scholarly journals Stories about care: Women in a historically disadvantaged community infected and/or affected by HIV/AIDS

2004 ◽  
Vol 60 (3) ◽  
Author(s):  
Julian C. Müller ◽  
Sunette Pienaar

Black women in previously disadvantaged communities in South Africa carry the burden of triple oppression: (a) the social engineering policies synonymous with apartheid have marginalised women economically and socially; (b) patriarchy, embedded in cultural and religious discourses, has rendered women voiceless and powerless and (c) HIV/AIDS targets the most vulnerable: women and children. The authors describe a research experience in Atteridgeville, a historically disadvantaged community in South Africa, with a family of women infected and/or affected by HIV/AIDS, about their experiences of care and or the lack thereof. A narrative approach offers useful ideas to facilitate a process in which African women in historically challenged communities can speak out about their experiences of care and or the lack of care.

2017 ◽  
Vol 14 (2) ◽  
pp. 57-70 ◽  
Author(s):  
Lyn Snodgrass

This article explores the complexities of gender-based violence in post-apartheid South Africa and interrogates the socio-political issues at the intersection of class, ‘race’ and gender, which impact South African women. Gender equality is up against a powerful enemy in societies with strong patriarchal traditions such as South Africa, where women of all ‘races’ and cultures have been oppressed, exploited and kept in positions of subservience for generations. In South Africa, where sexism and racism intersect, black women as a group have suffered the major brunt of this discrimination and are at the receiving end of extreme violence. South Africa’s gender-based violence is fuelled historically by the ideologies of apartheid (racism) and patriarchy (sexism), which are symbiotically premised on systemic humiliation that devalues and debases whole groups of people and renders them inferior. It is further argued that the current neo-patriarchal backlash in South Africa foments and sustains the subjugation of women and casts them as both victims and perpetuators of pervasive patriarchal values.


Author(s):  
Motlhatlego Dennis Matotoka ◽  
Kolawole Olusola Odeku

Black African women in South Africa are poorly represented at managerial levels in the South African private sector since the advent of democracy. Their exclusion at these occupational levels persists despite the Employment Equity Act 55 of 1998 (EEA) requiring that the private sector must ensure that all occupational levels are equitably represented and reflects the demographics of South Africa. The South African private sector demonstrates its lack of commitment to proliferating black African women into managerial positions by deliberately engaging in race-based recruitment and failing to develop and promote suitably qualified women into managerial positions. As such, the private sector is failing to create upward mobility for black African women to break the glass ceiling. The EEA requires the private sector to apply affirmative action measures in order to achieve equity in the workplace. It is submitted that since 1998, the private sector has been provided with an opportunity to set it own targets in order to achieve equity. However, 22 years later, black African women are still excluded in key managerial positions. However, the EEA does not specifically impose penalties if the private sector fails to achieve the set targets.This approach has failed to increase the representation of black women in managerial positions. However, the EEA does not specifically impose penalties if the private sector fails to achieve the set targets. Whilst this approach seeks to afford the private sector importunity to set its own target, this approach has failed to increase the representation of black women in managerial positions. Employing black African women in managerial levels enhances their skills and increases their prospects to promotions and assuming further leadership roles in the private sector. This paper seeks to show that the progression of black African women requires South Africa to adopt a quota system without flexibility that will result in the private sector being compelled to appoint suitably qualified black African women in managerial levels.


2003 ◽  
Vol 8 (2) ◽  
Author(s):  
Natalie Goldstein ◽  
H G Pretorius ◽  
A D Stuart

An in-depth look is taken at the specific discourses surrounding the debilitating HIV/AIDS epidemic sweeping South Africa and the world. Opsomming Hierdie artikel poog om ‘n indiepte ondersoek te loods na die spesifieke diskoerse rondom die MIV/VIGS epidemie in Suid-Afrika en die wêreld. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.


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.


2019 ◽  
Vol 96 ◽  
pp. 122-144
Author(s):  
Karina L. Cespedes

AbstractThis article examines Cuba's long process of gradual emancipation (from 1868–1886) and the continual states of bondage that categorize the afterlife of Cuban slavery. The article addresses deferred freedom, re-enslavement, and maintenance of legal states of bondage in the midst of “freedom.” It contends with the legacy of the casta system, the contradictions within the Moret Law of 1870, which “half-freed” children but not their mothers, and it analyzes the struggle for full emancipation after US occupation, with the thwarted attempt of forming the Partido Independiente de Color to enfranchise populations of color. The article argues that the desire to control the labor of racialized populations, and in particular the labor of black and indigenous women and children, unified Cuban and US slaveholders determined to detain emancipation; and provides an analysis of the re-enslavement of US free people of color at the end of the nineteenth century, kidnapped and brought to the Cuba as a method of bolstering slavery. The article draws on the scholarship of Saidiya Hartman and Shona Jackson to provide an assessment of the afterlife of Cuban slavery, the invisibility of indigenous labor, the hypervisibility of African labor in the Caribbean deployed to maintain white supremacy, and it critiques the humanizing narrative of labor as a means for freedom in order to address the ways in which, for racialized populations in Cuba, wage labor would emerge as a tool of oppression. The article raises an inquiry into the historiography on Cuban slavery to provide a critique of the invisibility of indigenous and African women and children. It also considers the role and place of sexual exchanges/prostitution utilized to obtain freedom and to finance self-manumission, alongside the powerful narratives of the social and sexual deviancy of black women that circulated within nineteenth-century Cuba.


Author(s):  
Gayatri Singh

In post-apartheid South Africa, there has been a significant rise in women's out-migration from rural areas and across its territorial borders for economic purposes resulting in gender reconfiguration of migration streams. Alongside, there has been a simultaneous increase in the participation of women in the labor force. However, this has mostly grown in the informal sector,1 which is often associated with low earnings and insecure working conditions. One consequence has been the increasing reliance of migrant women on survivalist activities such as informal sexual exchanges that increase their risk of contracting HIV infection. Insecure working environments also expose migrant women to sexual abuses. This article is based on the author's work in South Africa's major urban centers and examines the nature of the relationship between the increased migration of black African women in South Africa, the nature of their work, and their resultant vulnerability to HIV/AIDS.


2002 ◽  
Vol 18 (3) ◽  
pp. 651-660 ◽  
Author(s):  
Leah Gilbert ◽  
Liz Walker

This paper presents an overview of the development of HIV/AIDS in South Africa, taking into consideration the social context and analyzing the factors most likely to have influenced its spread as well as the societal response to it. The authors argue that macro factors such as social and political structures, in addition to behavioral ones, have combined to shape the course of the epidemic. Since various factors linked to social inequalities have combined to shape the pattern and growth of the HIV/AIDS epidemic in South Africa, it is inappropriate to focus on only one dimension in an attempt to combat the epidemic. Following the psycho-socio- environmental model, all potential contributing elements need to be addressed simultaneously. This calls for a true interdisciplinary and multi-sectorial approach. It also requires great commitment as well as strong political will.


2016 ◽  
Vol 21 ◽  
pp. 171-178 ◽  
Author(s):  
Firoza Haffejee ◽  
Katie A. Ports ◽  
Maghboeba Mosavel

Background: HIV prevalence is high among South African women of reproductive age and transmission of HIV from mothers to children is a concern. This study ascertained the level of knowledge about HIV infection and prevention, particularly prevention of mother toc hild transmission (PMTCT) amongst South African women from a low income community. It also established the challenges in delivering HIV education from the perspectives of health care volunteers.Method: Female residents (n = 67) from Kenneth Gardens, a low income community in Durban, South Africa were interviewed. In-depth semi-structured interviews were conducted with 12 health care volunteers who were either health care workers or residents who provided some form of social support in the community.Results: The majority of respondents indicated that a mother could transmit HIV to her child but were unable to specify how. Many women had general HIV/AIDS knowledge but were unable to identify essential prevention behaviours and were not very receptive to more information on HIV/AIDS. They were supportive of routine testing procedures and child bearing amongst HIV positive women. Health care volunteers indicated a need for a community clinic in the area.They also had limited knowledge of PMTCT and indicated that there was a need for more education on HIV, particularly to encourage the youth and men to use preventative measures.Conclusion: Innovative ways to impart knowledge particularly of PMTCT and updated standards of practice are essential. It is important that the community understands how transmission occurs so that prevention can follow.


2007 ◽  
Vol 35 (69_suppl) ◽  
pp. 130-137 ◽  
Author(s):  
Martin Wittenberg ◽  
Mark A. Collinson

Aims: To investigate changes in household structure in rural South Africa over the period 1996—2003, a period marked by politico-structural change and an escalating HIV/AIDS epidemic. In particular, the authors examine whether there is dissolution of extended family living arrangements. Methods: Data from the Agincourt demographic surveillance system, in rural north-eastern South Africa, and the rural sub-samples of selected nationally representative data sets were used to compare changes in the cross-sectional distribution of household types. Surveillance system data were further analysed to estimate the transition probabilities between household types. The latent pressures for change within the Agincourt area were analysed by projecting the household transition probabilities forward and comparing the projected steady-state distributions to the current distributions. Results: The national surveys show dramatic changes in the social structure in rural areas, particularly an increase in the importance of single person households. These trends are not confirmed in the surveillance system data. The national ``changes'' can possibly be ascribed to changes in sampling frames or household definitions. The transition probabilities within the Agincourt area show considerable changes between household types, despite a slower change in the aggregate distributions. The most important projected long-run changes are an increase in the proportion of three-generation linear households. ``Simpler'' household types such as single person households and nuclear households will become relatively less common. Conclusions: The structure of households is evolving under the pressure of social change and increased mortality due to HIV/AIDS. There is no evidence, however, that the social fabric is unravelling or that individuals are becoming increasingly isolated residentially.


Sign in / Sign up

Export Citation Format

Share Document