; and other nursing organisations. The interviews were complemented with a review of relevant legislation and policy documents. Documents and interview transcripts were coded thematically using Atlas-ti software. The revision of nursing qualifications was part of the post-apartheid transformation of nursing, but was also influenced by changes in the education sector. The policy process took more than 10 years to complete and the final Regulations were promulgated in 2013. The two most important changes are the requirement for a baccalaureate degree to qualify as a professional nurse and abolishing the enrolled nurse with 2 years training in favour of a staff nurse with a 3-year college diploma. Respondents criticised slow progress, weak governance by the Nursing Council and the Department of Health, limited planning for implementation, and the inappropriateness of the proposals for South Africa. The study found significant weaknesses in the policy capacity of the main institutions responsible for the leadership and governance of nursing in South Africa, which

  12. African Indigenous Knowledge Systems and Relevance of Higher Education in South Africa

    ERIC Educational Resources Information Center

    Kaya, Hassan O.; Seleti, Yonah N.

    2013-01-01

    The higher education system in Africa and South Africa in particular, is still too academic and distant from the developmental challenges of African local communities. The integration of African indigenous knowledge systems (AIKS) into the higher educational system could improve its relevance. This is due to the holistic, community-based nature…

  13. Research and reform are priorities for South Africa's new AIDS chiefs.

    PubMed

    Hambridge, M

    1995-06-01

    Beginning her political career as vice-president of the South Africa Students' Organization, Dr. Nkosazana Zuma has recently been appointed Minister of Health of South Africa. Zuma's appointment reflects her prominent role as an African National Congress (ANC) activist during apartheid, as well as her solid credentials and qualifications for the position. Dr. Zuma has been Director of the Health Refugee Trust, a scientist focused mainly upon AIDS at the Medical Research Council, and head of the ANC Women's League in Southern Natal over the period 1991-94. South African President Nelson Mandela has charged her with restructuring a fragmented and mainly urban-based health system so that all South Africans have access to affordable health care. To that end, Minister Zuma has thus far introduced free health care for children under six and for pregnant women, and a primary school nutrition scheme expected to reach four million children. AIDS has been given high priority. A National AIDS Plan has been adopted with regions given help in developing implementation plans. More money as well as private-public sector collaboration are, however, needed to accomplish the goals of the National Plan. Quarraisha Abdool Karim was appointed in January 1995 by Minister Zuma as the first National AIDS Director of the new South Africa. She is committed to reforming the health system and using intervention-based research as the main tool of change. Karim's extensive background in AIDS research, her involvement in the development of the National AIDS Plan, and her reputation as a campaigner for health reform make her an ideal candidate for the job. She helped draft the national AIDS strategy designed to meet the needs of women, and in 1991 helped establish an AIDS plan for KwaZulu/Natal which was subsequently integrated into the National AIDS Committee of South Africa (NACOSA). Karim's research has earned international acclaim. Among others, she also received a grant from the US National

  14. Dangerous to mix: culture and politics in a traditional circumcision in South Africa.

    PubMed

    Banwari, Meel

    2015-03-01

    Traditional circumcision (initiation) is an integral part of the Xhosa speaking communities. Circumcision is the first step towards manhood. It involves a number of cultural, religious, legal and ethical issues, which in terms of the constitution of the Republic of South Africa, are rights that must be protected. To highlight the problem of circumcision related death in South Africa. This case report examines a 16- year boy who had died as result of botched circumcision by an unqualified traditional surgeon. He kept the boy in his custody despite his serious illness. He applied a tight bandage to control the bleeding, resulting in gangrene of the penis followed by septicemia. The histories, postmortem findings, cause of death and medico- legal and social aspects have been discussed in this manuscript. There are unacceptable deaths related with circumcision in South Africa. The right to life cannot be sacrificed at the altar of culture and politics.

  15. "I get hungry all the time": experiences of poverty and pregnancy in an urban healthcare setting in South Africa.

    PubMed

    Scorgie, Fiona; Blaauw, Duane; Dooms, Tessa; Coovadia, Ashraf; Black, Vivian; Chersich, Matthew

    2015-08-25

    For pregnancy to result in a healthy mother and infant, women require adequate nutrition and to be able to access antenatal care, both of which require finances. While most women working in the formal sector in South Africa obtain some form of maternity leave, unemployed women receive no such support. Additional interventions in the form of expanded social assistance to vulnerable pregnant women are needed. To help inform such an approach, we undertook a series of qualitative interviews with low-income pregnant women in Johannesburg. Qualitative, in-depth interviews were held with 22 pregnant women at a public sector antenatal clinic in Johannesburg in 2011 to gather data on their greatest needs and priorities during pregnancy, their access to financial resources to meet these needs, and the overall experience of poverty while pregnant. A total of 22 women were interviewed, 5 of whom were primagravid. One woman was in the first trimester of pregnancy, while nine were almost full-term. All but one of the pregnancies were unplanned. Most participants (15/22) were unemployed, two were employed and on paid maternity leave, and the remaining five doing casual, part-time work. In most cases, pregnancy reduced participants' earning potential and heightened reliance on their partners. Women not living with the father of their children generally received erratic financial support from them. The highest monthly expenses mentioned were food, accommodation and transport costs, and shortfalls in all three were reportedly common. Some participants described insufficient food in the household, and expressed concern about whether they were meeting the additional dietary requirements of pregnancy. Preparing for the arrival of a new baby was also a considerable source of anxiety, and was prioritized even above meeting women's own basic needs. Though pregnancy is a normal life occurrence, it has the potential to further marginalise women and children living in already vulnerable

  16. The International Classification of Function Disability and Health (ICF) in adults visiting the HIV outpatient clinic at a regional hospital in Johannesburg, South Africa.

    PubMed

    Van As, Melissa; Myezwa, Hellen; Stewart, Aimee; Maleka, Douglas; Musenge, Eustasius

    2009-01-01

    In 2005, 16.6% of South Africans between 15 and 49 years of age were HIV positive. The advent of anti-retroviral therapy has led to improved longevity, CD4 counts and clinical well-being of people living with HIV/AIDS (PLWHA). Physical impairments, activity limitations and participation restrictions of PLWHA have profound effects on the Health-related Quality of Life and functional abilities of those with the disease, and understanding thereof may assist in the formulation of rehabilitation protocols, health care interventions as well as vocational and legislative policies. The International Classification of Function, Disability and Health (ICF) is a standardised tool, endorsed by the World Health Assembly for international use, which aims to classify functioning and disability. It is structured to assess body functions and structure, functional activities and associated personal and environmental factors.This study aimed to develop a profile of the level of functional activity, using the ICF Checklist, of an urban cohort of 45 South African individuals who are HIV positive attending an outpatient clinic at the Helen Joseph Memorial Hospital, Gauteng, South Africa. The results showed a high prevalence of physical impairments, participation restrictions and selective activity limitations and that environmental factors influence their level of ability. Specific impairments where patients had problems were mental functions (69% (n=31), sensory and pain -- 71% (n=32), digestive and metabolic functions 45% (n=20) and neuromuscular 27% (n=12). Activity limitations included major life areas' 58% (n=26), interpersonal relationships 56% (n=25), mobility 40% (n=18) and general tasks and demands 38% (n=17). Limitations in mobility were significantly associated with problems of sensory functions (p=0.05), pain (p=0.006), neuromusculoskeletal and movement-related functions (p=0.006), muscle power (p=0.006) as well as energy and drive functions (p=0.001). The study identifies

  17. South Africa. Weather and Climate. Section 23

    DTIC Science & Technology

    1972-01-01

    UNCLASSIFIED AD NUMBER LIMITATION CHANGES TO: FROM: AUTHORITY THIS PAGE IS UNCLASSIFIED ADB184546 Approved for public release; distribution is...and south and the Interaction between year-round high pressure over the in the etrly lo the ansourh an udjolning oceans and seasonally changing ...rapahy of ’Sulaharaa Africa. Climaate Stathiics. W.B. 19. Pletaria: Govt. Printer. Chaiago: Hland WcNally & Co. 1004. 1954. S. CIUwTr BITAIN, Ains MININTSY

  18. Ecological association between HIV and concurrency point-prevalence in South Africa's ethnic groups.

    PubMed

    Kenyon, Chris

    2013-11-01

    HIV prevalence between different ethnic groups within South Africa exhibits considerable variation. Numerous authors believe that elevated sexual partner concurrency rates are important in the spread of HIV. Few studies have, however, investigated if differential concurrency rates could explain differential HIV spread within ethnic groups in South Africa. This ecological analysis, explores how much of the variation in HIV prevalence by ethnic group is explained by differential concurrency rates. Using a nationally representative survey (the South African National HIV Prevalence, HIV Incidence, Behaviour and Communication Survey, 2005) the HIV prevalence in each of eight major ethnic groups was calculated. Linear regression analysis was used to assess the association between an ethnic group's HIV prevalence and the point-prevalence of concurrency. Results showed that HIV prevalence rates varied considerably between South Africa's ethnic groups. This applied to both different racial groups and to different ethnic groups within the black group. The point-prevalence of concurrency by ethnic group was strongly associated with HIV prevalence (R(2) = 0.83; p = 0.001). Tackling the key drivers of high HIV transmission in this population may benefit from more emphasis on partner reduction interventions.

  19. Youth in the New South Africa. Towards Policy Formulation. Main Report of the Co-operative Research Programme: South African Youth.

    ERIC Educational Resources Information Center

    Van Zyl Slabbert, F., Ed.; And Others

    In view of the sweeping political and social changes in South Africa, the Human Sciences Research Council and other agencies established the Co-operative Research Programme: South African Youth, a program to undertake research on the problems, challenges, and opportunities facing South African youth. This report presents the information base of…

  20. Fluid Identity Construction in Language Contact Zones: Metacognitive Reflections on "Kasi-Taal" Languaging Practices

    ERIC Educational Resources Information Center

    Makalela, Leketi

    2014-01-01

    This study investigated how semi-urban, multi-ethnic and multilingual students in the city of Johannesburg, South Africa, negotiate their new identities through languaging experiences. Metacognitive reflections of their recreated language spaces were collected through 20 written narratives, which were analysed using a universalist reductionist…

  1. Elusive Equity in Doctoral Education in South Africa

    ERIC Educational Resources Information Center

    Herman, Chaya

    2011-01-01

    This paper explores the drive to expand the quantity and quality of PhD's in South Africa and the impact this has had on under-represented groups, in particular black graduates. Based on both qualitative and quantitative data, the paper argues that while there has been a significant increase in the number of black students in doctoral education,…

  2. Curriculum, Knowledge, and the Idea of South Africa

    ERIC Educational Resources Information Center

    Soudien, Crain

    2015-01-01

    South Africa is an important social space in world history and politics for understanding how the modern world comes to deal with the questions of social difference, and the encounter of people with different civilizational histories. In this essay I argue that a particular racial idea inflected this encounter. One of the ways in which this…

  3. Women Principals in Small Schools in South Africa

    ERIC Educational Resources Information Center

    Lumby, Jacky; Azaola, Cristina

    2011-01-01

    South Africa presents a distinctive and varied context in which to explore the experience of women principals. The article draws on a larger data set to explore the interplay of gender and school size in seven schools with 200 students or fewer. From this study, we conclude that gender remains a potent influence on the career and experience of…

  4. Teaching about Heterosexism: Challenging Homophobia in South Africa

    ERIC Educational Resources Information Center

    Francis, Dennis; Msibi, Thabo

    2011-01-01

    This article, a critical review of a module on heterosexism and homophobia, sets out the challenges to be overcome if the oppressive conditions for lesbian, gay, and bisexual students and teachers in South Africa are to be changed. It draws on evidence from student assignments, records of participatory discussions and the notes of the authors, who…

  5. South African HIV/AIDS programming overlooks migration, urban livelihoods, and informal workplaces.

    PubMed

    Vearey, Jo; Richter, Marlise; Núñez, Lorena; Moyo, Khangelani

    2011-01-01

    South Africa has the largest population of people living with HIV globally and is associated with high population mobility. The majority of migrants move in search of improved livelihood opportunities, and many who migrate (both internally and across borders) move into urban areas, often through peripheral informal settlements where HIV prevalence is shown to be double that of urban formal areas. While the relationship between migration and the spread of HIV is acknowledged as complex, the context of migration may place individuals at increased risk for acquiring HIV. Studies have demonstrated the long-wave impact of HIV and AIDS on livelihood activities and, more recently, on patterns of migration. Many migrants engage in livelihood strategies situated within the urban 'informal economy'; these informal workplaces are often overlooked in global and national legislation governing workplace responses to health and HIV and AIDS. This study draws on existing research and limited primary data to explore the implications of HIV/AIDS programming for diverse migrant groups labouring in informal workplaces in Johannesburg, South Africa. We describe three case studies: waste-pickers at a dumpsite in a peripheral urban informal settlement; barmen and cleaners working in inner-city hotels where sex is also sold; and, migrants engaged in informal livelihood activities who are also members of burial societies. Given the importance of varied informal livelihood activities for diverse migrant groups, particularly in urban areas of South Africa, we propose that the national HIV/AIDS response can and should engage with internal and cross-border migrants in informal workplaces - which is in line with the principle of universal access and will strengthen the national response. Especially, we point out the potential for burial societies to provide an entry point for HIV/AIDS programming that targets migrant groups involved in the informal economy of South African cities.

  6. Enhancing Critical Consciousness through a Cross-Cultural Immersion Experience in South Africa

    ERIC Educational Resources Information Center

    Choi, Kyoung Mi; VanVoorhis, Richard W.; Ellenwood, Audrey E.

    2015-01-01

    Using phenomenological approaches, the author explored the meanings and essences of a cross-cultural immersion experience in South Africa among counseling master's-level students. Five core themes--the meaning of being American, sociopolitical awareness, engagement with South Africans and their communities, appreciation of life, and commitment to…

  7. Challenges in Pre-Tertiary Education in South Africa: Is School Social Work Part of the Solution?

    ERIC Educational Resources Information Center

    Pretorius, Edmarié

    2016-01-01

    Schools are seen as primary contributors to the social development of learners. Apart from the questionable quality of education in South Africa, the developmental and social challenges faced by learners and educators within schools in South Africa are diverse. These challenges fall within the domain of social work practice. For more than a…

  8. Students' Engagement with Engagement: The Case of Teacher Education Students in Higher Education in South Africa

    ERIC Educational Resources Information Center

    Osman, Ruksana; Petersen, Nadine

    2010-01-01

    Public engagement is one of the three legs which support and underpin a restructured and transformed post-apartheid higher education system in South Africa (along with teaching and research). This third sector role of higher education is widely implemented in South Africa and is described differently by different institutions and entails a diverse…

  9. Empowering Adults through Literacy Education in South Africa: Activities at the University of Natal at Pietermaritzburg.

    ERIC Educational Resources Information Center

    Van Heerden, Gwyneth; And Others

    1991-01-01

    Five brief articles from a journal published by the Public Affairs Department of the University of Natal, South Africa, discuss issues related to empowering adults through literacy education in that country. "Meeting Needs" (Gwyneth van Heerden) describes the extent and nature of adult illiteracy in South Africa and the activities of the…

  10. Mission, Science, and Race in South Africa; AW Roberts of Lovedale 1883-1938

    NASA Astrophysics Data System (ADS)

    Glass, I.S.

    2016-02-01

    Book Review: Biography of Alexander William Roberts. Noted educator, variable star observer and politician who represented South African "natives" in the parliament of the Union of South Africa at a time when they had no other representation.

  11. Trauma Exposures and Posttraumatic Stress among Zimbabwean refugees in South Africa

    PubMed Central

    Idemudia, Erhabor S.; Williams, John K.; Madu, Sylvester N.; Wyatt, Gail E.

    2014-01-01

    Zimbabwean refugees can be considered a vulnerable group in terms of how they are displaced with many of them having lived through hardships on their way to South Africa and other African countries. Zimbabwe is known to be Africa’s most extraordinary producer of migrants and the biggest producer of refugees in Southern Africa. It is estimated that 3.4 million Zimbabweans, a quarter of the country’s population, have fled the country. Economic collapse, hunger and political repression have been blamed for the mass exodus. The present study examines the impact of trauma exposures (pre- and post-migration stressors and poor mental health) on posttraumatic stress disorder (PTSD) among homeless Zimbabwean refugees living in South Africa. Through a guided convenient sampling, in-depth interviews using questionnaires were collected from 125 homeless Zimbabwean refugees in Polokwane, Limpopo Province, South Africa. The study was anchored on the hypothesis that predictor variables (pre- and post- migration stressors, poor mental health) would significantly affect outcomes (PTSD). Participants were assessed on demographic variables, pre- and post-migration difficulties checklists, mental health using the General Health Questionnaire (GHQ-28) and the PTSD Checklist (Civilian Version (PCL). Participants ranged from 18 to 48 years with a mean age of 28.3 years (SD = 6.27). The majority of the sample had at least a secondary education (76.8%) and were employed as unskilled labourers (61.6%) in South Africa. Being married was reported by 54.4% in Zimbabwe but changed to only 19.2% in South Africa. Hierarchical multiple regression analyses showed that the overall model significantly predicted PTSD among homeless Zimbabweans (R2 = 0.17, adjusted R2 = 0.11, F (6, 124) = 2.960, p < .01). Thus, the entire set of pre- and post-migration variables (Post total stress, PreThreat to life, Presexabuse, PrePoverty, Postsexabuse, Postpoverty and two mental health symptoms (Anxiety and

  12. Achieving the health Millennium Development Goals for South Africa: challenges and priorities.

    PubMed

    Chopra, Mickey; Lawn, Joy E; Sanders, David; Barron, Peter; Abdool Karim, Salim S; Bradshaw, Debbie; Jewkes, Rachel; Abdool Karim, Quarraisha; Flisher, Alan J; Mayosi, Bongani M; Tollman, Stephen M; Churchyard, Gavin J; Coovadia, Hoosen

    2009-09-19

    15 years after liberation from apartheid, South Africans are facing new challenges for which the highest calibre of leadership, vision, and commitment is needed. The effect of the unprecedented HIV/AIDS epidemic has been immense. Substantial increases in mortality and morbidity are threatening to overwhelm the health system and undermine the potential of South Africa to attain the Millennium Development Goals (MDGs). However The Lancet's Series on South Africa has identified several examples of leadership and innovation that point towards a different future scenario. We discuss the type of vision, leadership, and priority actions needed to achieve such a change. We still have time to change the health trajectory of the country, and even meet the MDGs. The South African Government, installed in April, 2009, has the mandate and potential to address the public health emergencies facing the country--will they do so or will another opportunity and many more lives be lost?

  13. Africans and the myth of rural retirement in South Africa, ca 1900-1950.

    PubMed

    MacKinnon, Aran S

    2008-06-01

    The South African mining industry relied upon a massive African migrant workforce from the rural areas. Rural transformations in this migrant labor system form an important part of the story of developing capitalism in industrializing South Africa. Yet, recent historical studies on southern African migrant and rural wage labor have paid little attention to life adjustments made by the elderly and those 'burned out' by the mines and forced to leave formal wage employment in the urban areas. The South African segregationist state's rhetoric implied that 'retired' Africans could find economic security in their designated rural reserves. Indeed, legislation sought to prohibit Africans who were not employed from remaining in the 'white' urban areas. By the 1930s, however, the reserves were rapidly deteriorating. Many elderly Africans could not retire and were forced to seek wage labor. This raises significant questions about how retirement came to be defined and experienced by Africans in South Africa during a critical period of dramatic economic decline in the 1930s and 40s, and what the underlying material circumstances of African South Africans were with regard to adaptations to employment and ageing-related life changes. In many cases, elderly Africans were forced to forgo retirement, and find wage labor, usually in the most poorly paid, least sought-after or dangerous fields of employment. This article thus seeks to illuminate critical generational dimensions of the impact of segregation and racism in South Africa prior to the formal articulation of Apartheid.

  14. Private sector health reform in South Africa.

    PubMed

    Van Den Heever, A M

    1998-06-01

    This paper discusses some of the trends, debates and policy proposals in relation to the financing of the private health sector in South Africa. The public and private sectors in South Africa are of equivalent size in terms of overall expenditure, but cover substantially different population sizes. Within this context the government has reached the unavoidable conclusion that the private sector has to play some role in ensuring that equity, access and efficiency objectives are achieved for the health system as a whole. However, the private sector is some way off from taking on this responsibility. Substantial increases in per capita costs over the past 15 years, coupled with a degree of deregulation by the former government, have resulted in increasing instability and volatility. The development of a very competitive medical scheme (health insurance) market reinforced by intermediaries with commercial interests has accelerated trends toward excluding high health risks from cover. The approach taken by the government has been to define a new environment which leaves the market open for extensive competition, but removes from schemes the ability to compete by discriminating against high health risks. The only alternatives left to the private market, policy makers hope, will be to go out of business, or to survive through productivity improvements.

  15. Psychology in South Africa and the end of history.

    PubMed

    Long, Wahbie

    2016-08-01

    Shortly before the end of apartheid rule in South Africa, Kurt Danziger (1994) asked whether the history of psychology had a future. In the 21 years that have since elapsed, the question retains its original significance. In this article, the state of the field in postapartheid South Africa is examined. Several key trends are identified, including a declining historical consciousness and a revival of Whig historiography. It is argued that the resulting lack of a critical history of postapartheid psychology is in keeping with the unassailability of the equivalent period in official state discourse. In view of an emerging consensus that the country is on the brink of another political watershed, it is suggested that the revival of the field may yet be possible. This will require a turn to histories of the present with a focus on the growing problem of co-option. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  16. Building on Experience: A Formative Evaluation of a Peer Education Sexual Health Project in South Africa

    ERIC Educational Resources Information Center

    Warwick, Ian; Aggleton, Peter

    2004-01-01

    In South Africa, as elsewhere in the world, the promise of peer education as a means of promoting sexual health has contributed to its increasing popularity. While structural and organisational constraints can compromise the success of peer education, many of those involved in modest local programmes in South Africa are able to address the sexual…

  17. Prospects and Pitfalls: A Review of Post-Apartheid Education Policy Research and Analysis in South Africa

    ERIC Educational Resources Information Center

    Spreen, Carol Anne; Vally, Salim

    2010-01-01

    The 10-year anniversary of the first democratic elections in South Africa in 2004 provoked much reflection and fuelled new policy debates on both the progress and failures of educational reform. While a myriad of achievements have been touted and are well-known to international audiences, a swelling critique from inside South Africa shows that…

  18. Increasing Employability by Implementing a Work-Integrated Learning Partnership Model in South Africa--A Student Perspective

    ERIC Educational Resources Information Center

    Taylor, Susanne; Govender, Cookie M.

    2017-01-01

    In South Africa, 70 per cent of the population is under 35 years old. South Africa has a vision to increase youth employment by focusing on education, training and skills development that will promote employment opportunities. A work-integrated learning (WIL) partnership model was developed to provide students with work experience and to increase…

  19. Moving Across Boundaries: Migration in South Africa, 1950–2000

    PubMed Central

    2013-01-01

    Existing knowledge about historical patterns of black internal migration in South Africa is incomplete, primarily because of the lack of good life course studies as well as the apartheid government’s suppression and censoring of data. This article provides a comprehensive picture of historical internal migration patterns with an analysis of a unique individual retrospective life history data set. This sample of the black population, collected in 2000, is the only known nationally representative life history data for South Africa; it includes all residential moves for each individual during his/her lifetime. Various mobility outcomes are analyzed: moves within/across provinces, moves within/across rural and urban areas, forced moves, moves with a nuclear family, and individual moves. The results indicate that migration significantly increased among black South Africans during the last half of the twentieth century, and that this increase began before the Pass Laws were repealed in 1986 and well before the official end of apartheid in 1991 or the first free election in 1994. The timing of this increase in migration rates suggests that migration in defiance of the Pass Laws (albeit a dangerous and desperate proposition) was a way of life for many black South Africans. PMID:22956415

  20. South Africa: ANC Youth League President found guilty of hate speech.

    PubMed

    Sinclair, Kelly

    2010-06-01

    On 15 March 2010, the Johannesburg Equality Court found African National Congress (ANC) Youth League President Julius Malema guilty of hate speech and harassment for his comments regarding rape survivors.

  1. Conceptualizing Biopolitics: Citizen-State Interactions in the Securing of Water Services in South Africa.

    PubMed

    Bulled, Nicola

    2015-01-01

    Despite constitutional obligations to provide clean water to all citizens in South Africa, access to water and related services remains highly contested. The discord between constitutional promises and lived realities of water access, particularly through national infrastructure, provides a platform on which to examine Foucauldian notions of biopolitics, the control of populations through technologies of governing. Drawing on the situations of residents in the rural Vhembe district in the north eastern corner of the country, I examine how individuals conceptualize the relationship that exists between citizen and state and the responsibilities of each in post-Apartheid South Africa as it relates to water access. In addition, I describe strategies employed throughout South Africa to voice rights to water and how these approaches are perceived. Finally, I consider how the three primary forms of 'water citizenship'-citizen, agent, and subject-influence the current and future health of vulnerable residents.

  2. Chronic diseases are not being managed effectively in either high-risk or low-risk populations in South Africa.

    PubMed

    Brand, Martin; Woodiwiss, Angela J; Michel, Frederic; Booysens, Hendrik L; Majane, Olebogeng H I; Maseko, Muzi J; Veller, Martin G; Norton, Gavin R

    2013-07-29

    Primary healthcare is the foundation of a country's healthcare system. Without an efficient and cost-effective programme, the level of healthcare offered across all levels of health management is adversely affected. To analyse the effectiveness of the management of hypertension and diabetes mellitus (DM) among two distinct patient populations, one with significant cardiovascular risk factors and the other without. We performed a case control study of a high-risk group of patients presenting with chronic critical limb ischaemia (CLI) to the Divisions of Vascular Surgery at Charlotte Maxeke Johannesburg Academic Hospital and Chris Hani Baragwanath Academic Hospital, and a randomly selected group of 'healthy' community participants from Johannesburg's South Western Townships (Soweto). We assessed 217 patients with CLI and 1 030 participants from the community. We assessed the number of patients who were not achieving their therapeuatic targets, among those known to be hypertensive (CLI: 44.7%; community: 59.9%) and diabetic (CLI: 83.5%; community: 66%). Undiagnosed diabetes affected 10.8% of patients with CLI and 11% of the community sample. Traditional vascular risk factors are managed poorly at both primary healthcare and at tertiary care levels. There is a need to identify factors that will address this issue.

  3. Report of the 7th African Rotavirus Symposium, Cape Town, South Africa, 8th November 2012.

    PubMed

    Seheri, L M; Mwenda, J M; Page, N

    2014-11-12

    The 7th African Rotavirus Symposium was held in Cape Town, South Africa, on the 8th November 2012 as a Satellite Symposium at the First International African Vaccinology Conference. Over 150 delegates participated in this symposium including scientists, clinicians, health officials, policymakers and vaccine manufacturers from across Africa. Key topics discussed included rotavirus surveillance, rotavirus vaccine introduction, post rotavirus vaccine impact analysis and intussusception data and surveillance in Africa. The symposium provided early rotavirus vaccine adopter countries in Africa (South Africa, Ghana and Botswana) an opportunity to share up-to-date information on vaccine introduction, and allowed colleagues to share experiences in establishing routine rotavirus surveillance (Tanzania, Niger and Rwanda). Overall, the symposium highlighted the high burden of rotavirus in Africa, and the need to continue to strengthen efforts in preventing rotavirus diarrhoea in Africa. Copyright © 2014. Published by Elsevier Ltd.. All rights reserved.

  4. South Africa after Apartheid: Recent Developments and Future Prospects.

    ERIC Educational Resources Information Center

    Brook, Diane L.

    1997-01-01

    Profiles the process of South Africa's transformation into a democracy. Outlines the many characteristics of the transition from white to majority rule, such as the attempt to achieve catharsis and bury the apartheid past through a process of amnesty and reconciliation. Describes the remaining obstacles to that transition. (MJP)

  5. Diverse Perceptions of Cross-Racial Adoption in South Africa

    ERIC Educational Resources Information Center

    Tanga, Pius T.; Nyasha, Kausi

    2017-01-01

    Purpose: This study explored the perceptions of stakeholders regarding the practice of cross-racial adoption (CRA) in East London, South Africa. Method: A qualitative research design was used. Data were collected through individual interviews and focus group discussions from 23 participants. The data were analyzed qualitatively, using thematic…

  6. Lost Horizons: The Humanities in South Africa (Part 1)

    ERIC Educational Resources Information Center

    Vale, Peter

    2008-01-01

    Politics chartered the development of the Humanities in South Africa. Under the apartheid system three separate traditions--English-speaking, Afrikaner and Homeland--co-existed, albeit uneasily, in separate institutional forms. As apartheid crumbled in the 1980s, the Humanities, by drawing the three traditions together, established a growing voice…

  7. Challenges Facing Students Entering Higher Education in South Africa.

    ERIC Educational Resources Information Center

    Clark, Catherine

    2000-01-01

    States that institutions of higher education in South Africa are in a process of redressing apartheid inequalities. Discusses how the University of Port Elizabeth in particular has addressed post-apartheid issues such as student under-preparedness, widening access, instability on campus, high student debt levels, declining enrollments, and…

  8. South Africa's Economic Development Trajectory: Implications for Skills Development

    ERIC Educational Resources Information Center

    Mayer, Marina J.; Altman, Miriam

    2005-01-01

    This article argues that skills development in South Africa must be aligned to the economic and political imperatives of reducing unemployment and poverty, while fostering growth and international competitiveness. The legacy of a resource-based economy, overlaid by apartheid policies, has resulted in widespread poverty, inequality and unemployment…

  9. Institutionalising Teacher Clusters in South Africa: Dilemmas and Contradictions

    ERIC Educational Resources Information Center

    Jita, Loyiso C.; Mokhele, Matseliso L.

    2012-01-01

    Increasingly, teacher clusters are being used as a substitute for the more traditional approaches to the professional development of teachers. With this goal in mind, many provincial education departments in South Africa have sought to institutionalise and encourage the formation of teacher clusters as vehicles for the continuing professional…

  10. Implementing community-based education in basic nursing education programs in South Africa.

    PubMed

    Mtshali, N G

    2009-03-01

    Education of health professionals using principles of community-based education is the recommended national policy in South Africa. A paradigm shift to community-based education is reported in a number of nursing education institutions in South Africa. Reviewed literature however revealed that in some educational institutions planning, implementation and evaluation of Community-based Educational (CBE) programmes tended to be haphazard, uncoordinated and ineffective, resulting in poor student motivation. Therefore the purpose of this study was to analyse the implementation of community-based education in basic nursing education programmes in South Africa. Strauss and Corbin's (1990) grounded theory approach guided the research process. Data were collected by means of observation, interviews and document analysis. The findings revealed that collaborative decision-making involving all stakeholders was crucial especially during the curriculum planning phase. Furthermore, special criteria should be used when selecting community learning sites to ensure that the selected sites are able to facilitate the development of required graduate competencies. Collaborative effort, true partnership between academic institutions and communities, as well as government support and involvement emerged as necessary conditions for the successful implementation of community-based education programmes.

  11. Community readiness for adolescents' overweight and obesity prevention is low in urban South Africa: a case study.

    PubMed

    Pradeilles, Rebecca; Rousham, Emily K; Norris, Shane A; Kesten, Joanna M; Griffiths, Paula L

    2016-08-11

    South Africa is undergoing epidemiological and nutrition transitions with associated increases in the incidence of overweight, obesity and diet-related chronic diseases. With the emergence of the nutrition transition in South Africa, there is an urgent need for interventions to prevent overweight and obesity in children and adolescents as risk factors for chronic diseases in adolescence may track throughout later life. This research explored the potential for faith-based organisations (FBOs) to be used as community organisations for overweight and obesity prevention interventions in adolescents by assessing the readiness of religious leaders to engage in such interventions. Surveys and focus group discussions (FGDs) were conducted with 51 religious leaders in Johannesburg and Soweto. The Community Readiness Model (CRM) survey was chosen to determine the stage of readiness of this community regarding overweight and obesity prevention. Six different dimensions were assessed in the CRM (community efforts, knowledge of efforts, leadership, community climate, knowledge of the issue, resources). The surveys were scored according to the CRM protocol. The survey data were supplemented with findings from FGDs. Thematic analysis was used to analyse the FGDs. The mean community readiness score was 2.57 ± 0.76 which equates with the "denial/resistance stage". The mean readiness score for resources was the highest of all the dimensions (3.77 ± 0.28), followed by knowledge of the issue (3.20 ± 0.51). The lowest score was seen for community knowledge of efforts (1.77 ± 1.50), followed by community climate (2.00 ± 0.64). FGDs helped interpret the CRM scores. FGDs showed that religious leaders were enthusiastic and recognised that their role was not limited solely to spiritual guidance and mentoring, but also to physical well-being. Religious leaders recognised that they act as role models within the community and thus have a role to play in improving

  12. Estimating the burden of disease attributable to iron deficiency anaemia in South Africa in 2000.

    PubMed

    Nojilana, Beatrice; Norman, Rosana; Dhansay, Muhammad A; Labadarios, Demetre; van Stuijvenberg, Martha E; Bradshaw, Debbie

    2007-08-01

    To estimate the extent of iron deficiency anaemia (IDA) among children aged 0 - 4 years and pregnant women aged 15 - 49 years, and the burden of disease attributed to IDA in South Africa in 2000. The comparative risk assessment (CRA) methodology of the World Health Organization (WHO) was followed using local prevalence and burden estimates. IDA prevalence came from re-analysis of the South African Vitamin A Consultative Group study in the case of the children, and from a pooled estimate from several studies in the case of the pregnant women (haemoglobin level < 11 g/dl and ferritin level < 12 microg/l). Monte Carlo simulation-modelling was used for the uncertainty analysis. South Africa. Children under 5 years and pregnant women 15 - 49 years. Direct sequelae of IDA, maternal and perinatal deaths and disability-adjusted life years (DALYs) from mild mental disability related to IDA. Results. It is estimated that 5.1% of children and 9 - 12% of pregnant women had IDA and that about 7.3% of perinatal deaths and 4.9% of maternal deaths were attributed to IDA in 2000. Overall, about 174,976 (95% uncertainty interval 150,344 - 203,961) healthy years of life lost (YLLs), or between 0.9% and 1.3% of all DALYs in South Africa in 2000, were attributable to IDA. This first study in South Africa to quantify the burden from IDA suggests that it is a less serious public health problem in South Africa than in many other developing countries. Nevertheless, this burden is preventable, and the study highlights the need to disseminate the food-based dietary guidelines formulated by the National Department of Health to people who need them and to monitor the impact of the food fortification programme.

  13. Estimating the burden of disease attributable to vitamin A deficiency in South Africa in 2000.

    PubMed

    Nojilana, Beatrice; Norman, Rosana; Bradshaw, Debbie; van Stuijvenberg, Martha E; Dhansay, Muhammad A; Labadorios, Demetre

    2007-08-01

    To estimate the burden of disease attributable to vitamin A deficiency in children aged 0 - 4 years and pregnant women aged 15 - 49 years in South Africa in 2000. The framework adopted for the most recent World Health Organization comparative risk assessment (CRA) methodology was followed. Population-attributable fractions were calculated from South African Vitamin A Consultative Group (SAVACG) survey data on the prevalence of vitamin A deficiency in children and the relative risks of associated health problems, applied to revised burden of disease estimates for South Africa in the year 2000. Small community studies were used to derive the prevalence in pregnant women. Monte Carlo simulation-modelling techniques were used for the uncertainty analysis. South Africa. Children under 5 years and pregnant women 15 - 49 years. Direct sequelae of vitamin A deficiency, including disability-adjusted life years (DALYs), as well as mortality associated with measles, diarrhoeal diseases and other infections, and mortality and DALYs associated with malaria in children and all-cause maternal mortality. One-third of children aged 0 - 4 years and 1 - 6% of pregnant women were vitamin A-deficient. Of deaths among young children aged 0 - 4 years in 2000, about 28% of those resulting from diarrhoeal diseases, 23% of those from measles, and 21% of those from malaria were attributed to vitamin A deficiency, accounting for some 3,000 deaths. Overall, about 110,467 ( 95% uncertainty interval 86,388 - 136,009) healthy years of life lost, or between 0.5% and 0.8% of all DALYs in South Africa in 2000 were attributable to vitamin A deficiency. The vitamin A supplementation programme for children and the recent food fortification programme introduced in South Africa in 2003 should prevent future morbidity and mortality related to vitamin A deficiency. Monitoring the effectiveness of these interventions is strongly recommended.

  14. Deaf Adults' Emic Views on Deaf Education in South Africa: Looking Back To Improve the Future.

    ERIC Educational Resources Information Center

    Storbeck, Claudine

    In-depth interviews were conducted with 23 deaf adults (ages 17 to 56) who had been educated in South Africa, to determine their impressions about the education system there. Ten of those interviewed had moved to the U.S. while the remaining 13 were still living in South Africa . The interviews were administered in sign language, with video…

  15. Fortress South Africa and the deconstruction of apartheid's migration regime.

    PubMed

    Crush, J

    1999-02-01

    South Africa's new democratic government inherited a system of cross-border migration management rooted in the abusive practices of the past. Under apartheid, employers such as mining companies and White farmers, were exempted from normal immigration legislation. The result was legislation and practices that are in direct conflict with the new government's commitment to transparency, equality, accountability, and fundamental human rights. The practices permitted by this system have continued after 1994. This paper documents the continuities in international migration policy and practice between the old and new South Africa and highlights the dilemmas which the government faces in transforming inherited policy. The paper critically analyzes the regulatory framework of the bilateral labor agreements and the Aliens Control Act. The paper then highlights policy proposals that contravene the discourse of the fortress and assesses, pessimistically, the likelihood of their implementation before the 1999 elections.

  16. "Homophobia hurts": Mourning as resistance to violence in South Africa.

    PubMed

    Moreau, Julie

    2017-04-03

    Much has been written on the successful lesbian, gay, bisexual, transgender, and intersex movement in South Africa, and the resulting institutionalization of sexual minority rights. Comparatively less has been written about the forms of activism undertaken specifically by Black lesbians that are not oriented toward legal change. In this article, I assert the need to examine public demonstrations of mourning as an act of Black lesbian resistance to violence in South Africa. Based on in-depth interviews with members of Free Gender, a Black lesbian organization, I argue that members' conceptualizations of mourning as providing community support force a reconsideration of what it means to be human. In order to grasp the decolonial potential of Free Gender's activism, I draw on Sylvia Wynter's argument that a singular Western bourgeois conception of human has come to dominate globally.

  17. The chemical composition and fluxes of atmospheric wet deposition at four sites in South Africa

    NASA Astrophysics Data System (ADS)

    Conradie, E. H.; Van Zyl, P. G.; Pienaar, J. J.; Beukes, J. P.; Galy-Lacaux, C.; Venter, A. D.; Mkhatshwa, G. V.

    2016-12-01

    South Africa is the economic hub of southern Africa and is regarded as an important source region of atmospheric pollutants. A nitrogen dioxide (NO2) hotspot is clearly visible from space over the South African Mpumalanga Highveld, while South Africa is also regarded as the 9th largest anthropogenic sulphur (S) emitting country. Notwithstanding the importance of South Africa with regard to nitrogen (N) and S emissions, very limited data has been published on the chemical composition of wet deposition for this region. This paper presents the concentrations of sodium (Na+), ammonium (NH4+), potassium (K+), calcium (Ca2+), magnesium (Mg2+), nitrate (NO3-), chloride (Cl-), sulphate (SO42-) and water-soluble organic acids (OA) in the wet deposition samples collected between 2009 and 2014 at four South African IDAF (IGAC DEBITS Africa) sites, which are regarded as regional representatives of the north-eastern interior. Also, wet deposition fluxes of the ten ions are calculated and presented in this paper. The results show that the total ionic concentrations and fluxes of wet deposition were much higher at the two sites closer to anthropogenic emissions, while the pH of wet deposition at these two sites were lower compared to that of the two sites that were less impacted by anthropogenic emissions. . The major sources of the ten ions included marine, terrigenous (crust), fossil fuel combustion, agriculture and biomass burning. Significant contributions from fossil fuel combustion were determined for the two sites in close proximity to anthropogenic source regions. The results of back trajectory analysis, however, did indicate that the two remote sites are also affected by air masses passing over the source region through anti-cyclonic recirculation. The largest contributions at the two sites distant from the anthropogenic source regions were marine sources, while the impact of biomass burning was also more significant at the remote sites. Comparison to previous wet

  18. The Intraplate Earthquakes of SE Africa

    NASA Astrophysics Data System (ADS)

    Fonseca, J. F. B. D.; Domingues, A.

    2014-12-01

    Southeast Africa is a region of complex tectonic inheritance, combining early Archean cratonic blocks - the Zimbabwe and Kaapvaal cratons - and several collision belts ranging in age from ~2.6Ga (Limpopo Belt) to the Pan-African Orogeny, 800-500 Ma ago (Zambezi Belt, Mozambique Belt). Mesozoic rifting was the last tectonic event to leave an imprint in the lithosphere of the region. Tertiary deformation is mild and related to the extensional regime of the East African Rift System (EARS) further north. Instrumental seismology started in Johannesburg in 1910 (Saunders et al., 2008). Ambraseys and Adams (1991) conducted a reappraisal of the seismicity of Sub-Saharan Africa from 1900 to 1930, and the compilations by Krige and Maree (1948) and Gutenberg and F. Richter (1949) are main sources for the two subsequent decades. The available data can be considered complete since 1900 for magnitudes above M6 (Ambraseys and Adams, 1991), although major epicentral errors are likely to affect the early decades. Earthquakes above this threshold in the region to the south of Lake Malawi and to the east of the Okavango Rift are reported in 1919 (MS6.5, NE South Africa), 1932 (MS6.8, Natal Bay), 1940 (MS6.2, SE Mozambique), 1951 (MS6.0, Central Mozambique), 1957 (M6.0, Central Mozambique), again in 1957 (M6.2, Central Mozambique), 1958 (M6.0, Southern Zimbabwe), 1959 (M6.1, Southern Zambia) and 2006 (M7.0, Central Mozambique). The four M>6 earthquakes from 1957 to 1959 configure a cluster in time, followed by a shutdown (at M>6) that was to last nearly five decades. While a coincidence is unlikely, a causal link is challenged by the large spatial scatter of about 500 km. However, the fact that the four earthquakes occurred on the border of the Zimbabwe craton may provide a clue to the mechanism promoting the clustering. We combine these data with recent seismicity results (Fonseca et al., 2014) to discuss possible factors controlling the seismotectonics of the region.

  19. Quality of Life in South Africa--The First Ten Years of Democracy

    ERIC Educational Resources Information Center

    Moller, Valerie

    2007-01-01

    South Africa celebrated ten years of democracy in 2004. This special issue of "Social Indicators Research" ("SIR") reviews developments that have impacted on the quality of life of ordinary South Africans during the transition period. The issue updates an earlier volume of "SIR" (Volume 41) published in 1997 and as a…

  20. Impact of HIV on and the constructions of masculinities among HIV-positive men in South Africa: implications for secondary prevention programs.

    PubMed

    Sikweyiya, Yandisa M; Jewkes, Rachel; Dunkle, Kristin

    2014-01-01

    To date, whilst there have been many published studies exploring the links between masculinity and HIV, not much work has been done to explore how an HIV-positive diagnosis impacts men's sense of masculinity and contextualizing the masculinities as fluid and changing. To explore how human immunodeficiency virus (HIV) impacts the lives of men and their constructions of masculinity through interviews with 18 men living with HIV. Qualitative study involving conveniently and purposively selected black South African adult men who lived with HIV. In-depth interviews were conducted with 18 men who resided in Johannesburg and Mthatha, South Africa. Our analysis suggests that the performance of risky masculinity may influence the acquisition of HIV. Yet, it also reveals that HIV can have a significant effect on men and their masculinities. Men's constructions of harmful notions of hegemonic masculinity pre-HIV diagnosis negatively affected their help-seeking behavior and coping and adjustment to living with HIV, post-diagnosis. The dominant discourse that men are strong and healthy visibly presented challenges for men when faced with an HIV-positive status. They interpreted HIV diagnosis as a loss, a sign of failure as a man, and evidence of an inability to retain control. Being sick undermined their ability to perform roles expected of them, and this led to feelings of powerlessness, worthlessness, and distress. Interventions with men living with HIV need to provide safe spaces for men to critically explore gender and constructions of social identities and the pressures these place on men and implications for their health. With this approach, harmful constructions of masculinities may be challenged and mitigated, and this process may render men amenable to change.

  1. Influencing Adolescent Leisure Motivation: Intervention Effects of HealthWise South Africa

    PubMed Central

    Caldwell, Linda L.; Patrick, Megan E.; Smith, Edward A.; Palen, Lori-Ann; Wegner, Lisa

    2014-01-01

    This study investigates changes in self-reported motivation for leisure due to participation in HealthWise, a high school curriculum aimed at decreasing risk behavior and promoting health behavior. Participants were 2,193 mixed race adolescents (M = 14 years old) from 9 schools (4 intervention, 5 control) near Cape Town, South Africa. Students in the HealthWise school with the greatest involvement in teacher training and implementation fidelity reported increased intrinsic and identified motivation and decreased introjected motivation and amotivation compared to students in control schools. These results point to the potential for intervention programming to influence leisure motivation among adolescents in South Africa and represent a first step toward identifying leisure motivation as a mediator of program effects. PMID:25429164

  2. Quantifying green water flows for improved Integrated Land and Water Resource Management under the National Water Act of South Africa: A review on hydrological research in South Africa.

    NASA Astrophysics Data System (ADS)

    Jarmain, C.; Everson, C. S.; Gush, M. B.; Clulow, A. D.

    2009-09-01

    The contribution of hydrological research in South Africa in quantifying green water flows for improved Integrated Land and Water Resources Management is reviewed. Green water refers to water losses from land surfaces through transpiration (seen as a productive use) and evaporation from bare soil (seen as a non-productive use). In contrast, blue water flows refer to streamflow (surface water) and groundwater / aquifer recharge. Over the past 20 years, a number of methods have been used to quantify the green water and blue water flows. These include micrometeorological techniques (e.g. Bowen ratio energy balance, eddy covariance, surface renewal, scintillometry, lysimetry), field scale models (e.g. SWB, SWAP), catchment scale hydrological models (e.g. ACRU, SWAT) and more recently remote sensing based models (e.g. SEBAL, SEBS). The National Water Act of South Africa of 1998 requires that water resources are managed, protected and used (developed, conserved and controlled) in an equitable way which is beneficial to the public. The quantification of green water flows in catchments under different land uses has been pivotal in (a) regulating streamflow reduction activities (e.g. forestry) and the management of alien invasive plants, (b) protecting riparian and wetland areas through the provision of an ecological reserve, (c) assessing and improving the water use efficiency of irrigated pastures, fruit tree orchards and vineyards, (d) quantifying the potential impact of future land uses like bio-fuels (e.g. Jatropha) on water resources, (e) quantifying water losses from open water bodies, and (f) investigating "biological” mitigation measures to reduce the impact of polluted water resources as a result of various industries (e.g. mining). This paper therefore captures the evolution of measurement techniques applied across South Africa, the impact these results have had on water use and water use efficiency and the extent to which it supported the National Water Act of

  3. Multiple Traumatic Events and Psychological Distress : The South Africa Stress and Health Study

    PubMed Central

    Williams, Stacey L.; Williams, David R.; Stein, Dan J.; Seedat, Soraya; Jackson, Pamela B.; Moomal, Hashim

    2011-01-01

    Using nationally representative data from South Africa, we examine lifetime prevalence of traumas and multiple traumas (number of events). Employing multiple regression analysis, we study sociodemographic risk of trauma, and the association between trauma and distress. Results indicate most South Africans experience at least one traumatic event during their lives, with the majority reporting multiple. Consistent variation in risk is evident for gender and marital status but not other sociodemographics. Trauma is positively related to high distress, and findings also support a cumulative effect of trauma exposure. Individuals with the most traumas (6+) appear at five- times greater risk of high distress. This study highlights the importance of considering traumatic events in the context of other traumas in South Africa. PMID:17955545

  4. Multiple traumatic events and psychological distress: the South Africa stress and health study.

    PubMed

    Williams, Stacey L; Williams, David R; Stein, Dan J; Seedat, Soraya; Jackson, Pamela B; Moomal, Hashim

    2007-10-01

    Using nationally representative data from South Africa, we examine lifetime prevalence of traumas and multiple traumas (number of events). Employing multiple regression analysis, the authors study the sociodemographic risk of trauma, and the association between trauma and distress. Results indicate most South Africans experience at least one traumatic event during their lives, with the majority reporting multiple. Consistent variation in risk is evident for gender and marital status, but not other sociodemographics. Trauma is positively related to high distress, and findings also support a cumulative effect of trauma exposure. Individuals with the most traumas (6+) appear at 5 times greater risk of high distress. This study highlights the importance of considering traumatic events in the context of other traumas in South Africa.

  5. Distance decay and persistent health care disparities in South Africa.

    PubMed

    McLaren, Zoë M; Ardington, Cally; Leibbrandt, Murray

    2014-11-04

    Access to health care is a particular concern given the important role of poor access in perpetuating poverty and inequality. South Africa's apartheid history leaves large racial disparities in access despite post-apartheid health policy to increase the number of health facilities, even in remote rural areas. However, even when health services are provided free of charge, monetary and time costs of travel to a local clinic may pose a significant barrier for vulnerable segments of the population, leading to overall poorer health. Using newly available health care utilization data from the first nationally representative panel survey in South Africa, together with administrative geographic data from the Department of Health, we use graphical and multivariate regression analysis to investigate the role of distance to the nearest facility on the likelihood of having a health consultation or an attended birth. Ninety percent of South Africans live within 7 km of the nearest public clinic, and two-thirds live less than 2 km away. However, 14% of Black African adults live more than 5 km from the nearest facility, compared to only 4% of Whites, and they are 16 percentage points less likely to report a recent health consultation (p < 0.01) and 47 percentage points less likely to use private facilities (p < 0.01). Respondents in the poorest income quintiles live 0.5 to 0.75 km further from the nearest health facility (p < 0.01). Racial differentials in the likelihood of having a health consultation or an attended birth persist even after controlling for confounders. Our results have two policy implications: minimizing the distance that poor South Africans must travel to obtain health care and improving the quality of care provided in poorer areas will reduce inequality. Much has been done to redress disparities in South Africa since the end of apartheid but progress is still needed to achieve equity in health care access.

  6. An analysis of opinions from veterinarians in South Africa regarding business management skills.

    PubMed

    Krecek, R C; Tobin, P

    2004-03-01

    The changing role of veterinarians in the global market is a current topic of debate and discussion. Few countries including South Africa have formally examined the changing dynamics of this profession. Therefore, the present study addressed 2 objectives. The 1st was to examine basic information about veterinarians in South Africa including their age, gender and distribution across provinces, the percentage whose practice was urban, rural or periurban, the numbers working with specific animal species, and the extent of business management and skills previously gained. The 2nd objective was to obtain opinions and insights from veterinarians in South Africa about the challenges and opportunities facing their business practices to better understand what they considered important dynamics to their businesses today. Several areas of business on which they were questioned and which were included in this study were: marketing, vision, human resources, leadership, financial management, ethics, competition, day-to-day operations, interpersonal skills and information management. This is the 1st known survey to employ a questionnaire to gain insights and opinions from veterinarians about business management skills.

  7. Neo-Nationalism in Higher Education: Case of South Africa

    ERIC Educational Resources Information Center

    Lee, Jenny J.

    2017-01-01

    Given the rise of regional hubs, emerging economies are experiencing international student growth as higher education providers in their respective regions. This study examined the neo-national experiences of international students in South Africa. Neo-nationalism refers to a new nationalism based national order in the new global economy. The…

  8. An Overview of Education and Drama in South Africa

    ERIC Educational Resources Information Center

    Elliott, Terri Anne

    2016-01-01

    South Africa labours under a bimodal education system in which inequality is deeply entrenched. Approximately 83% of schools are classed as being "dysfunctional" and many learners are not effectively equipped for meaningful futures. Learners who are able to attend the few functional schools are generally able to attain better jobs and…

  9. Small Area Indices of Multiple Deprivation in South Africa

    ERIC Educational Resources Information Center

    Noble, Michael; Barnes, Helen; Wright, Gemma; Roberts, Benjamin

    2010-01-01

    This paper presents the Provincial Indices of Multiple Deprivation that were constructed by the authors at ward level using 2001 Census data for each of South Africa's nine provinces. The principles adopted in conceptualising the indices are described and multiple deprivation is defined as a weighted combination of discrete dimensions of…

  10. Stalked jellyfishes (Cnidaria: Staurozoa) of South Africa, with the description of Calvadosia lewisi sp. nov.

    PubMed

    Miranda, Lucília S; Branch, George M; Collins, Allen G; Hirano, Yayoi M; Marques, Antonio C; Griffiths, Charles L

    2017-02-03

    Stalked jellyfishes (Cnidaria: Staurozoa) are cryptic, benthic animals, known mainly from polar and temperate waters of the Northern Hemisphere. We describe a new species, Calvadosia lewisi, from South Africa and review the staurozoan fauna of the region. Three other species are previously known from South Africa: Calvadosia capensis (Carlgren, 1938); Depastromorpha africana Carlgren, 1935; and Lipkea stephensoni Carlgren, 1933, but all of these are known from very few records and have been poorly illustrated and documented to date. We provide brief descriptions and photographic illustrations for each species and a list of local and global geographical records. Two (L. stephensoni and C. lewisi), but possibly three (D. africana), of the four known South African staurozoan species are endemic from South Africa. The new species, images, and extra distributional records presented here greatly improve knowledge of the staurozoan fauna in South Africa and, consequently, of the Southern Hemisphere.

  11. Anemia among HIV-Infected Patients Initiating Antiretroviral Therapy in South Africa: Improvement in Hemoglobin regardless of Degree of Immunosuppression and the Initiating ART Regimen.

    PubMed

    Takuva, Simbarashe; Maskew, Mhairi; Brennan, Alana T; Sanne, Ian; Macphail, A Patrick; Fox, Mathew P

    2013-01-01

    Among those with HIV, anemia is a strong risk factor for disease progression and death independent of CD4 count and viral load. Understanding the role of anemia in HIV treatment is critical to developing strategies to reduce morbidity and mortality. We conducted a prospective analysis among 10,259 HIV-infected adults initiating first-line ART between April 2004 and August 2009 in Johannesburg, South Africa. The prevalence of anemia at ART initiation was 25.8%. Mean hemoglobin increased independent of baseline CD4. Females, lower BMI, WHO stage III/IV, lower CD4 count, and zidovudine use were associated with increased risk of developing anemia during follow-up. After initiation of ART, hemoglobin improved, regardless of regimen type and the degree of immunosuppression. Between 0 and 6 months on ART, the magnitude of hemoglobin increase was linearly related to CD4 count. However, between 6 and 24 months on ART, hemoglobin levels showed a sustained overall increase, the magnitude of which was similar regardless of baseline CD4 level. This increase in hemoglobin was seen even among patients on zidovudine containing regimens. Since low hemoglobin is an established adverse prognostic marker, prompt identification of anemia may result in improved morbidity and mortality of patients initiating ART.

  12. The missing link: Finding space for gerontology content into university curricula in South Africa.

    PubMed

    Tanyi, Perpetua Lum; Pelser, André

    2018-02-07

    The rapid increase in the global elderly population has been widely documented in both demographic and popular literature in recent decades. Population estimates produced by the national statistical service of South Africa in 2017 show that the proportion of elderly (60 years and older) in South Africa is growing fast, reaching 8.1% of the total population in 2017. The country is set to experience a doubling of the population over the age of 65 by the year 2020. Similar to their counterparts in the developed world, tertiary institutions throughout Africa too are faced with the challenge of training professionals capable of understanding and responding to the socioeconomic consequences, social priorities, and complex needs of an increasing aging population. The right set of policies can equip individuals, families, and societies to address the challenges of an aging population. After conducting an extensive literature review, we recommend that policy-makers in South Africa should look into ways that will enable them to meet the many challenges of an aging population in the coming decades. One way to address this issue would be to include gerontology content into the curricula of programs in the humanities and social sciences.

  13. Estimating the burden of disease attributable to four selected environmental risk factors in South Africa.

    PubMed

    Norman, Rosana; Bradshaw, Debbie; Lewin, Simon; Cairncross, Eugene; Nannan, Nadine; Vos, Theo

    2010-01-01

    The first South African National Burden of Disease study quantified the underlying causes of premature mortality and morbidity experienced in South Africa in the year 2000. This was followed by a Comparative Risk Assessment to estimate the contributions of 17 selected risk factors to burden of disease in South Africa. This paper describes the health impact of exposure to four selected environmental risk factors: unsafe water, sanitation and hygiene; indoor air pollution from household use of solid fuels; urban outdoor air pollution and lead exposure. The study followed World Health Organization comparative risk assessment methodology. Population-attributable fractions were calculated and applied to revised burden of disease estimates (deaths and disability adjusted life years, [DALYs]) from the South African Burden of Disease study to obtain the attributable burden for each selected risk factor. The burden attributable to the joint effect of the four environmental risk factors was also estimated taking into account competing risks and common pathways. Monte Carlo simulation-modeling techniques were used to quantify sampling, uncertainty. Almost 24 000 deaths were attributable to the joint effect of these four environmental risk factors, accounting for 4.6% (95% uncertainty interval 3.8-5.3%) of all deaths in South Africa in 2000. Overall the burden due to these environmental risks was equivalent to 3.7% (95% uncertainty interval 3.4-4.0%) of the total disease burden for South Africa, with unsafe water sanitation and hygiene the main contributor to joint burden. The joint attributable burden was especially high in children under 5 years of age, accounting for 10.8% of total deaths in this age group and 9.7% of burden of disease. This study highlights the public health impact of exposure to environmental risks and the significant burden of preventable disease attributable to exposure to these four major environmental risk factors in South Africa. Evidence

  14. Human Responses to Climate Variability: The Case of South Africa

    NASA Astrophysics Data System (ADS)

    Oppenheimer, M.; Licker, R.; Mastrorillo, M.; Bohra-Mishra, P.; Estes, L. D.; Cai, R.

    2014-12-01

    Climate variability has been associated with a range of societal and individual outcomes including migration, violent conflict, changes in labor productivity, and health impacts. Some of these may be direct responses to changes in mean temperature or precipitation or extreme events, such as displacement of human populations by tropical cyclones. Others may be mediated by a variety of biological, social, or ecological factors such as migration in response to long-term changes in crops yields. Research is beginning to elucidate and distinguish the many channels through which climate variability may influence human behavior (ranging from the individual to the collective, societal level) in order to better understand how to improve resilience in the face of current variability as well as future climate change. Using a variety of data sets from South Africa, we show how climate variability has influenced internal (within country) migration in recent history. We focus on South Africa as it is a country with high levels of internal migration and dramatic temperature and precipitation changes projected for the 21st century. High poverty rates and significant levels of rain-fed, smallholder agriculture leave large portions of South Africa's population base vulnerable to future climate change. In this study, we utilize two complementary statistical models - one micro-level model, driven by individual and household level survey data, and one macro-level model, driven by national census statistics. In both models, we consider the effect of climate on migration both directly (with gridded climate reanalysis data) and indirectly (with agricultural production statistics). With our historical analyses of climate variability, we gain insights into how the migration decisions of South Africans may be influenced by future climate change. We also offer perspective on the utility of micro and macro level approaches in the study of climate change and human migration.

  15. Edinburgh, the Scottish pioneers of anatomy and their lasting influence in South Africa.

    PubMed

    Correia, J C; Wessels, Q; Vorster, W

    2013-11-01

    The history of the origin of anatomy education in South Africa is the history of an arduous journey through time. The lasting influence of Edinburgh came in the form of Robert Black Thomson. He was a student and assistant of Sir William Turner who gave rise to the first chair of anatomy and the establishment of a department at the South African College, known today as University of Cape Town. Thomson was later succeeded by Matthew Drennan, a keen anthropologist, who was revered by his students. This Scottish link prevailed over time with the appointment of Edward Philip Stibbe as the chair of anatomy at the South African School of Mines and Technology, which later became the University of the Witwatersrand. Stibbe's successor, Raymond Arthur Dart, a graduate of the University of Sydney, was trained in an anatomy department sculpted on that of Edinburgh by Professor James Thomas Wilson. Wilson's influence at the University of Sydney can be traced back to Edinburgh and William Turner through Thomas Anderson Stuart. Both Dart and Robert Broom, another Scot, were considered as Africa's wild men by the late Professor Tobias. Here, the authors explore the Scottish link and origins of anatomy pedagogy in South Africa.

  16. Exploring Differential Science Performance in Korea and South Africa: A Multilevel Analysis

    ERIC Educational Resources Information Center

    Cho, Mee-Ok; Scherman, Vanessa; Gaigher, Estelle

    2014-01-01

    This paper reports on secondary analysis of TIMSS 2003 data with the aim of explaining the difference in science achievement of Korean and South African learners. The question asked by this research, i.e. which factors at various educational levels influence science achievement in Korea and South Africa respectively, is addressed from the…

  17. The Persistence of Violence in South Africa's Schools: In Search of Solutions

    ERIC Educational Resources Information Center

    Le Roux, C. S.; Mokhele, P. R.

    2011-01-01

    Crime, abuse and violence against school children are grave problems in South African schools and are undisputedly on the increase. This article highlights aspects of hostile and violent behaviour in South Africa that contribute to the persistence of school violence. The problem is complex and there are no simple solutions. The article puts…

  18. Deliberation, Belonging and Inclusion: Towards Ethical Teaching in a Democratic South Africa

    ERIC Educational Resources Information Center

    Davids, Nuraan

    2016-01-01

    The teaching profession in South Africa, like elsewhere in the world, is regulated by the specific codes of conduct, as stipulated by the South African Council for Educators (SACE). While common criticisms against SACE include failing to ensure the registration of all teachers, and not adequately dealing with the unprofessional conduct of…

  19. The International Impact of Education Research Done and Published in South Africa

    ERIC Educational Resources Information Center

    Wolhuter, Charl

    2011-01-01

    The aim of this article was to determine the international impact of Education research in South Africa, through a citation analysis of articles published in the "South African Journal of Education" from 2000 to 2010 The citation impact (nationally as well as internationally) was found to be low. The international impact has been…

  20. Healthwise South Africa: Cultural Adaptation of a School-Based Risk Prevention Programme

    ERIC Educational Resources Information Center

    Wegner, L.; Flisher, A. J.; Caldwell, L. L.; Vergnani, T.; Smith, E. A.

    2008-01-01

    There is a need for effective prevention programmes aimed at reducing risk behaviour among South African adolescents. HealthWise South Africa is a school-based programme designed to reduce sexual and substance use risk behaviour, and promote positive use of leisure time among high-school learners (students). Based on successful programmes in the…

  1. Childhood mortality among former Mozambican refugees and their hosts in rural South Africa.

    PubMed

    Hargreaves, James R; Collinson, Mark A; Kahn, Kathleen; Clark, Samuel J; Tollman, Stephen M

    2004-12-01

    It is important to monitor health differentials between population groups to understand how they are generated. Internationally displaced people represent one potentially disadvantaged group. We investigated differentials in mortality between children from former Mozambican refugee and host South African households in a rural sub-district in the north-east of South Africa. Open prospective cohort of 30 276 children (80 462 person years of follow-up) followed from 1 January 1992 to 31 October 2000 in Limpopo Province, South Africa. Exposure and outcomes data came from the Agincourt Health and Demographic Surveillance System (DSS). There was no difference in infant mortality between children from former Mozambican refugee households and those from South African homes (adjusted rate ratio [RR] = 1.02, 95% CI: 0.79, 1.32), but mortality levels were higher among former Mozambican refugee children during the next 4 years (adjusted RR = 1.91, 95% CI: 1.50, 2.42). Increased mortality levels were also seen among children from larger households and whose mother died, while children born to mothers aged >40 years or with higher education were at lower risk. Measured maternal, household, and health service utilization characteristics could not explain the difference in mortality between children from former Mozambican refugee and South African households. Former Mozambican refugee children residing in refugee settlements had higher mortality rates than those residing in more established villages. This study demonstrates higher childhood, but not infant, mortality rates among children from former Mozambican refugee households compared with those from host South African households in rural South Africa. The lack of legal status and lower wealth of many former Mozambican refugees may partly explain this disparity.

  2. Women’s Experiences with Oral and Vaginal Pre-Exposure Prophylaxis: The VOICE-C Qualitative Study in Johannesburg, South Africa

    PubMed Central

    van der Straten, Ariane; Stadler, Jonathan; Montgomery, Elizabeth; Hartmann, Miriam; Magazi, Busiswe; Mathebula, Florence; Schwartz, Katie; Laborde, Nicole; Soto-Torres, Lydia

    2014-01-01

    Background In VOICE, a multisite HIV pre-exposure prophylaxis (PrEP) trial, plasma drug levels pointed to widespread product nonuse, despite high adherence estimated by self-reports and clinic product counts. Using a socio-ecological framework (SEF), we explored socio-cultural and contextual factors that influenced participants’ experience of daily vaginal gel and oral tablet regimens in VOICE. Methods In Johannesburg, a qualitative ancillary study was concurrently conducted among randomly selected VOICE participants assigned to in-depth interviews (n = 41), serial ethnographic interviews (n = 21), or focus group discussions (n = 40). Audiotaped interviews were transcribed, translated, and coded thematically for analysis. Results Of the 102 participants, the mean age was 27 years, and 96% had a primary sex partner with whom 43% cohabitated. Few women reported lasting nonuse, which they typically attributed to missed visits, lack of product replenishments, and family-related travel or work. Women acknowledged occasionally skipping or mistiming doses because they forgot, were busy, felt lazy or bored, feared or experienced side effects. However, nearly all knew or heard of other study participants who did not use products daily. Three overarching themes emerged from further analyses: ambivalence toward research, preserving a healthy status, and managing social relationships. These themes highlighted the profound and complex meanings associated with participating in a blinded HIV PrEP trial and taking antiretroviral-based products. The unknown efficacy of products, their connection with HIV infection, challenges with daily regimen given social risks, lack of support–from partners and significant others–and the relationship tradeoffs entailed by using the products appear to discourage adequate product use. Conclusions Personal acknowledgment of product nonuse was challenging. This qualitative inquiry highlighted key influences at all SEF levels that

  3. Questioning the Pace and Pathway of E-Government Development in Africa: A Case Study of South Africa's Cape Gateway Project

    ERIC Educational Resources Information Center

    Maumbe, Blessing Mukabeta; Owei, Vesper; Alexander, Helen

    2008-01-01

    The paper examines e-government development in Africa. This study is based on the Cape Gateway project in South Africa, a leading e-government initiative on the continent. We observe that African countries have jumped on the e-government band wagon by looking mostly at the benefits without a clear risk assessment. We argue that African countries…

  4. Images of Africa: A Report on What American Secondary School Students Know and Believe about Africa South of the Sahara.

    ERIC Educational Resources Information Center

    Beyer, Barry K.; Hicks, E. Perry

    "Project Africa" surveyed selected seventh- and 12th-grade students in 24 states to determine (1) the specific nature of their images of Africa south of the Sahara, both before and after any formal study of this region, and (2) the types and accuracy of the students' knowledge about the region and its peoples. In one survey, students…

  5. ART in South Africa: The price to pay

    PubMed Central

    Huyser, C.; Boyd, L.

    2013-01-01

    In developing countries especially in Sub-Saharan Africa, human immunodeficiency virus (HIV) infection together with limited resources adds to the hindrances in becoming a parent. Although the South African’s Bill of Rights proclaim that South Africans can “make decisions concerning reproduction”; access to and the use of Assisted Reproduction Technology (ART) are viewed in general as excessively expensive, accessible only to the privileged few. A dissection of cost-drivers within an ART laboratory, such as procedures; sperm preparations; laboratory supplies including embryo culture media and cryopreservation are discussed in the current overview. Subject to the nature of an ART practice, i.e. private vs. public/tertiary, the structure of a unit will vary with regards to patient demographics, costs and services offered. The average fees per procedure for 20 practices in the private sector in South Africa are: (i) IUI: € 542 ± €159, (ii) IVF: € 3,255 ± € 576 and (iii) ICSI: €3,302 ± € 625. Laboratory costs can contribute between 35 and 48% of ART fees payable in the private sector. Low-cost public ART services are available to citizens of the country at a few tertiary academic units. Some private practices also cater specifically for middle-income citizens. ART procedures need not be propelled towards the must-have and cannot-do without approach, but providers should also reflect on the validity of the techniques and equipment, without compromising treatment virtue. PMID:24753934

  6. Social accountability and nursing education in South Africa.

    PubMed

    Armstrong, Susan J; Rispel, Laetitia C

    2015-01-01

    There is global emphasis on transforming health workforce education in support of universal health coverage. This paper uses a social accountability framework, specifically the World Health Organization's six building blocks for transformative education, to explore key informants' perspectives on nursing education in South Africa. Using a snowballing sampling technique, 44 key informants were selected purposively on the basis of their expertise or knowledge of the research area. Semi-structured interviews were conducted with the key informants after informed consent had been obtained. The interviews were analysed using template analysis. South Africa has strategic plans on human resources for health and nursing education, training, and practice and has a well-established system of regulation and accreditation of nursing education through the South African Nursing Council (SANC). Key informants criticised the following: the lack of national staffing norms; sub-optimal governance by both the SANC and the Department of Health; outdated curricula that are unresponsive to population and health system needs; lack of preparedness of nurse educators; and the unsuitability of the majority of nursing students. These problems are exacerbated by a perceived lack of prioritisation of nursing, resource constraints in both the nursing education institutions and the health training facilities, and general implementation inertia. Social accountability, which is an essential component of transformative education, necessitates that attention be paid to the issues of governance, responsive curricula, educator preparedness, and appropriate student recruitment and selection.

  7. Social accountability and nursing education in South Africa

    PubMed Central

    Armstrong, Susan J.; Rispel, Laetitia C.

    2015-01-01

    Background There is global emphasis on transforming health workforce education in support of universal health coverage. Objective This paper uses a social accountability framework, specifically the World Health Organization's six building blocks for transformative education, to explore key informants’ perspectives on nursing education in South Africa. Methods Using a snowballing sampling technique, 44 key informants were selected purposively on the basis of their expertise or knowledge of the research area. Semi-structured interviews were conducted with the key informants after informed consent had been obtained. The interviews were analysed using template analysis. Results South Africa has strategic plans on human resources for health and nursing education, training, and practice and has a well-established system of regulation and accreditation of nursing education through the South African Nursing Council (SANC). Key informants criticised the following: the lack of national staffing norms; sub-optimal governance by both the SANC and the Department of Health; outdated curricula that are unresponsive to population and health system needs; lack of preparedness of nurse educators; and the unsuitability of the majority of nursing students. These problems are exacerbated by a perceived lack of prioritisation of nursing, resource constraints in both the nursing education institutions and the health training facilities, and general implementation inertia. Conclusion Social accountability, which is an essential component of transformative education, necessitates that attention be paid to the issues of governance, responsive curricula, educator preparedness, and appropriate student recruitment and selection. PMID:25971402

  8. Data on strategically located land and spatially integrated urban human settlements in South Africa.

    PubMed

    Musakwa, Walter

    2017-12-01

    In developing countries like South Africa processed geographic information systems (GIS) data on land suitability, is often not available for land use management. Data in this article is based on a published article "The strategically located land index support system for humans settlements land reform in South Africa" (Musakwa et al., 2017) [1]. This article utilities data from Musakwa et al. (2017) [1] and it goes on a step further by presenting the top 25th percentile of areas in the country that are strategically located and suited to develop spatially integrated human settlements. Furthermore the least 25th percentile of the country that are not strategically located and spatially integrated to establish human settlements are also presented. The article also presents the processed spatial datasets that where used to develop the strategically located land index as supplementary material. The data presented is meant to stir debate on spatially integrated human settlements in South Africa.

  9. CONCEPTUALIZING BIOPOLITICS: CITIZEN-STATE INTERACTIONS IN THE SECURING OF WATER SERVICES IN SOUTH AFRICA

    PubMed Central

    Bulled, Nicola

    2015-01-01

    Despite constitutional obligations to provide clean water to all citizens in South Africa, access to water and related services remains highly contested. The discord between constitutional promises and lived realities of water access, particularly through national infrastructure, provides a platform upon which to examine Foucauldian notions of biopolitics, the control of populations through technologies of governing. Drawing on the situations of residents in the rural Vhembe district in the north eastern corner of the country, I examine how individuals conceptualize the relationship that exists between citizen and state and the responsibilities of each in post-apartheid South Africa as it relates to water access. In addition, I describe strategies employed throughout South Africa to voice rights to water and how these approaches are perceived. Finally, I consider how the three primary forms of ‘water citizenship’ – citizen, agent, and subject – influence the current and future health of vulnerable residents. PMID:26087245

  10. Ending Apartheid in South Africa: Alternative Approaches,

    DTIC Science & Technology

    1986-04-07

    you travel backward in its history, confusion develops. It is believed that it has been inhabited for many thousands of years. Black African tribes ...Bushmen did not participate much in the creation of this new class of people. They kept to themselves and continued to hunt. Many of them exist in present...languages - English and Afrikaans - with several African languages like Zulu , Sotho, Xhosa and Swazi.3 Modern day government in South Africa was founded in

  11. Nursing education reform in South Africa – lessons from a policy analysis study

    PubMed Central

    Blaauw, Duane; Ditlopo, Prudence; Rispel, Laetitia C.

    2014-01-01

    Background Nursing education reform is identified as an important strategy for enhancing health workforce performance, and thereby improving the functioning of health systems. Globally, a predominant trend in such reform is towards greater professionalisation and university-based education. Related nursing education reform in South Africa culminated in a new Framework for Nursing Qualifications in 2013. Objective We undertook a policy analysis study of the development of the new Nursing Qualifications Framework in South Africa. Design We used a policy analysis framework derived from Walt and Gilson that interrogated the context, content, actors, and processes of policy development and implementation. Following informed consent, in-depth interviews were conducted with 28 key informants from national and provincial government; the South African Nursing Council; the national nursing association; nursing academics, managers, and educators; and other nursing organisations. The interviews were complemented with a review of relevant legislation and policy documents. Documents and interview transcripts were coded thematically using Atlas-ti software. Results The revision of nursing qualifications was part of the post-apartheid transformation of nursing, but was also influenced by changes in the education sector. The policy process took more than 10 years to complete and the final Regulations were promulgated in 2013. The two most important changes are the requirement for a baccalaureate degree to qualify as a professional nurse and abolishing the enrolled nurse with 2 years training in favour of a staff nurse with a 3-year college diploma. Respondents criticised slow progress, weak governance by the Nursing Council and the Department of Health, limited planning for implementation, and the inappropriateness of the proposals for South Africa. Conclusions The study found significant weaknesses in the policy capacity of the main institutions responsible for the leadership and

  12. Rape and HIV post-exposure prophylaxis: addressing the dual epidemics in South Africa.

    PubMed

    Kim, Julia C; Martin, Lorna J; Denny, Lynette

    2003-11-01

    In South Africa, a country notable for both a rapidly escalating AIDS epidemic and high levels of sexual violence, the issue of HIV post-exposure prophylaxis (PEP) following rape has recently come to the fore, and a policy supporting provision of PEP has been approved by the national government. This paper compares the conditions for providing PEP in Europe and North America with the conditions faced by two initiatives in South Africa, one serving a primarily rural base, and one urban. It is based on a review of the literature on sexual violence in South Africa and use of PEP following occupational and non-occupational exposure. It incorporates perspectives from in-depth interviews in 2000 with 18 key informants, including survivors of sexual violence, gender and HIV activists, domestic violence NGOs, rape crisis centres, physicians, lawyers, researchers and HIV/AIDS advisors in the Department of Health. The paper argues that given the scientific evidence for PEP, and the nature of the dual epidemics of HIV and sexual violence in South Africa, the public health and social justice rationale for implementing PEP equals and indeed exceeds that put forward in industrialised countries. However, delays in accessing PEP caused by the public justice system and lack of training for service providers constitute significant obstacles to effective implementation. In this respect, provision of PEP presents an opportunity to reform and strengthen existing services for post-rape care and to link attention to the epidemic of sexual violence to HIV/AIDS prevention.

  13. Reducing the Role of the Food, Tobacco, and Alcohol Industries in Noncommunicable Disease Risk in South Africa.

    PubMed

    Delobelle, Peter; Sanders, David; Puoane, Thandi; Freudenberg, Nicholas

    2016-04-01

    Noncommunicable diseases (NCDs) impose a growing burden on the health, economy, and development of South Africa. According to the World Health Organization, four risk factors, tobacco use, alcohol consumption, unhealthy diets, and physical inactivity, account for a significant proportion of major NCDs. We analyze the role of tobacco, alcohol, and food corporations in promoting NCD risk and unhealthy lifestyles in South Africa and in exacerbating inequities in NCD distribution among populations. Through their business practices such as product design, marketing, retail distribution, and pricing and their business practices such as lobbying, public relations, philanthropy, and sponsored research, national and transnational corporations in South Africa shape the social and physical environments that structure opportunities for NCD risk behavior. Since the election of a democratic government in 1994, the South African government and civil society groups have used regulation, public education, health services, and community mobilization to modify corporate practices that increase NCD risk. By expanding the practice of health education to include activities that seek to modify the practices of corporations as well as individuals, South Africa can reduce the growing burden of NCDs. © 2015 Society for Public Health Education.

  14. Ruled by Hetero-Norms? Raising Some Moral Questions for Teachers in South Africa

    ERIC Educational Resources Information Center

    Bhana, Deevia

    2014-01-01

    Thirty-eight countries in Africa regard homosexuality as punishable by law with South Africa remaining a standout country advancing constitutional equality on the basis of sexual orientation. In the context of homophobic violence, however, concerns have been raised about schools' potential to improve the educational, moral and social outcomes for…

  15. First insights into species and genotypes of Echinococcus in South Africa.

    PubMed

    Mogoye, Benjamin K; Menezes, Colin N; Wong, Michelle L; Stacey, Sarah; von Delft, Dirk; Wahlers, Kerstin; Wassermann, Marion; Romig, Thomas; Kern, Peter; Grobusch, Martin P; Frean, John

    2013-09-23

    Cystic echinococcosis is a serious and neglected parasitic zoonosis that is regarded as an emerging disease world-wide. Effective control of the disease is based on understanding the variability of Echinococcus granulosus (sensu lato), as genotypic characteristics may influence lifecycle patterns, development rate, and transmission. No molecular epidemiological research has previously been conducted to shed light on genotypes responsible for the disease in South Africa. To identify strains circulating in the country, parasite material was collected from patients between August 2010 and September 2012 and analyzed by PCR/RFLP methods. A total of 32 samples was characterized as E. granulosus sensu stricto (G1-G3) (81%), E. canadensis (G6/7) (16%) and E. ortleppi (G5) (3%). Furthermore, two co-amplifying G6/7 genotypes were confirmed as G7 by sequencing. This is the first report on genotyping of Echinococcus species in South Africa, and, to the best of our knowledge, the first report of the G5 and G7 genotypes from humans in Africa. Copyright © 2013 Elsevier B.V. All rights reserved.

  16. To Greener Pastures: Transnational Teacher Migration from South Africa

    ERIC Educational Resources Information Center

    Manik, Sadhana

    2007-01-01

    Globalisation of the world economy has intensified migration in the twenty-first century. Professionals are vulnerable to transnational migration and the trend is for professionals from developing countries to fill labour gaps in developed countries. South Africa's (SA) inclusion in the world labour market suggests that she is not immune. She is…

  17. Subjective Well-Being and Household Factors in South Africa

    ERIC Educational Resources Information Center

    Bookwalter, Jeffrey T.; Dalenberg, Douglas

    2004-01-01

    This paper uses a household survey from South Africa to estimate a model of subjective well-being based upon poverty and household characteristics including housing, sanitation, and transportation. Following Sen, we allow for factors in addition to income and we begin to incorporate functionings and capabilities as determinants of well-being. This…

  18. A practical approach to the nutritional management of chronic kidney disease patients in Cape Town, South Africa.

    PubMed

    Ameh, Oluwatoyin I; Cilliers, Lynette; Okpechi, Ikechi G

    2016-07-08

    The multi-racial and multi-ethnic population of South Africa has significant variation in their nutritional habits with many black South Africans undergoing a nutritional transition to Western type diets. In this review, we describe our practical approaches to the dietary and nutritional management of chronic kidney disease (CKD) patients in Cape Town, South Africa. Due to poverty and socio-economic constraints, significant challenges still exist with regard to achieving the nutritional needs and adequate dietary counselling of many CKD patients (pre-dialysis and dialysis) in South Africa. Inadequate workforce to meet the educational and counselling needs of patients, inability of many patients to effectively come to terms with changing body and metabolic needs due to ongoing kidney disease, issues of adherence to fluid and food restrictions as well as adherence to medications and in some cases the inability to obtain adequate daily food supplies make up some of these challenges. A multi-disciplinary approach (dietitians, nurses and nephrologists) of regularly reminding and educating patients on dietary (especially low protein diets) and nutritional needs is practiced. The South African Renal exchange list consisting of groups of food items with the same nutritional content has been developed as a practical tool to be used by dietitians to convert individualized nutritional prescriptions into meal plan to meet the nutritional needs of patients in South Africa. The list is currently utilized in counselling CKD patients and provides varied options for food items within the same group (exchangeable) as well as offering ease for the description of suitable meal portions (sizes) to our patients. Regular and continuous education of CKD patients by a multi-disciplinary team in South Africa enables our patients to meet their nutritional goals and retard CKD progression. The South African renal exchange list has proved to be a very useful tool in meeting this need.

  19. Building a Nation: Religion and Values in the Public Schools of the USA, Australia, and South Africa

    ERIC Educational Resources Information Center

    Mawdsley, Ralph D.; Cumming, Jacqueline Joy; de Waal, Elda

    2008-01-01

    Although the systems of public schools differ among Australia, South Africa and the USA, all three countries recognize that religion plays a significant role in determining values. All three countries have written constitutions but only South Africa and the USA have a Bill of Rights that protects persons' exercise of religious beliefs. In…

  20. Heart Failure in Africa, Asia, the Middle East and South America: The INTER-CHF study.

    PubMed

    Dokainish, Hisham; Teo, Koon; Zhu, Jun; Roy, Ambuj; AlHabib, Khalid F; ElSayed, Ahmed; Palileo-Villaneuva, Lia; Lopez-Jaramillo, Patricio; Karaye, Kamilu; Yusoff, Khalid; Orlandini, Andres; Sliwa, Karen; Mondo, Charles; Lanas, Fernando; Prabhakaran, Dorairaj; Badr, Amr; Elmaghawry, Mohamed; Damasceno, Albertino; Tibazarwa, Kemi; Belley-Cote, Emilie; Balasubramanian, Kumar; Yacoub, Magdi H; Huffman, Mark D; Harkness, Karen; Grinvalds, Alex; McKelvie, Robert; Yusuf, Salim

    2016-02-01

    There are few data on heart failure (HF) patients from Africa, Asia, the Middle East and South America. INTER-CHF is a prospective study that enrolled HF patients in 108 centers in 16 countries from 2012 to 2014. Consecutive ambulatory or hospitalized adult patients with HF were enrolled. Baseline data were recorded on sociodemographics, clinical characteristics, HF etiology and treatments. Age- and sex-adjusted results are reported. We recruited 5813 HF patients: mean(SE) age=59(0.2)years, 39% female, 65% outpatients, 31% from rural areas, 26% with HF with preserved ejection fraction, with 1294 from Africa, 2661 from Asia, 1000 from the Middle-East, and 858 from South America. Participants from Africa-closely followed by Asians-were younger, had lower literacy levels, and were less likely to have health or medication insurance or be on beta-blockers compared with participants from other regions, but were most likely to be in NYHA class IV. Participants from South America were older, had higher insurance and literacy levels, and, along with Middle Eastern participants, were more likely to be on beta-blockers, but had the lowest proportion in NYHA IV. Ischemic heart disease was the most common HF etiology in all regions except Africa where hypertensive heart disease was most common. INTER-CHF describes significant regional variability in socioeconomic and clinical factors, etiologies and treatments in HF patients from Africa, Asia, the Middle East and South America. Opportunities exist for improvement in health/medication insurance rates and proportions of patients on beta blockers, particularly in Africa and Asia. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.