scholarly journals An ethnographic study exploring the experiences of patients living with cancer illness in support group settings in KwaZulu-Natal, South Africa

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Nkosinathi Mncwabe ◽  
Khumbulani W. Hlongwana ◽  
Themba G. Ginindza
Keyword(s):  
South Africa ◽  
Support Group ◽  
Ethnographic Study ◽  
Group Settings ◽  
Kwazulu Natal ◽  
Living With Cancer

scholarly journals Ancestral calling, traditional health practitioner training and mental illness: An ethnographic study from rural KwaZulu-Natal, South Africa

2020 ◽  
pp. 136346152090961
Author(s):  
Martine van der Zeijst ◽  
Wim Veling ◽  
Elliot Mqansa Makhathini ◽  
Ezra Susser ◽  
Jonathan K. Burns ◽  
...  
Keyword(s):  
South Africa ◽  
Mental Illness ◽  
Ethnographic Study ◽  
Health Practitioner ◽  
Care Clinic ◽  
Traditional Health ◽  
Traditional Health Practitioners ◽  
Practitioner Training ◽  
Kwazulu Natal ◽  
Health Practitioners

This qualitative ethnographic study complements an epidemiological study on first episode psychosis in Vulindlela, a rural area in KwaZulu-Natal, South Africa. It focuses on two themes that emerged from our data: (1) the calling of the ancestors to become a traditional health practitioner and (2) ukuthwasa, the training to become a traditional health practitioner. The purpose of this study is to describe the ancestral calling, and to explore whether ukuthwasa may help with the management of mental disturbances, including unusual perceptual experiences. We also provide a discussion of the changing sociopolitical context of healing in KwaZulu-Natal, as a background to our study. In-depth interviews were conducted with 20 (apprentice) traditional health practitioners, formal health practitioners, patients and relatives recruited through local traditional health practitioners and a health care clinic. Our results show that the ancestral calling might announce itself with symptoms of mental illness including unusual perceptual experiences, for which some participants consider ukuthwasa as the only effective cure. We found indications that in some individuals successful completion of ukuthwasa might promote recovery from their illness and lead to a profession in which the unusual perceptual experiences become a legitimate and positively valued aspect. We suggest that – in this particular community today, which has been subject to several sociopolitical changes – ukuthwasa may be a culturally sanctioned healing process which moderates experiences that a Western psychiatric system might characterize as psychotic symptoms, providing some individuals with a lucrative and respected role in society.

Family Caregivers’ Perspectives of the Economic Burden Imposed through Caring for Family Members with Cancer in KwaZulu-Natal, South Africa

2020 ◽  
Vol 32 (3) ◽  
Author(s):  
Phindile Mlaba ◽  
Themba Ginindza ◽  
Khumbulani Hlongwana
Keyword(s):  
South Africa ◽  
Family Member ◽  
Family Caregivers ◽  
Cancer Diagnosis ◽  
Economic Burden ◽  
Family Members ◽  
Subjective Experiences ◽  
Kwazulu Natal ◽  
Data Saturation ◽  
Living With Cancer

This study explored the perspectives of family caregivers of the economic burden imposed by caring for their family members who are living with cancer in KwaZulu-Natal, South Africa. This study employed qualitative methods to explore the subjective experiences of the family caregivers caring for family members living with cancer, drawing from the interpretivist paradigm. Data saturation was reached after conducting 20 in-depth interviews among family caregivers. The participating family caregivers were actively involved in caring or previously had the experience of caring for a family member with cancer. The interview questions focused on the caregivers’ perspectives of the economic burden of caring for a family member with cancer. Three key themes emerged from the analysis of the research findings, namely, the loss of income, financial coping before the cancer diagnosis, and financial challenges due to the cancer diagnosis. Cancer caregiving can be financially taxing on families, and impose more strain especially on families with low-household incomes. There is a need for health policymakers to consider exploring financial relief mechanisms for families who care for members living with cancer.

Adverse Events Reporting System as Experienced by Critical-Care Nurses in KwaZulu-Natal, South Africa

2018 ◽  
Vol 20 (1) ◽  
Author(s):  
Thusile Mabel Gqaleni ◽  
Busisiwe Rosemary Bhengu
Keyword(s):  
South Africa ◽  
Critical Care ◽  
Adverse Events ◽  
Patient Care ◽  
Family Involvement ◽  
Reporting System ◽  
Legal Framework ◽  
Critical Care Nurses ◽  
Kwazulu Natal ◽  
Life Threatening

Critically ill patients admitted to critical-care units (CCUs) might have life-threatening or potentially life-threatening problems. Adverse events (AEs) occur frequently in CCUs, resulting in compromised quality of patient care. This study explores the experiences of critical-care nurses (CCNs) in relation to how the reported AEs were analysed and handled in CCUs. The study was conducted in the CCUs of five purposively selected hospitals in KwaZulu-Natal, South Africa. A descriptive qualitative design was used to obtain data through in-depth interviews from a purposive sample of five unit managers working in the CCUs to provide a deeper meaning of their experiences. This study was a part of a bigger study using a mixed-methods approach. The recorded qualitative data were analysed using Tesch’s content analysis. The main categories of information that emerged during the data analysis were (i) the existence of an AE reporting system, (ii) the occurrence of AEs, (iii) the promotion of and barriers to AE reporting, and (iv) the handling of AEs. The findings demonstrated that there were major gaps that affected the maximum utilisation of the reporting system. In addition, even though the system existed in other institutions, it was not utilised at all, hence affecting quality patient care. The following are recommended: (1) a non-punitive and non-confrontational system should be promoted, and (2) an organisational culture should be encouraged where support structures are formed within institutions, which consist of a legal framework, patient and family involvement, effective AE feedback, and education and training of staff.

CHALLENGES TO BUILDING AUTHENTIC PARTNERSHIPS: LESSONS FROM BHAMBAYI, KWAZULU-NATAL, SOUTH AFRICA

2017 ◽  
Vol 26 (2) ◽  
pp. 124-140 ◽  
Author(s):  
Tanusha Raniga ◽  
Barbara Simpson ◽  
Ntokozo Mthembu
Keyword(s):  
South Africa ◽  
Social Services ◽  
Service Providers ◽  
Informal Settlement ◽  
Mutual Trust ◽  
Open Communication ◽  
Community Based ◽  
Individual Interviews ◽  
Kwazulu Natal ◽  
Qualitative Phase

In contemporary South Africa, partnerships between service providers in government, non-governmental organisations, the private sector and community based organisations have been identified as a means to strengthen communities and the sustainability of social services. However, the unequal power relations that exists between and within these organisations often leads to fragmentation, duplication, and lack of coordination of social services. Using Fowler’s (1998) conceptualisation of authentic partnerships, this qualitative phase of a larger study explored the challenges of building authentic partnerships in Bhambayi, a predominantly informal settlement in KwaZulu-Natal, South Africa. Individual interviews and a focus group held with nine service providers revealed that intraorganisational challenges, cross-boundary and inter-organisational relations as well as political influences were obstacles to the development of authentic partnerships. The article suggests that open communication, clarity of roles and mutual trust between service providers is vital.

Transforming the Rural Agricultural Landscape Through Groundwater Optimisation: Exploring A Chinese-South African Partnership

2018 ◽  
Vol 15 (1) ◽  
Author(s):  
Nirmala Dorasamy ◽  
Olayemi Bakre
Keyword(s):  
South Africa ◽  
South African ◽  
Agricultural Landscape ◽  
Agricultural Practices ◽  
Subsistence Farming ◽  
Water Shortages ◽  
Subsistence Farmers ◽  
Farming Communities ◽  
Standards Of Living ◽  
Kwazulu Natal

The majority of the South African rural populace is directly or indirectly engaged in agricultural practices to earn a livelihood. However, impediments such as climate change, water shortages, and inadequacy of institutional support have undermined these once thriving subsistence farming communities. Furthermore, poor leadership in hydrology, coupled with a lack of depth in skills at all government levels to facilitate the understanding of the importance of groundwater, has made it near impossible for subsistence farmers to benefit optimally from groundwater. The 2012 drought experienced in South Africa paralysed several subsistence farming communities in KwaZulu-Natal. To revamp subsistence farming and assist these farmers across South Africa, the Department of Water and Sanitation launched interventions, but despite the enormous resources expended, indicators (e.g. unsustainable farming practices, poor crop yield, pitiable living conditions, and poor standards of living) provide evidence that these interventions have not yielded the desired results. This paper seeks to suggest practicable interventions aimed at reducing the vulnerability of subsistence farmers in KwaZulu-Natal. The study pursued a qualitative approach in that it solicited the views of experts on groundwater and in related fields to gain an in-depth perspective. Some of the core challenges undermining the sustainability and growth of subsistence farming in the study area were found to be the inadequacy of experts on groundwater, water shortages, institutional deficiencies, lack of political will, and lack of coordination among stakeholders. Pragmatic recommendations are made to address these challenges, among other things to encourage a South African-Chinese partnership in the hydrology sector.

Participatory catchment management — an opportunity for Southern Africa

1995 ◽  
Vol 32 (5-6) ◽  
pp. 145-151
Author(s):  
D. B. Versfeld
Keyword(s):  
South Africa ◽  
Land Management ◽  
Southern Africa ◽  
Participatory Rural Appraisal ◽  
Catchment Management ◽  
Management Process ◽  
Participatory Methods ◽  
Top Down ◽  
Kwazulu Natal ◽  
Rural Appraisal

South Africa has hundreds of thousands of hectares of heavily populated and badly degraded landscapes. Past attempts at land management have been either through avoidance or the top-down imposition of “betterment” schemes. Participatory methods offer a new opportunity for communities living within these catchments to share their knowledge and to become involved in planning and implementing the management process. This paper discusses the use of Participatory Rural Appraisal (PRA) in a catchment rehabilitation programme in rural KwaZulu/Natal, the lessons learnt and the prospects for wider application.

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