African Context Research Articles

The Jewish Yom Kippur (Lev. 16:11-22) and its Relationship with Effutu Aboakyer Festival: A Theological Reflection

This paper explored the parallels between the Jewish Yom Kippur ritual as described in Leviticus 16:11-22 and the Effutu Aboakyer festival celebrated by the Effutu people of Ghana, West Africa. Drawing upon anthropological and sociological methodologies, the study conducted a close exegesis of Leviticus 16:11–22, elucidating its atoning rituals and practices. By situating these rituals within the cultural context of the Effutu community, the paper unveiled remarkable similarities between the Yom Kippur observance and the Aboakyer festival. The chosen methodology acknowledged Scripture’s inherent socio-cultural insights and engages with anthropological research to enrich understanding. The study argued that atonement in traditional festivals does not achieve salvation for humanity; only Jesus’ sacrifice saves. Ultimately, this exploration offers theological reflections that resonate with both African and biblical contexts, shedding light on the enduring relevance of ancient rituals in contemporary cultural frameworks. Keywords: Christ, Effutu Aboakyer Festival, Christ, Leviticus 16, Yom Kippur

Overcoming Language Barriers in Contracts – A South African Perspective

Language forms the basis of written contracts, but the use of language may also function as a barrier to contracting parties, particularly when the parties are not proficient in the commercial language of choice, such as English in the case of South Africa. The plain language movement and specifically legislative interventions have placed significant pressure on lawmakers to reform the use of traditional legal English, and consequently, traditional drafting styles. However, many contracts continue to exhibit convoluted language, legalese and poor visual appeal, which ultimately functions as a language barrier for many people. This article examines the various language barriers that exist in contracts from a South African perspective. It does so by assessing the barriers that exist under first, the common law (or the so-called default rules), second, the use of standard contracts, and third, the resistance to the use of plain language as well as the limited application of existing plain language legislation in certain types of contractual engagements. The author proposes dismantling the language barriers by adopting both textual and visual communication devices in order to achieve clear and comprehensible language in all types of contracts. Furthermore, it is suggested that such communication devices should not necessarily be limited to consumer contracts that are legislatively required to comply with plain language requirements. It is only by dismantling existing language barriers that social justice within contracts can be achieved in a society with diverse language proficiencies, such as South Africa. Therein, this article offers insights that are relevant not only within the South African context but also for countries that may face similar language barriers characterised by multiple languages and varying language proficiencies within their populations.

Integrating climate change, food safety, nutrition, and health outcomes in food systems policies and programs in Africa

AbstractIntegrating climate change, food safety, nutrition, and health outcomes in food systems policies and programs is crucial for addressing the multifaceted challenges African countries encounter. Climate change significantly impacts food production, food safety, and the provision of nutritious and healthy diets. Existing interventionist policies in Africa have not taken a comprehensive approach to addressing the bidirectional relationships among climate change, food safety, nutrition, and health outcomes. This hinders the formulation of comprehensive policies and programs that effectively address these interconnected issues. Also, limited evidence supports understanding the interplay among climate change, food safety, nutrition, and health outcomes within the African context. Thus, the study explores the pathways of interlinkages and complementarities among these factors and identifies the barriers to their effective implementation. In achieving its objective, this study adopts a food systems approach to examine the interrelaionships among climate change, food safety, nutrition, and health programs and policies. The study uses a comprehensive analysis of existing literature and empirical data to better understand these interrelationships within the food system. By identifying the interdependencies, the study is relevant for the development of integrative policies and programs that address these interconnected issues.Á

Outcomes of surgically managed adult traumatic brachial plexus injuries in an upper-middle-income country

BackgroundTraumatic brachial plexus injuries (TBPIs) are debilitating and complex to treat. The last five decades have seen advances in surgical management, and consequently improved functional outcomes in patients with these injuries. There is limited data available describing the outcomes of surgically managed TBPIs within the South African context. This study aimed to identify the common causes of injury, injury characteristics, and functional outcomes of surgically managed patients with TBPIs. MethodsWe conducted a retrospective chart review of all adult patients that underwent surgery for TBPIs over a period of ten years at a specialised hand unit in South Africa. The minimum follow-up period was one year. Patient demographic details, injury characteristics and functional outcomes were collected. Statistical analysis was performed to determine factors associated with functional outcomes. A good functional outcome for recovery was defined as a Medical Research Council (MRC) grade of three or more for the affected elements of the plexus at the most recent follow-up. ResultsForty-seven patients of median age 32 years were included in the final analysis. Most patients were male (87.2 %). The majority of patients were injured in motor vehicle accidents (MVAs) or from penetrating stab wounds (48.9 % and 38.3 % respectively). The median pre-operative MRC grade of the affected elements of the brachial plexus was 0.0, and post-operatively was 2.0. Fourteen patients (14 of 47, 29.8 %) had a good outcome and 33 had a poor outcome (33 of 47, 70.2 %). There was no difference in outcome comparing penetrating injury mechanisms to closed traction or blunt injuries, (p = 0.386, OR 1.75, 95 % CI 0.49–6.20). All patients with pan-plexal injuries had a poor outcome (15 of 33, 46 %). All patients who received intercostal (6 of 33, 18 %) or phrenic nerve transfers (3 of 33, 9 %) had a poor outcome. ConclusionAdult traumatic BPIs in this South African sample typically presented more than two months after injury and were comprised of a high proportion of penetrating injuries. Just under a third of surgically managed patients had a good outcome. Pan plexal injuries have uniformly poor outcomes. We recommend early referral for all TBPIs to a unit that manages BPI to improve outcomes.

Supported self-management in long-term conditions in an African context

Self-management is an important strategy to improve quality of life, appropriately manage long-term health conditions, and reduce the economic burden of long-term health conditions. However, equitable healthcare access remains an issue, and the focus on ‘self’ in self-management is problematic. Our review aims to explore the conceptualisation and evolution of supported self-management in an African context and its relevance to physiotherapy. A state-of-the-art review of the literature was undertaken by the authors. The authors knowledge of the subject area and a database search retrieved recent articles exploring patients’ and healthcare providers’ understanding of supported self-management in Africa. Relevant articles were read, and data summaries of included studies were extracted and tabulated. Findings were organised deductively. Sixteen studies, 11 primary research, and 5 reviews (2016–2023) undertaken in a variety of sub-Saharan countries with healthcare workers (~n = 177) and people (~n = 16 115) living with a mix of non-communicable and communicable conditions were considered in this state-of-the-art review. Self-management perceptions were drawn from Western authors spanning development research and understanding of the concepts in Western thinking. We conclude that imported concepts, such as supported self-management for long-term conditions, should be considered within local health delivery solutions. These should be embedded in an understanding of traditional African health systems.Clinical implications: There is a need to develop locally derived African solutions. Self-management strategies for long-term health conditions should be developed, considering traditional holistic African health systems.

Global astrotourism initiatives and the applicability of their strengths, weaknesses, opportunities and threats to astrotourism in South African National Parks

South African National Parks (SANParks) must generate operational income through innovative resource development. Astrotourism was identified as a potentially suitable income-generating activity. Various astrotourism initiatives are operational globally. However, their applicability within the South African context is unknown. The research evaluated successful global astrotourism initiatives to determine how these examples can be applicable to SANParks. Sixty-two global astrotourism initiatives were evaluated and 42 in-depth stakeholder interviews were conducted. Thematical data analysis was followed by a strengths, weaknesses, opportunities and threats (SWOT) analysis. The research makes a meaningful contribution by highlighting important concepts for consideration in support of viable astrotourism development in SANParks. Elements requiring consideration to provide tourists with quality experiences include appropriate locations for astrotourism activities, mitigation of light pollution, climate, seasonality, need for community engagement, well-trained presenters, carefully planned programmes and development of suitable management policies to protect dark skies, allowing for variation within each park's unique situation.

The lived experience of South African men having a premature baby

Background: Much has been written about fathers, fatherhood and premature babies. However, in the South African context, studies about the experiences of fathers having a premature baby are lacking.Aim: This study aimed to explore how South African fathers (n = 10) experience having a premature baby using a descriptive phenomenological approach.Setting: This research study was conducted online using various social media platforms such as WhatsApp, Google Meet and through telephonic conversations.Methods: A descriptive phenomenological approach that allowed for the distillation and elucidation of common core experiences among fathers who had a premature baby.Results: The findings demonstrated that the participants experienced intense fears regarding the survival and well-being of their children. They reported experiencing financial difficulties related to hospital bills and experienced being alienated by hospital institutions. Despite these reported barriers, these fathers were adamant in their resolve to support their children and partners during this challenging time.Conclusion: The experiences of fathers were riddled with fear, uncertainty, ambiguity and alienation, which placed them in very precarious situations when trying to navigate their role in a more sensitive and enlightened way. Having a premature infant calls into question the systems that men are positioned within as these systems to a large extent shape these events and how they are experienced.Contribution: This study is original as no other published studies seem to exist in South Africa that speaks to fathers’ lived experiences of having a premature baby.

Victimisation in the life of persons with severe mental illness in Uganda: a pluralistic qualitative study.

Victimisation of persons with severe mental illness is recognised as an urgent global concern, with literature pointing to higher rates of violent victimisation of persons with severe mental illness than those of the general population. Yet, for low income countries, there is a huge gap in the literature on the risk, character and victims' in-depth experiences of victimisation of persons with severe mental illness. We explore the lived experiences and meanings of victimisation of persons with severe mental illness in Uganda, and discuss their implications for care of the mentally ill. A pluralistic qualitative study was undertaken to explore victimisation among patients with severe mental illness. Patients who had suffered victimisation were purposively sampled from Butabika National Referral Mental Clinic and Masaka Regional Referral Hospital, following confirmation of symptom remission. In-depth interviews were held with 18 participants, comprising 13 females and 5 males from low to moderate socioeconomic status. Interpretative phenomenological analysis and thematic content analysis were conducted. Victimisation was exhibited in three main forms: (a) psychological, expressed in attitudes towards mentally ill family members as valueless and dispensable, and stigmatisation, (b) physical, as manifested in beatings, indoor confinement and tethering mostly by family members and (c) sexual victimisation, particularly rape. Also observed were victim's various responses that pointed to the negative impact of victimisation, including a heightened risk of suicide, social withdrawal, a sense of hatefulness and a predisposition to more victimisation. The family environment plays a predominant role in perpetrating victimisation of the mentally ill in some sub-Saharan African contexts such as Uganda. We propose a holistic framework for mental health interventions, incorporating biomedical but notably also social determinants of mental health, and targeted at improving familial relationships, social support and a sense of belongingness both within the family and the broader community.

Transforming perspectives on gender through imagined futures: A speculative design inquiry

This paper will present a second-year Fashion Design Theory project, ‘Imagining Gender Equality in 100 Years’. The project outcomes were based on the critical design approach of speculative design (SD), exploring the intersectional issues of gender relevant to a South African context. SD thrives on imagination to create scenarios that change perspectives, beliefs, and values related to social problems. The following questions were posed to the students in developing the project guidelines. Firstly, what will the change in values, beliefs, and attitudes related to issues of gender look like in the future? And how can students use design to imagine spaces in the present for discussion and debate about alternative ways of being in an imagined future? With the application of action research, the paper discusses and analyses a selection of student projects completed in 2020 and 2021. In doing this, the paper aims to reflect on the transformation of a design theory assessment by applying critical design approaches culminating in creative and conceptual outcomes for complex life problems. In addition, reflections and lessons learnt on the blended teaching and learning methods amidst Covid-19 will be imparted.

Indicators of Sovereign Risk of South Africa’s International Monetary Fund Loan: The Nexus Between Political Risks and Economic Growth

Upon the approval of the 70 billion International Monetary Fund (IMF) loan for South Africa, concerns have emerged over the affordability of this loan and its impact on the economy and sovereignty of the country. South Africa’s ability to pay its IMF loan is assured because its track record of loan repayment is good, considering that the loan is repayable in five years at an interest rate of 1.1%. This study explores political and economic indicators of sovereign risk of South Africa’s IMF loan taken in 2020. The tenets of sovereign risk are being explored in a South African context. The significance of this study lies in understanding sovereign risk from a South African context and forecasting the country’s capacity and sustainability of servicing its IMF debt. This study presents a special and underexplored case of sovereign risk mainly due to 2020 being the first time South Africa has taken an IMF loan since the inception of a democracy in 1994. This qualitative study heavily relies on secondary literature, theories, and predictive forecasting models and is aided by descriptive statistics to reach its conclusion. Findings from the Council of Foreign Relations used the CFR Sovereign risk tracker designed to gauge the susceptibility of emerging economy to default on external debt.

Vitamin A supplementation coverage and associated factors for children aged 6 to 59 months in integrated and campaign-based delivery systems in four sub-Saharan African countries

BackgroundVitamin A deficiency (VAD) is a leading contributor to the poor health and nutrition of young children in sub-Saharan Africa. Funding constraints are compelling many countries to shift from longstanding campaigns to integrating vitamin A supplementation (VAS) into routine health services. We assessed child VAS coverage and associated factors for integrated delivery systems in Mozambique, Senegal, and Sierra Leone and for a campaign-based delivery strategy in Tanzania.MethodsData were obtained using representative household surveys administered to primary caregivers of N = 16,343 children aged 6–59 months (Mozambique: N = 1,659; Senegal: N = 7,254; Sierra Leone: N = 4,149; Tanzania: N = 3,281). Single-dose VAS coverage was assessed and bivariate and multivariable associations were examined for child VAS receipt with respect to rural or urban residence; child age and sex; maternal age, education, and VAS program knowledge; and household wealth.ResultsVAS coverage for children aged 6–59 months was 42.8% (95% CI: 40.2, 45.6) in Mozambique, 46.1% (95% CI: 44.9, 47.4) in Senegal, 86.9% (95% CI: 85.8, 87.9) in Sierra Leone, and 42.4% (95% CI: 40.2, 44.6) in Tanzania and was significantly higher for children 6–11 vs. 24–59 months in Mozambique, Senegal, and Tanzania. In Sierra Leone, children aged 12–23 months (aOR = 1.86; 95% CI: 1.20, 2.86) and 24–59 months (aOR = 1.55; 95% CI: 1.07, 2.25) were more likely to receive VAS, compared to those 6–11 months. Maternal awareness of VAS programs was associated with higher uptake in Mozambique (aOR = 4.00; 95% CI: 2.81, 5.68), Senegal (aOR = 2.72; 95% CI: 2.35, 3.15), and Tanzania (aOR = 14.50; 95% CI: 10.98, 19.17). Increased household wealth was associated with a higher likelihood of child VAS in Senegal and Tanzania.ConclusionsOur findings indicate routine delivery approaches for VAS are not achieving the level of coverage needed for public health impact in these settings. Intensive outreach efforts contributed to the higher coverage in Sierra Leone and highlight the importance of reducing the burdens associated with seeking supplementation at health facilities. As countries move towards incorporating VAS into routine health services, the essentiality of informed communities and potential losses for older children and socio-economically disadvantaged populations are key considerations in the sub-Saharan African context.

South African attitudes towards refugee settlement: Examining the importance of threat perceptions

Abstract Compared to many other countries, South Africa has quite a liberal refugee settlement policy. But public hostility towards refugees in the country is a serious obstacle to refugee protection. To understand what is driving anti-refugee sentiment amongst the masses, this study investigates refugee settlement policy preferences in the post-apartheid nation. Data from the 2020 round of the nationally representative South African Social Attitudes Survey (N = 3133) was used. Different possible drivers of policy preferences were tested. Data analysis showed that there was a robust relationship between immigrant threat perceptions and policy preferences. This finding is consistent with integrated threat theory, highlighting the damaging effects of widespread negative stereotypes about immigrants in the country. Other notable drivers of attitudes identified include economic anxiety and religiosity. Subjective knowledge, by contrast, only had a weak effect on attitude formation. The study concludes by discussing future research opportunities on anti-refugee sentiment in an African context.

A longitudinal study of the efficacy of the Cellfield reading intervention in a South African context

ABSTRACT The Cellfield reading intervention is based on the multi-deficit theory of reading difficulties and addresses several foundation skills of reading simultaneously. Existing research has confirmed that the Cellfield intervention leads to improvement in reading skill directly following the intervention, but little data exist to determine the long-term efficacy of Cellfield. The present study investigated the long-term efficacy of the Cellfield intervention in a group of South African children. Fifty-two struggling readers were assessed via two standardised tests (Woodcock Reading Mastery Tests and Gray Oral Reading Test). Of the 52 readers, 41 underwent the Cellfield intervention, while 11 did not. Children were assessed on six reading variables before the intervention and directly following the intervention (treatment group). Both groups were re-assessed on the same variables at least a year after the intervention ended. Statistical analyses showed that advances in the treatment group directly after the intervention were maintained in the long term.

Male Sex Workers as Situational Entrepreneurs: Exploring the Demographics, Motivations, and Practices of Male Sex Workers in the Tourism Industry in Botswana

While sex tourism has been well studied in international contexts, to date, only a few studies have focused on African countries. For Botswana and other African countries, the lack of studies in sex work is surprising, given its prevalence in such societies. In the African context, sex work and tourism are very complex, controversial, and entangled with politics and religious disapproval. Moreover, the few existing studies have mostly focused on female sex workers, hence creating a gap in the literature when it comes to understanding male sex work. Using a qualitative approach, the researcher used in-depth face-to-face and semi-structured interviews with 20 male sex workers in Botswana to explore the motivations, dynamics of entry, and sex work practices in Botswana. This article argues that male sex workers in Botswana could be viewed as situational entrepreneurs seeking economic opportunities beyond legitimised ways. A study that explores the dynamics of male sex work is critical in Botswana, first to determine similarities with other contexts and second, to inform policy on the needs of male sex workers in Botswana.

Pubertal status and body image: An inquiry into experiences of adolescents in Ghana and Kenya.

The current study uses a mixed method design to investigate Kenyan and Ghanaian adolescents' experiences of puberty, and the relations between gender, country of origin, pubertal status, and body image appraisals (N = 86; Ghana = 46, Kenya = 40, 52.9% female aged 13 and 14). Qualitative results revealed seven major themes; puberty means a universal period of growth and transition into adulthood but also evokes negative emotions of shame, anxiety, and embarrassment, being in sync with peers during puberty is important and knowing that others in their lives similarly experience puberty is reassuring. Quantitative results revealed significant gender and country differences in pubertal status and body image. Ghanaian adolescents had more advanced pubertal status and more positive body image appraisals compared to Kenyan adolescents. Moderation analysis results revealed that for the Kenyan sample, post-pubertal males had less favorable body image appraisals than their counterparts who were still pre pubertal whilst for females, post-pubertal girls had more favorable body images than their counterparts. No such effects were observed with the Ghanaian sample. The findings highlight the need for context considerations in understanding body image during the pubertal transition to help identify relevant protective factors for possible interventions. The results affirm the importance of positive body image promotions for adolescents within the African context and suggest the need for much more comprehensive sex education with gender-specific components to help allay fears about puberty, thus preventing the development of possible adaptation problems.

Reflecting on 12 years of training medical students in rural longitudinal integrated clerkships.

Longitudinal integrated clerkships (LICs) are effective in promoting careers in rural primary health care environments. This model of training medical professionals involves longer clinical placements of medical students and a different approach to learning which better prepares them for primary health care practice. Stellenbosch University created a LIC in 2011 for this purpose and has trained almost 100 doctors in their yearlong LIC since then. The past 12 years have brought about a lot of learning as this model of training was implemented, developed, and refined to suit the needs of students and the clinical environments.Contribution:Countries across the globe face challenges in recruiting and retaining doctors in rural primary health care environments. Longitudinal integrated clerkships have several educational benefits in addition to increase recruitment and retention of rural doctors, and 12 years of experience have led to a greater understanding regarding implementation and outcomes of an LIC in the South African context.

Navigating transformation: unveiling the synergy of IoT, multimedia trends, and AI for sustainable financial growth in African context

Navigating transformation: unveiling the synergy of IoT, multimedia trends, and AI for sustainable financial growth in African context

The limits of virtue politics in an African context

The limits of virtue politics in an African context

Evaluation of granular formulated strigolactone analogs for Striga suicidal germination.

Striga hermonthica, an obligate root parasitic weed, poses a significant threat to cereal production in sub-Saharan Africa. Lowering Striga seed bank in infested soils is a promising strategy to mitigate infestation levels. The dependency of Striga seed germination on strigolactones opens up the possibility of a 'suicidal germination' approach, where synthetic germination stimulants induce lethal germination in the absence of a host. Implementing this approach requires active germination stimulants with a suitable formulation for field application. Here, we describe the development of slow-releasing granular formulation of two potent germination stimulants 'Methyl Phenlactonoate 3' and 'Nijmegen-1' and the assessment of their activity under Laboratory, greenhouse, mini-field, and field conditions. Under laboratory conditions, the granular formulation of either of the two germination stimulants (1.25 mg per plate, corresponding to 0.09 mg a.i.) induced Striga seed germination at a rate of up to 43%. With 10 mg granular product (0.75 mg a.i.) per pot, we observed 77-83% reduction in Striga emergence under greenhouse pot conditions. Application of the formulated stimulants under artificially or naturally infested fields resulted in approximately 56%, 60%, and 72% reduction in Striga emergence in maize, sorghum, and millet fields in Kenya and Burkina Faso, respectively. Our findings on the newly designed granular formulation of Methyl Phenlactonoate 3 and Nijmegen-1 reveal encouraging prospects for addressing the Striga problem in Africa. These findings underscore several significant advantages of the formulated stimulants, including suitability for the African agricultural context, and, most importantly, their effectiveness in reducing Striga infection. © 2024 The Authors. Pest Management Science published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry.

Live Healthcare Console: Evaluating digital health design models, a South African perspective

Background: The Department of Health has implemented eHealth systems, yet Gauteng (South Africa) continues to experience healthcare burdens such as prioritising scarce resources. The healthcare technology landscape continues to grow in complexity, yet the availability of real-time information for decision making is limited. A Live Healthcare Console has been proposed to keep key stakeholders informed using real-time information by connecting existing healthcare resources.Objectives: The objective of the research was to identify and evaluate five eHealth design models to determine whether they can be used to design a Live Healthcare Console. The evaluation of the models considered the Batho Pele Principles, which was created by the South African government to promote service delivery.Method: A literature review was conducted to identify relevant eHealth models. The models were evaluated and scored using a custom evaluation framework. The models were also scored against the eHealth model aims (combine, communicate, collaborate and connect) identified in this research.Results: The average score of the five models was 70%, with none fully satisfying the unique South African contexts such as the Batho Pele Principles.Conclusion: A new design model needs to be created as the foundation for the Live Healthcare Console, as no model which caters to the South African context exists.Contribution: A custom evaluation framework for eHealth models considering the unique South African contexts was created. Five models were also evaluated and scored against the new framework.