Model Communities and Respectable Residents? Home and Housing in a Low-income Residential Estate in the Western Cape, South Africa

2005 ◽  
Vol 31 (3) ◽  
pp. 631-648 ◽  
Author(s):  
Fiona C. Ross
Keyword(s):  
2018 ◽  
Vol 25 (6) ◽  
pp. 529-534 ◽  
Author(s):  
Colleen Jayne Saunders ◽  
Robyn Adriaanse ◽  
Abigail Simons ◽  
Ashley van Niekerk

IntroductionDrowning is a neglected public health threat in low-income and middle-income countries where the greatest drowning burden is observed. There is a paucity of drowning surveillance data from low-resource settings, particularly in Africa. Understanding local epidemiological factors will enable the development of context-specific drowning prevention initiatives and the appropriate allocation of resources.AimThe primary aim of this study was to describe the epidemiology of fatal drowning in the Western Cape, South Africa.MethodThis retrospective study describes fatal drowning incidents captured in the Western Cape vital registration system between 2010 and 2016. Data were obtained from the Forensic Pathology Services of the Western Cape Government. One-way analysis of variance was performed to detect a trend in mean drowning mortality rates between 2010 and 2016. χ2 tests for independence were performed to detect differences in the distribution of variables between groups.ResultsA total of 1391 fatal drownings occurred in the Western Cape between 2010 and 2016, with an age-adjusted drowning mortality rate of 3.2 per 100 000 population. Rates were fourfold higher in men compared with women. Children, particularly young children aged 0–4 years, and young adult men between 20 and 34 years of age were identified to be at high risk of fatal drowning. Drowning occurred predominantly in large, open bodies of water with concentrations in summer and public holidays.ConclusionsThe Western Cape drowning prevention strategy should prioritise interventions to reduce drowning in children and young adult men, with a targeted focus on festive periods such as public holidays.


2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Anniza de Villiers ◽  
Nelia P. Steyn ◽  
Catherine E. Draper ◽  
Jillian Hill ◽  
Lucinda Dalais ◽  
...  

Author(s):  
Sam Surka ◽  
Krisela Steyn ◽  
Katherine Everett-Murphy ◽  
Thomas A. Gaziano ◽  
Naomi Levitt

Background: South Africa currently faces an increasing burden of cardiovascular disease. Although referred to clinics after community screening initiatives, few individuals who are identified to be at high risk for developing cardiovascular disease attend. Low health literacy and risk perception have been identified as possible causes. We investigated the knowledge and perceptions about risk for cardiovascular disease in a community.Method: We conducted a series of focus group discussions with individuals from a low incomeperi-urban community in the Western Cape, South Africa. Different methods of presenting risk were explored. The data were organised into themes and analysed to find associations between themes to provide explanations for our findings.Results: Respondents’ knowledge of cardiovascular disease and its risk factors varied, but most were familiar with the terms used to describe cardiovascular disease. In contrast, understanding of the concept of risk was poor. Risk was perceived as a binary concept and evaluation of different narrative and visual methods of presenting risk was not possible.Conclusion: Understanding cardiovascular disease and its risk factors requires a different set of skills from that needed to understand uncertainty and risk. The former requires knowledge of facts, whereas understanding of risk requires numerical and computational skills. Without a better understanding of risk, risk assessments for cardiovascular disease may fail in this community.


2019 ◽  
Vol 5 (3) ◽  
pp. 293
Author(s):  
Simone Martin-Howard

There is limited qualitative case research focusing on the underreported voices of black and coloured men and women employed at nonprofit organizations (NPOs) and living in underserved communities of South Africa. The purpose of this single case study, then, is to explore barriers and challenges to service delivery and funding at one specific NPO in South Africa’s Western Cape Province (WCP). To do so, I rely on observations and indepth semistructured interviews with 11 staff members. According to a majority of the staff, religion and race are the primary barriers that prevent the organization from achieving its goals and objectives. Moreover, they note that poverty and poor living conditions, child abandonment and neglect as a result of maternal alcohol abuse, and racial and cultural tensions are contextual challenges that inhibit organizational effectiveness. While these barriers and challenges are specific to this particular NPO, the contextual factors that staff identified are evident in other townships in the WCP. As such, the findings from this study add to the knowledge of NPOs in the WCP and provide insights into how to improve service delivery for low-income and underserved populations in the region.


2016 ◽  
Vol 16 (1) ◽  
pp. 13-31 ◽  
Author(s):  
C. Goosen ◽  
M.H. McLachlan ◽  
C. Schübl

The promotion of exclusive breastfeeding for the first six months of life is estimated to be the most effective measure to save infants from morbidity and mortality in low-income settings. South Africa is challenged by very poor exclusive breastfeeding practices (6.8–8.3%) during the first six months of life. In the low-income area investigated, the exclusive breastfeeding rate was 6% in 2011. The aim of this study was to describe the factors impeding exclusive breastfeeding practices in a low-income area of the Western Cape Province of South Africa in order to provide recommendations on tailored and generalisable intervention strategies for the promotion of exclusive breastfeeding practices. Focus group discussions were conducted with caregivers and health care workers. Several barriers to exclusive breastfeeding practices were reported and seven themes were identified during data analysis: 1) the perception that infants needed water, gripe water and Lennon’s Behoedmiddel; 2) the concern that milk alone does not satisfy an infant; 3) inadequate infant feeding education and support by the health system; 4) the lack of community-based postnatal support; 5) convention and family influence; 6) mothers separated from infants; and 7) local beliefs about maternal behaviour and breastfeeding. The barriers to exclusive breastfeeding practices proved to be multifaceted and interlinked. The influence of convention and community perceptions and beliefs combined with suboptimal infant feeding education by the health system and the lack of local postnatal breastfeeding support initiatives posed an intricate group of barriers to exclusive breastfeeding practices.


Bradleya ◽  
2019 ◽  
Vol 2019 (37) ◽  
pp. 167
Author(s):  
E.J. Van Jaarsveld ◽  
B.J.M. Zonneveld ◽  
D.V. Tribble
Keyword(s):  

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