Introduction

2017 ◽  
Author(s):  
Joseph Harris
Keyword(s):  
South Africa ◽  
Developing World ◽  
Political Competition ◽  
Healthcare Access ◽  
Access To Healthcare ◽  
The State ◽  
Relative Success ◽  
Legal Expertise

This chapter focuses our attention on an unexplained puzzle: how parts of the developing world transitioned from a moment characterized by exclusion from healthcare access (“aristocratic healthcare”) to an altogether different moment characterized by “health universalism.” Grounded in a study of Thailand, Brazil, and South Africa, it highlights the surprising role played by elites from esteemed professions who, rationally speaking, aren’t in need of healthcare or medicine themselves and who would otherwise seem to have little to gain from such policies. The chapter points to the relative success of these “professional movements” in expanding access to healthcare and AIDS treatment in Thailand and Brazil and their relative failure in South Africa. And it draws attention to the importance of holding privileged positions in the state and legal expertise in the respective policy domains during moments of heightened political competition.

The Prophetic Voice of the Church in a Democratic South Africa – A Theological Reflection

2018 ◽  
Vol 15 (2) ◽  
Author(s):  
Lufuluvhi Maria Mudimeli
Keyword(s):  
South Africa ◽  
Economic Transformation ◽  
The State ◽  
Black Liberation ◽  
South Africans ◽  
Black Liberation Theology ◽  
Prophetic Voice ◽  
The Face ◽  
The Church

This article is a reflection on the role and contribution of the church in a democratic South Africa. The involvement of the church in the struggle against apartheid is revisited briefly. The church has played a pivotal and prominent role in bringing about democracy by being a prophetic voice that could not be silenced even in the face of death. It is in this time of democracy when real transformation is needed to take its course in a realistic way, where the presence of the church has probably been latent and where it has assumed an observer status. A look is taken at the dilemmas facing the church. The church should not be bound and taken captive by any form of loyalty to any political organisation at the expense of the poor and the voiceless. A need for cooperation and partnership between the church and the state is crucial at this time. This paper strives to address the role of the church as a prophetic voice in a democratic South Africa. Radical economic transformation, inequality, corruption, and moral decadence—all these challenges hold the potential to thwart our young democracy and its ideals. Black liberation theology concepts are employed to explore how the church can become prophetically relevant in democracy. Suggestions are made about how the church and the state can best form partnerships. In avoiding taking only a critical stance, the church could fulfil its mandate “in season and out of season” and continue to be a prophetic voice on behalf of ordinary South Africans.

scholarly journals Contexts and mechanisms that promote access to healthcare for populations experiencing homelessness: a realist review

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e043091
Author(s):  
Rikke Siersbaek ◽  
John Alexander Ford ◽  
Sara Burke ◽  
Clíona Ní Cheallaigh ◽  
Steve Thomas
Keyword(s):  
Health System ◽  
Healthcare Access ◽  
Grey Literature ◽  
Realist Review ◽  
Access To Healthcare ◽  
Staff Retention ◽  
Programme Theory ◽  
Eligibility Criteria ◽  
Ovid Medline ◽  
High Level

ObjectiveThe objective of this study was to identify and understand the health system contexts and mechanisms that allow for homeless populations to access appropriate healthcare when needed.DesignA realist review.Data sourcesOvid MEDLINE, embase.com, CINAHL, ASSIA and grey literature until April 2019.Eligibility criteria for selecting studiesThe purpose of the review was to identify health system patterns which enable access to healthcare for people who experience homelessness. Peer-reviewed articles were identified through a systematic search, grey literature search, citation tracking and expert recommendations. Studies meeting the inclusion criteria were assessed for rigour and relevance and coded to identify data relating to contexts, mechanisms and/or outcomes.AnalysisInductive and deductive coding was used to generate context–mechanism–outcome configurations, which were refined and then used to build several iterations of the overarching programme theory.ResultsSystematic searching identified 330 review articles, of which 24 were included. An additional 11 grey literature and primary sources were identified through citation tracking and expert recommendation. Additional purposive searching of grey literature yielded 50 records, of which 12 were included, for a total of 47 included sources. The analysis found that healthcare access for populations experiencing homelessness is improved when services are coordinated and delivered in a way that is organised around the person with a high degree of flexibility and a culture that rejects stigma, generating trusting relationships between patients and staff/practitioners. Health systems should provide long-term, dependable funding for services to ensure sustainability and staff retention.ConclusionsWith homelessness on the rise internationally, healthcare systems should focus on high-level factors such as funding stability, building inclusive cultures and setting goals which encourage and support staff to provide flexible, timely and connected services to improve access.

scholarly journals Boundaries of solidarity: a meta-ethnography of mask use during past epidemics to inform SARS-CoV-2 suppression

2021 ◽  
Vol 6 (1) ◽  
pp. e004068
Author(s):  
Po Man Tsang ◽  
Audrey Prost
Keyword(s):  
South Africa ◽  
Risk Perception ◽  
Healthcare Access ◽  
Individual Responsibility ◽  
Trust In Government ◽  
Political Leaders ◽  
Collective Levels ◽  
The Social ◽  
Social Meanings ◽  
The Usa

BackgroundMany countries aiming to suppress SARS-CoV-2 recommend the use of face masks by the general public. The social meanings attached to masks may influence their use, but remain underinvestigated.MethodsWe systematically searched eight databases for studies containing qualitative data on public mask use during past epidemics, and used meta-ethnography to explore their social meanings. We compared key concepts within and across studies, then jointly wrote a critical synthesis.ResultsWe found nine studies from China (n=5), Japan (n=1), Mexico (n=1), South Africa (n=1) and the USA (n=1). All studies describing routine mask use during epidemics were from East Asia. Participants identified masks as symbols of solidarity, civic responsibility and an allegiance to science. This effect was amplified by heightened risk perception (eg, during SARS in 2003), and by seeing masks on political leaders and in outdoor public spaces. Masks also acted as containment devices to manage threats to identity at personal and collective levels. In China and Japan, public and corporate campaigns framed routine mask use as individual responsibility for disease prevention in return for state- or corporate-sponsored healthcare access. In most studies, mask use waned as risk perception fell. In contexts where masks were mostly worn by patients with specific diseases (eg, for patients with tuberculosis in South Africa), or when trust in government was low (eg, during H1N1 in Mexico), participants described masks as stigmatising, uncomfortable or oppressive.ConclusionFace masks can take on positive social meanings linked to solidarity and altruism during epidemics. Unfortunately, these positive meanings can fail to take hold when risk perception falls, rules are seen as complex or unfair, and trust in government is low. At such times, ensuring continued use is likely to require additional efforts to promote locally appropriate positive social meanings, simplifying rules for use and ensuring fair enforcement.

The 1992 Referendum in South Africa

1993 ◽  
Vol 31 (2) ◽  
pp. 339-360 ◽  
Author(s):  
Annette Strauss
Keyword(s):  
South Africa ◽  
Democratic Party ◽  
Conservative Party ◽  
The State ◽  
Reform Process ◽  
Election Campaign ◽  
Right Wing ◽  
National Party ◽  
White Voters ◽  
The Right

The ruling National Party (N.P.) asked white voters during the 1989 election campaign for a mandate to negotiate with all concerned about a new constitution, an undivided South Africa, one citizenship, equal votes, protection of minorities, and the removal of stumbling blocks such as discrimination against people of colour.1 Although the N.P. achieved a cleat majority – 93 seats against 39 for the Conservative Party (C.P.) and 33 for the Democratic Party (D.P.) – the right-wing opposition made destinct progress by gaining 17 seats. After the C.P had captured a further three from the N.P. in by-elections, including Potchefstroom in February 1992, President F. W. de Klerk announced in Parliament that whites would be asked the following month to vote in a referendum in order to remove any doubts about his mandate. The carefully worded question which the electorate had to answer was as follows: Do you support continuation of the reform process which the State President began on February 2, 1990 and which is aimed at a new constitution through negotiation?

Sign in / Sign up

Export Citation Format

Share Document