scholarly journals Mapping the Burden of Hypertension in South Africa: A Comparative Analysis of the National 2012 SANHANES and the 2016 Demographic and Health Survey

Author(s):  
Ngianga-Bakwin Kandala ◽  
Chibuzor Christopher Nnanatu ◽  
Natisha Dukhi ◽  
Ronel Sewpaul ◽  
Adlai Davids ◽  
...  

This study investigates the provincial variation in hypertension prevalence in South Africa in 2012 and 2016, adjusting for individual level demographic, behavioural and socio-economic variables, while allowing for spatial autocorrelation and adjusting simultaneously for the hierarchical data structure and risk factors. Data were analysed from participants aged ≥15 years from the South African National Health and Nutrition Examination Survey (SANHANES) 2012 and the South African Demographic and Health Survey (DHS) 2016. Hypertension was defined as blood pressure ≥ 140/90 mmHg or self-reported health professional diagnosis or on antihypertensive medication. Bayesian geo-additive regression modelling investigated the association of various socio-economic factors on the prevalence of hypertension across South Africa’s nine provinces while controlling for the latent effects of geographical location. Hypertension prevalence was 38.4% in the SANHANES in 2012 and 48.2% in the DHS in 2016. The risk of hypertension was significantly high in KwaZulu-Natal and Mpumalanga in the 2016 DHS, despite being previously nonsignificant in the SANHANES 2012. In both survey years, hypertension was significantly higher among males, the coloured population group, urban participants and those with self-reported high blood cholesterol. The odds of hypertension increased non-linearly with age, body mass index (BMI), waist circumference. The findings can inform decision making regarding the allocation of public resources to the most affected areas of the population.

2002 ◽  
Vol 10 (10) ◽  
pp. 1038-1048 ◽  
Author(s):  
Thandi Puoane ◽  
Krisela Steyn ◽  
Debbie Bradshaw ◽  
Ria Laubscher ◽  
Jean Fourie ◽  
...  

2021 ◽  
pp. 097370302110329
Author(s):  
Vusi Gumede

There are many questions related to poverty in South Africa that remain unsatisfactorily answered. Given the poor performance of the South African economy, including declining per capita incomes and increasing unemployment, since 2010 or so, it is important to examine poverty dynamics in the recent years. Many recent studies in this regard have relied on 2015 data, and do not examine all the three interrelated aspects of wellbeing viz. poverty, human development and inequality. In this context, this paper uses all the five waves of the National Income Dynamics Study and employs different poverty and inequality measurement techniques to investigate poverty dynamics, human development and inequality during the post-apartheid period in South Africa. The estimates suggest that although poverty was declining prior to the coronavirus pandemic, the African/Black population group is the most affected by poverty. The phenomenon of feminisation of poverty is also verified based on the evidence of increasingly more women in poverty than men. The proportion of population experiencing multiple deprivations, measured by the Multidimensional Poverty Index, have not changed in the post-apartheid period. Similarly, human development has not improved during this period. South African society continues to be one of the most unequal societies in the world. The paper argues that the inability to sufficiently reduce poverty, unemployment and inequality results from the weak performance of the South African economy. In the same vein, it is the structure of the South African economy that has kept the levels of human development low and income inequality high.


2015 ◽  
Vol 5 (4) ◽  
pp. 8-18
Author(s):  
Zeleke Worku

The annual report issued for the financial year 2013/2014 by the South African Chamber of Commerce and Industry (2015) shows that the business confidence index of South Africa was equal to 89.3% in January 2015. According to the South African National Department of Tourism (2015), the tourism sector contributed 93 Billion Rand (3%) to the South African GDP in the year 2012. The contribution of the tourism sector was equal to 189.4 Billion Rand in the year 2009. This figure is projected to grow to 499 Billion Rand by the year 2020. According to the South African Small Enterprise Development Agency (2015), newly established and emerging business enterprises conducting business in the tourism sector of Gauteng Province are less viable and efficient in comparison with well-established tourism enterprises. The objective of this study was to identify and quantify risk factors for underperformance and bankruptcy in the tourism sector of Gauteng Province in South Africa. The study was based on data collected from a stratified random sample of size 311 tourism enterprises that operate in Gauteng Province, South Africa. Data was collected on a large number of socio-economic factors that adversely affect entrepreneurial activities in the tourism sector of Gauteng Province. A combination of quantitative and qualitative methods of data collection and analyses was used in the study. Examples of variables on which data was gathered was level of entrepreneurial skills, level of formal education, location of business, duration of experience, amount of capital, number of employees, ability to network with other tourist operators, degree of competition from rival operators, geographical location, category of business, category of entrepreneurial skills, average number of visitors per month, net profit, size of business, market share, access to finance, and degree of support from Government agencies. Results obtained from the study showed that the long-term survival and viability of African entrepreneurs in the tourism industry of Gauteng Province was significantly and adversely affected by the degree of competition from rival operators, poor networking ability, lack of entrepreneurial skills, low capital, and geographical location. The study found that African entrepreneurs in the tourism industry of Gauteng Province lagged behind their white counterparts significantly in terms of networking ability, capital and entrepreneurial skills. In addition, 82% of the 311 African entrepreneurs who participated in the study lacked suitable skills due to their poor and irrelevant academic and vocational background, and that 59% of entrepreneurs had received little or no assistance in terms of mentoring or training opportunities from South African Government agencies.


Author(s):  
Tshaudi Motsima ◽  
K. Zuma ◽  
E. Rapoo

Under-five mortality remains a public health challenge in South Africa and other developing countries where children are likely to die before reaching five years. This paper aimed to identify factors associated with under-five mortality in South Africa taking into account clustering using the 1998 South African Demographic and Health Survey data. Survival analysis techniques were used to understand under-five mortality and its determinants. Frailty models incorporating family and community frailty effects were implemented. The results revealed that preceding birth interval, birth type, breastfeeding and dwelling unit type were significant determinants of under-five mortality. The findings further confirmed that children belonging to the same family and children belonging to the same community shared certain unobserved characteristics that put them at risk of death.


Worldview ◽  
1979 ◽  
Vol 22 (3) ◽  
pp. 24-36
Author(s):  
Benjamin Pogrund

Chief Gatsha Buthelezi is a dazzling, and controversial, figure on the South African scene. Of royal blood—a direct descendant of the great Zulu warrior kings of the last century—he draws the natural respect of many of the country's nearly five million Zulus. They form the biggest single population group, outstripping the ruling whites in number. Buthelezi is as conscious of his hereditary role as are his followersThrough his political actions of unceasing attack against racial apartheid, Buthelezi, aged fifty, also earns the support of many other blacks. He is a vocal and articulate proponent of a united and nonracial South Africa, which brings him white liberal support.


2020 ◽  
Vol 35 (1) ◽  
Author(s):  
Andre Mangu

After several decades of apartheid rule, which denied human rights to the majority of the population on the ground of race and came to be regarded as a crime against humanity, South Africa adopted its first democratic Constitution in the early 1990s. The 1996 Constitution, which succeeded the 1993 interim Constitution, is considered one of the most progressive in the world. In its founding provisions, it states that South Africa is a democratic state founded on human dignity, the achievement of equality, the advancement of human rights and freedoms. The Constitution enshrines fundamental human rights in a justiciable Bill of Rights as a cornerstone of democracy. Unfortunately, in the eyes of a number of politicians, officials and lay-persons, the rights in the Bill of Rights accrue to South African citizens only. Xenophobia, which has been rampant since the end of apartheid, seems to support the idea that foreigners should not enjoy these rights. Foreign nationals have often been accused of posing a threat to South African citizens with regard to employment opportunities. In light of the South African legislation and jurisprudence, this article affirms the position of the South African labour law that foreign nationals are indeed protected by the Constitution and entitled to rights in the Bill of Rights, including the rights to work and fair labour practices.


2019 ◽  
Vol 16 (2) ◽  
Author(s):  
Mokoko Piet Sebola ◽  
Malemela Angelinah Mamabolo

The purpose of this article is to evaluate the engagement of farm beneficiaries in South Africa in the governance of restituted farms through communal property associations. The South African government has already spent millions of rands on land restitution to correct the imbalance of the past with regard to farm ownership by the African communities. Various methods of farm management to benefit the African society have been proposed, however, with little recorded success. This article argues that the South African post-apartheid government was so overwhelmed by political victory in 1994 that they introduced ambitious land reform policies that were based on ideal thinking rather than on a pragmatic approach to the South African situation. We used qualitative research methods to argue that the engagement of farm beneficiaries in farm management and governance through communal property associations is failing dismally. We conclude that a revisit of the communal property associations model is required in order to strengthen the position of beneficiaries and promote access to land by African communities for future benefit.


2020 ◽  
Vol 72 (1-3) ◽  
Author(s):  
Lungisani Moyo

ABSTRACT This paper used qualitative methodology to explore the South African government communication and land expropriation without compensation and its effects on food security using Alice town located in the Eastern Cape Province South Africa as its case study. This was done to allow the participants to give their perceptions on the role of government communication on land expropriation without compensation and its effects on South African food security. In this paper, a total population of 30 comprising of 26 small scale farmers in rural Alice and 4 employees from the Department of Agriculture (Alice), Eastern Cape, South Africa were interviewed to get their perception and views on government communications and land expropriation without compensation and its effects on South African food security. The findings of this paper revealed that the agricultural sector plays a vital role in the South African economy hence there is a great need to speed up transformation in the sector.


Sign in / Sign up

Export Citation Format

Share Document