scholarly journals Emergency contraception for the South African healthcare professional

2020 ◽  
pp. 155-159
Author(s):  
J Markram

Unintended pregnancies are very common and it is estimated that almost 45% of all pregnancies in 2011 in the USA were not planned. In South Africa the situation could even be worse as it is common knowledge that we have a very high teenage pregnancy rate. It puts the already overburdened health system under enormous pressure.

2020 ◽  
Vol 16 ◽  
pp. 174550652094941
Author(s):  
Madeleine Lambert ◽  
Emily Mendenhall ◽  
Andrew Wooyoung Kim ◽  
Herbert Cubasch ◽  
Maureen Joffe ◽  
...  

Background: Breast cancer is the most common cancer globally and among South African women. Women from socioeconomically disadvantaged South African communities more often present later and receive total mastectomy compared to those from more affluent communities who have more breast conserving surgery (which is less invasive but requires mandatory radiation treatment post-operatively). Standard chemotherapy and total mastectomy treatments are known to cause traumatizing side effects and emotional suffering among South African women; moreover, many women face limited communication with physicians and psychological support. Objective: This article investigates the experiences of women seeking breast cancer treatment at the largest public hospital in South Africa. Methods We interviewed 50 Black women enrolled in the South African Breast Cancer Study to learn more about their health system experiences with detection, diagnosis, treatment, and follow-up care for breast cancer. Each interview was between 2–3 hours, addressing perceptions, experiences, and concerns associated with breast cancer and comorbidities such as HIV and hypertension. Results: We found most women feared diagnosis, in part, because of the experience of chemotherapy and physical mutilation related to mastectomy. The importance of social support from family, religion, and clinical staff was fundamental for women coping with their condition and adhering to treatment and medication. Conclusions: These findings exemplify how interventions might promote early detection of breast cancer and better adherence to treatment. Addressing community perceptions of breast cancer, patient needs and desires for treatment, structural barriers to intensive therapies, and the burden of invasive treatments are imperative next steps for delivering better breast cancer care in Soweto and other resource-constrained settings.


2016 ◽  
Vol 9 (3) ◽  
pp. 651-666 ◽  
Author(s):  
Johannes Van der Merwe ◽  
Philippus Cloete ◽  
Herman Van Schalkwyk

This article investigates the competitiveness of the South African wheat industry and compares it to its major trade partners. Since 1997, the wheat-to-bread value chain has been characterised by concentration of ownership and regulation. This led to concerns that the local wheat market is losing international competitiveness. The competitive status of the wheat industry, and its sub-sectors, is determined through the estimation of the relative trade advantage (RTA). The results revealed declining competitiveness of local wheat producers. Compared to the major global wheat producers, such as Argentina, Australia, Brazil, Canada, Germany and the USA, South Africa’s unprocessed wheat industry is uncompetitive. At the same time, South Africa has a competitive advantage in semi-processed wheat, especially wheat flour. The institutional environment enables the importation of raw wheat at lower prices and exports processed wheat flour competitively to the rest of Africa.


Author(s):  
Lindy Steibel

Lewis Nkosi is increasingly recognized as one of South Africa’s foremost literary critics, and also as an iconoclastic writer of novels and plays. His years as an exile during the apartheid era meant, however, that his reputation within South Africa was for some time less secure than it was abroad. Born in Chesterville, a black Durban township, Nkosi came from a female-headed, working-class family. He was mission-schooled in Eshowe and then embarked on a career that began with a short but important journalistic stint at Drum magazine. To take up a Nieman Fellowship at Harvard in 1961, Nkosi left South Africa on a one-way exit permit. For the rest of his life he lived variously in England, Zambia, Poland, the USA and Switzerland, following a writing and academic career. Nkosi’s style is a distinctive one, at odds with much of the naturalist writing that characterized South African black ‘protest’ fiction of the apartheid years. Influenced by the writings of Faulkner, Kafka and Joyce, Nkosi’s style is modernist, suggestive and symbolic. His loyalty to form, and to the stringent demands of a modernist perception of art, is evident in his critical essays, gathered into three collections: Home and Exile (1965), The Transplanted Heart: essays on South Africa (1975), and Tasks and Masks: themes and styles of African literature (1981).


Author(s):  
Patricia Wilson ◽  
Azwihangwisi Helen Mavhandu-Mudzusi

Abstract Community and public participation and involvement is an underpinning principle of primary health care, an essential component of a social justice-orientated approach to health care and a vehicle to improving health outcomes for patients, public and communities. However, influenced by history and context, there are intrinsic issues surrounding power imbalance and other barriers to partnerships between communities, public, policy makers and researchers. It is important to acknowledge these issues, and through doing so share experiences and learn from those working within very different settings. In South Africa, community participation is seen as a route to decolonisation. It is also integral to the core functions of South African Higher Education Institutes, alongside teaching and research. In the UK, there has also been a history of participation and involvement as part of a social rights movement, but notably public involvement has become embedded in publicly funded health research as a policy imperative. In this paper, we draw on our respective programmes of work in public and community participation and involvement. These include a South African community engagement project to reduce teenage pregnancy and HIV infection working through a partnership between teachers, students and university academics, and a national evaluation in England of public involvement in applied health research. We begin by highlighting the lack of clarity and terms used interchangeably to describe participation, engagement and involvement. Frameworks for partnership working with relevance to South Africa and the UK are then analysed, suggesting key themes of relationships, working together, and evaluation and monitoring. The South African project and examples of public involvement in English primary and community care research are examined through these themes. We conclude the paper by mapping out common enablers and barriers to partnership working within these very different contexts.


2008 ◽  
Vol 38 (3) ◽  
pp. 263-283 ◽  
Author(s):  
Gladys Ganiel

AbstractThis paper uses a comparative perspective to analyze how multiracial congregations may contribute to racial reconciliation in South Africa. Drawing on the large-scale study of multiracial congregations in the USA by Emerson et al., it examines how they help transform antagonistic identities and make religious contributions to wider reconciliation processes. It compares the American research to an ethnographic study of a congregation in Cape Town, identifying cross-national patterns and South African distinctives, such as discourses about restitution, AIDS, inequality and women. The extent that multiracial congregations can contribute to reconciliation in South Africa is linked to the content of their worship and discourses, but especially to their ability to dismantle racially aligned power structures.


Obiter ◽  
2017 ◽  
Vol 38 (2) ◽  
Author(s):  
Heleen van Niekerk

The social rules of standing and waiting in a queue do not require explanation. When queuing at the post office, supermarket, or the theatre entrance, it is common knowledge that someone trying to enter the queue at any place but the rear end will cause, to say the least, an unfriendly reaction. Leaving the queue without good reason and without discussing this with the person behind one, may very well lead to losing one’s place in the queue. There are nuances, of course, informed by other important social norms or common decency, such as allowing leniency to queuing decorum for the infirm or disabled; or to be reasonable in allowing someone back into the queue when he/she had to leave for a good reason and with the promise of return, for example, to fetch an ID document accidentally left in the car. Adherence to these rules and norms is an expression of the deeply democratic principle of “ordinality” – something going more commonly by the statement “first-come; first-served”. Very simply, with limited exceptions, the person that is first in the queue must be served first.The “first-come; first-served” principle is not only a social rule of queuing. The notion that priority must be given according to the time of arrival is a manifestation of distributive and procedural justice, and is also “one of the most primitive canons of property jurisprudence”. In South African mining law, the “first-come; first-served” principle is associated with the notion that overlapping applications for a licence to conduct extractive-related activities, must be processed in order of receipt. In the mining context, the application of rules related to queuing and the “first-come; first-served” principle is, of course, more complex in a social setting. The reason for this stems from the different, and at times conflicting, interests that must be taken into account. While a simple application of the “first-come; first-served” principle may benefit individual queuers, the government, for example, may be interested in granting rights to entities that have the best financial and technical skills to exploit a mineral deposit optimally. The government may also be interested in granting rights to entities that are best able to advance the objectives of transformation and equitable access to mineral resources.The decision in Aquila Steel (South Africa) Limited v Minister of Mineral Resources ((72248/15) [2016] ZAGPPHC 1071) presents a striking illustration of the importance of rules related to queuing in the South African mining industry. This illustration is even more vivid, taking into account legislative changes to the Mineral and Petroleum Resources Development Act 28 of 2002 that were pending at the time of the judgment and that has subsequently taken effect. The judgment and legislative developments, furthermore, illustrate the interrelationship between the “first-come; first-served” principle and the notion of “exclusivity” as understood in the mining context.This case note discusses all aspects of the Aquila Steel judgment, but hones in on its implications for the queuing system in the South African mining context and, in particular, the relationship between the “first-come; first-served” principle and the notion of exclusivity.


2019 ◽  
Author(s):  
Ololade Julius Baruwa ◽  
Acheampong Yaw Amoateng

Abstract Early sexual experiences affect the sexual and reproductive health of young persons because they put them at the risk of risky sexual behaviours including multiple sexual partners and inconsistent condom use. As a consequence, early sexual experiences increase the risk of unintended pregnancies and STIs, including HIV/AIDS. There has been limited research on the prevalence and socio-demographic determinants of early sexual experience in South Africa. Thus, this study aimed to fill the void by assessing the socio-demographic factors that are associated with early sexual experience among South African female youth using the 2016 South Africa Demographic and Health Survey (SADHS). Results showed that female youth with secondary (HR: 0.69, CI: 0.61-0.77) and higher (HR: 0.47, CI: 0.41-0.54) education had lower hazard risk of early sexual experience compared to those who had no education and primary education. Female youth between the ages of 25-34 (HR: 0.70, CI: 0.65-0.74) had hazard lower risk of early sexual experience compared to those from poor wealth index. Belonging to “other” population group reduced the hazard risk of early sexual experience among female youth compared to those belonging to African population group (HR: 0.87, CI: 0.77-0.98). Programs should target high-risk groups to delay early sexual initiation.


2013 ◽  
Vol 12 (7) ◽  
pp. 769
Author(s):  
Liza (ESM) Coetzee ◽  
Hanneke du Preez ◽  
Natasha K. Smale

A quarter of the labour force in South Africa is currently unemployed with the majority of the unemployed being unskilled youth. One of the major causes seems to be the commanding power of trades union resulting in a high minimum wage for unskilled workers, which results in a reduction in the demand for unskilled labour. To reduce the current unemployment rate in South Africa, policy decisions should be focused on youth employment with emphasis on skills development. Policy should also stimulate growth of small, medium and micro enterprises in order to stimulate job creation. A literature review indicates that current tax incentives in South Africa do not incentivise employers to hire unskilled youth labour, and are not applied on a wide enough scale to significantly impact the overall unemployment statistics. The proposed youth wage subsidy will increase the demand for unskilled labour by reducing the cost of labour. However, to have the desired impact, the participation rate must be high. The proposed subsidy was analysed against the successes and failures of subsidies implemented in the USA. It was found that many of the flaws identified in the USA have been avoided.Based on the above, the recommendation is that the proposed youth wage subsidy is plausible in a South African context and should be implemented. The main concern is that newly employed youth would replace workers who do not meet the qualifications of the subsidy. This would have to be taken into account by policy makers.


2016 ◽  
Vol 9 (3) ◽  
pp. 175
Author(s):  
Anis Mahomed Karodia ◽  
Sayed Rehman ◽  
Paresh Soni

<p>This narrative attempts to deal with the title of the paper in terms of the South Africa’s economic and fiscal quagmire and crisis. In no way is the paper all inclusive because, it cannot capture all of the subtle nuances that encompass this vexing issue, nearly two decades after the dawn and road to democracy, post 1994. The Finance Minister is in a no win situation and has to play the tune of his political masters. The Ministers mid-term review tabled to the nation in October, 2015 shows that he has to walk a very tight rope because of the current account, fiscal deficit and points to the reality that the business outlook is bleak.  The reality question is, is it economic power or political power? The downgrade risks that the country faces on the part of rating agencies makes Minister Nene’s Job even more trickier and therefore, faces a near impossible balancing act’ to appease rating agencies. Can the Minister keep the credit agency wolves from the Treasury door? South Africa is in an economic and fiscal turmoil as it dips into savings to pay its monthly bills and therefore, reserve funds are being diverted into bureaucrats’ salaries. It is not only the question of the prolonged economic meltdown, but in reality it has to do with the mismanagement of the economy by the ruling government. The very high levels of corruption, cronyism, a mismatch in policy imperatives, the failure to action holistically the National Development Plan (NDP) and, a number of variables that have placed South Africa in this extreme quagmire, exacerbated by increasing unemployment, depressing poverty levels and rising inequality. The only solution is to deal decisively with corruption and to generate rapid growth by means of policy certainty. Against this background the paper will attempt to discuss these and other scenarios that confront South Africa.</p>


Sign in / Sign up

Export Citation Format

Share Document