scholarly journals Effects of COVID-19 on the economy and mental health of young people in South Africa: opportunities for strengthening social protection programmes by integrating mental health

2021 ◽  
Vol 51 (2) ◽  
pp. 199-204
Author(s):  
Alejandra Álvarez-Iglesias ◽  
Emily Garman ◽  
Crick Lund
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Young People ◽  
Child Support ◽  
Social Protection ◽  
Psychological Impact ◽  
Sub Saharan Africa ◽  
Physical And Mental Health ◽  
Protection Measures ◽  
Employment Education

The majority of COVID-19 cases in sub-Saharan Africa are found in South Africa, where one third of young people are not in employment, education or training. As the world continues to fight the COVID-19 virus spread, an increasing volume of studies are analysing and trying to predict the consequences of the pandemic on the economy and on physical and mental health. This article describes the economic and psychological impact of COVID-19 in South Africa’s youth specifically, the efforts made to tackle these issues, and the opportunities to integrate mental health into the country’s social protection measures, such as the Child Support Grant.

scholarly journals Long term health effects of NEET experiences: evidence from a longitudinal analysis of young people in Scotland

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Zhiqiang Feng ◽  
Kevin Ralston ◽  
Dawn Everington ◽  
Chris Dibben
Keyword(s):  
Mental Health ◽  
Young People ◽  
Hospital Admissions ◽  
Local Area ◽  
Poor Mental Health ◽  
Physical And Mental Health ◽  
Scottish Population ◽  
Employment Education

ABSTRACTBackgroundThis paper examines whether experiences of young people who are not in employment, education or training (NEET) are associated with adverse long-term outcomes in health. We used the Scottish Longitudinal Study (SLS), which includes information from the 1991, 2001, and 2011 censuses as well as from vital events, for a 5.3% representative sample of the Scottish population. Linked health data such as hospital admissions and prescribing in general practice are also available. We followed around 14,000 young people who were aged 16-19 in 1991 up to 2011. MethodWe explored whether NEET young people in 1991 displayed higher risks of poor physical and mental health in the follow-up period. Poor physical health is measured by any admission into hospital and poor mental health is measured by prescription of anti-depressant and anti-anxiety medicine. We used descriptive and modelling approaches in our analysis. Covariates include a number of individual socioeconomic characteristics and local area characteristics in the models. ResultsOur research found that over 40% of the cohort members have been admitted into hospital, while over 30% have been prescribed with anti-depressant and anti-anxiety drugs. The NEET status in 1991 appears to be associated with hospitalisation with adjusted odds ratio (OR) of 1.24 (95% Confidence Intervals (CIs): 1.08 – 1.42). Also the NEET experiences are associated with poor mental health with OR of 1.47 (95% CI: 1.27 – 1.71). Policy intervention is necessary in assisting NEET young people to re-engage in education or employment.

scholarly journals Relationships with caregivers and mental health outcomes among adolescents living with HIV: a prospective cohort study in South Africa

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yulia Shenderovich ◽  
Mark Boyes ◽  
Michelle Degli Esposti ◽  
Marisa Casale ◽  
Elona Toska ◽  
...  
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Cohort Study ◽  
Mental Health Problems ◽  
Health Problems ◽  
Sub Saharan Africa ◽  
Depression Symptoms ◽  
Sub Saharan ◽  
Positive Caregiving ◽  
Living With Hiv

Abstract Background Mental health problems may impact adherence to anti-retroviral treatment, retention in care, and consequently the survival of adolescents living with HIV. The adolescent-caregiver relationship is an important potential source of resilience. However, there is a lack of longitudinal research in sub-Saharan Africa on which aspects of adolescent-caregiver relationships can promote mental health among adolescents living with HIV. We draw on a prospective longitudinal cohort study undertaken in South Africa to address this question. Methods The study traced adolescents aged 10–19 initiated on antiretroviral treatment in government health facilities (n = 53) within a health district of the Eastern Cape province. The adolescents completed standardised questionnaires during three data collection waves between 2014 and 2018. We used within-between multilevel regressions to examine the links between three aspects of adolescent-caregiver relationships (caregiver supervision, positive caregiving, and adolescent-caregiver communication) and adolescent mental health (depression symptoms and anxiety symptoms), controlling for potential confounders (age, sex, rural/urban residence, mode of infection, household resources), n=926 adolescents. Results Improvements in caregiver supervision were associated with reductions in anxiety (0.98, 95% CI 0.97–0.99, p=0.0002) but not depression symptoms (0.99, 95% CI 0.98–1.00, p=.151), while changes in positive caregiving were not associated with changes in mental health symptoms reported by adolescents. Improvements in adolescent-caregiver communication over time were associated with reductions in both depression (IRR=0.94, 95% CI 0.92–0.97, p<.0001) and anxiety (0.91, 95% CI 0.89–0.94, p<.0001) symptoms reported by adolescents. Conclusions Findings highlight open and supportive adolescent-caregiver communication and good caregiver supervision as potential factors for guarding against mental health problems among adolescents living with HIV in South Africa. Several evidence-informed parenting programmes aim to improve adolescent-caregiver communication and caregiver supervision, and their effect on depression and anxiety among adolescents living with HIV should be rigorously tested in sub-Saharan Africa. How to improve communication in other settings, such as schools and clinics, and provide communication support for caregivers, adolescents, and service providers through these existing services should also be considered.

scholarly journals A Novel Landscape for Understanding Physical and Mental Health: Body Mapping Research with Youth Experiencing Psychosis

2018 ◽  
Vol 3 (2) ◽  
pp. 236-261 ◽  
Author(s):  
Katherine M. Boydell ◽  
Jeffrey Ball ◽  
Jackie Curtis ◽  
Adèle De Jager ◽  
Megan Kalucy ◽  
...  
Keyword(s):  
Mental Health ◽  
Early Intervention ◽  
Young People ◽  
Physical Health ◽  
Social Issues ◽  
The Body ◽  
First Episode ◽  
Physical And Mental Health ◽  
Body Mapping ◽  
The Future

Estimates indicate the lifespan of individuals with psychotic illness is reduced by approximately 15-20 years. Consequently there is a need to address the physical health of those who live with a mental illness, like psychosis. The Bondi Centre provides an integrated model of care to young people with a first episode of psychosis. The Keeping the Body In Mind program focuses on prevention and early intervention of physical health issues and is offered alongside treatment for mental health and social issues as part of routine care. We used body mapping, an arts-based research method, to explore the complexity of this physical health intervention. Our aim was to develop an in-depth understanding of experiences of young clients of the early intervention centre, with a particular focus on the embodied relationship between physical and mental health. Six young people engaged in creating life-sized body maps depicting their experience of the physical intervention program over four 3-hour sessions, followed by an in-depth interview. Analysis of our body maps drew on thematic analysis and narrative inquiry. The narrative trope was one of recovery, highlighting the importance of the link between body and mind, individual and community, and the balance between light and darkness. There was an emphasis on developing feelings of connectedness (to self and others), hope and optimism for the future, a sense of having an identity, and a sense of meaning and empowerment. Recovery was conceptualised as an ongoing process rather than an end product or fixed state. Involvement in the body mapping process was consistently identified as therapeutic, offering an opportunity for reflection on the journey to recovery with a focus on past, present and imagined storylines of the future. 

scholarly journals People with disabilities and income-related social protection measures in South Africa: Where is the gap?

2017 ◽  
Vol 6 ◽  
Author(s):  
Jill Hanass-Hancock ◽  
Tamlyn C. McKenzie
Keyword(s):  
South Africa ◽  
Social Protection ◽  
People With Disabilities ◽  
Household Survey ◽  
Severe Disabilities ◽  
Protection Measures ◽  
Increased Risk ◽  
Protection Mechanisms ◽  
Social Grants ◽  
Out Of Pocket Costs

Background: People with disabilities are at increased risk of poverty, particularly in low-and middle-income countries. However, recent evidence suggests that this association is more nuanced than previously anticipated and that we need better data to understand the opportunity and out-of-pocket costs that diverse groups of people with disabilities may experience.Objective: This paper discusses if disability is associated with opportunity cost and loss of income both on the individual and household level in South Africa, and if these costs differ depending on disability type and severity.Methods: For this purpose, the paper analyses General Household Survey 2011 data (people between 15 and 59) using descriptive statistics disaggregated via disability type and severity. The paper also assesses if social grants counteract these costs and reduce economic vulnerability.Results: The analysis of the data reveals that people with disabilities are affected by issues relating to multidimensional poverty such as lower educational attainment and fewer employment opportunities. In addition, households of people with disabilities (with the exception of milder visual problems) earn significantly less than households without people with disabilities, and this particularly applies to households with people with severe disabilities. This vulnerability also varies by disability type. The country’s social protection mechanisms, in terms of social grants, counteract economic vulnerability to some extent but do not consider the nuanced economic impact of diverse conditions nor the increased out-of-pocket costs related to disability.Conclusions: This calls for more equitable social protection mechanisms that include accessible services, livelihood programmes and disability benefits.

scholarly journals Primary healthcare and school health service utilisation by adolescents and young adults in KwaZulu-Natal, South Africa

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Aoife M. Doyle ◽  
Lerato Mchunu ◽  
Olivier Koole ◽  
Sandile Mthembu ◽  
Siphephelo Dlamini ◽  
...  
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Young People ◽  
Health Service ◽  
School Health ◽  
Young Person ◽  
Service Utilisation ◽  
Kwazulu Natal ◽  
Health Registers ◽  
Youth Friendly

Abstract Background Young people aged 10–24 years are a vulnerable group with poor health service access relative to other populations. Recent South African initiatives, the She Conquers campaign, the Integrated School Health Policy and the Adolescent & Youth Health Policy, include a focus on improving the breadth and quality of youth-friendly health service delivery. However, in some settings the provision and impact of scaled-up youth friendly health services has been limited indicating a gap between policy and implementation. In this study we reviewed existing sources of data on health service utilisation to answer the following question: ‘What health conditions do young people present with and what services do they receive at public health clinics, mobile clinics and school health services?’ Methods We conducted a retrospective register review in three purposively selected primary healthcare clinics (PHCC), one mobile clinic, and one school health team in Hlabisa and Mtubatuba sub-districts of uMkhanyakude District, KwaZulu-Natal, South Africa. The focus was service utilisation for any reason by 10–24 year olds. We also conducted descriptive analysis of pre-existing data on service utilisation by young people available from the District Health Information System for all 17 PHCC in the study sub-districts. Results Three quarters of 4121 recorded young person visits in the register review were by females, and 40% of all young person visits were by females aged 20–24 years. The most common presenting conditions were HIV-related, antenatal care, family planning, general non-specific complaints and respiratory problems (excluding TB). There were relatively few recorded consultations for other common conditions affecting young people such as mental health and nutritional problems. Antibiotics, antiretrovirals, contraceptives, vitamins/supplements, and analgesics were most commonly provided. Routine health registers recorded limited information, were often incomplete and/or inconsistent, and age was not routinely recorded. Conclusions Measuring morbidity and service provision are fundamental to informing policy and promoting responsive health systems. Efforts should be intensified to improve the quality and completeness of health registers, with attention to the documentation of important, and currently poorly documented, young people’s health issues such as mental health and nutrition.

scholarly journals Sustainable Development, Poverty, and Risk of Exclusion for Young People in the European Union: The Case of NEETs

2018 ◽  
Vol 10 (12) ◽  
pp. 4708 ◽  
Author(s):  
Santos Ruesga-Benito ◽  
Fernando González-Laxe ◽  
Xose Picatoste
Keyword(s):  
Sustainable Development ◽  
Labor Market ◽  
Young People ◽  
Social Exclusion ◽  
Social Protection ◽  
Structural Equations ◽  
The European Union ◽  
The Sustainable Development ◽  
Employment Education ◽  
Socio Economic Variables

The difficulties of access to the labor market remains in the post-crisis period, particularly for younger people and for those countries more affected by the crisis. The economic conditions with the precariousness of the labor market and higher unemployment taxes for youth, draws a scenario where the risk of poverty and social exclusion could influence young people and discourage them from social and economic participation, and thus the number of young people not in employment, education, or training (NEETs) will increase. The sustainable development in general and the social sustainability in particular needs to solve this important issue to get a balanced and fair social and economic scenario. In this work, the influence of socio economic variables related to the level of prosperity of the country and social protection as well as the risk of poverty and social exclusion on young NEETs is evaluated based on the EUROSTAT data for the year, 2016, for young people. The method was a structural equations model and the results confirm that the key important factors for explaining the situation of the NEETs’ are more related to poverty and exclusion than to the economic environment. The main conclusion from these results is the importance of implementing some inclusive actions to prevent an increase in the number of young NEETs, and boosting, in this way, a more balanced and sustainable society.

The Economics of Non-Cognitive Skills

2014 ◽  
pp. 350-369
Author(s):  
Laura Camfield
Keyword(s):  
South Africa ◽  
Young People ◽  
Cognitive Skills ◽  
Quantitative Data ◽  
Labor Market Outcomes ◽  
Sub Saharan Africa ◽  
Context Specificity ◽  
Market Outcomes ◽  
Qualitative And Quantitative ◽  
Sub Saharan

Non-cognitive skills, defined as individual differences that are independent of cognitive ability, are used within economics and policy to understand and improve labor market outcomes and reduce anti-social behavior. These measures are now being used in sub-Saharan Africa to capture “softer” outcomes of interventions with young people in particular. Having first defined non-cognitive skills and described how they are measured, this chapter then presents critiques relating to their relative insensitivity to culture and class. This argument as to the context specificity of non-cognitive skills is supported with qualitative and quantitative data generated with young entrepreneurs from Uganda and South Africa.

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