African Context Research Articles

Health system interventions and responses to anti-microbial resistance: A scoping review of evidence from 15 African countries.

The global rise in antimicrobial resistance (AMR) is claiming the lives of more than 1.2 million people each year. According to the World Health Organization (WHO) this global health crisis is particularly acute in Africa, largely due to fragile and underfunded health systems. Efforts to combat this public health threat have led to the implementation of health system interventions worldwide aimed at managing and containing the spread of AMR. However, the literature on the real time impacts and the barriers that hinder the implementation of these interventions in the African context is limited. The objective of this scoping review was to identify AMR interventions in African health systems, their impact, and the challenges of the implementation. Drawing on Muka and colleague's 24 step approach for scoping reviews, two major public health databases (PubMed and Global Health) were searched for articles in accordance with the PRISMA guidelines resulting in 4,783 records. Screening and retrieval of articles was done using Rayyan software based on specified inclusion criteria and 36 articles included in the final list. These articles were synthesized after extracting specific data on AMR interventions and their impact on African health systems. The review identified four broad impacts of AMR interventions including 1. Reduction in antibiotics use, 2. Increased adherence to guidelines and protocols, 3. Enhanced laboratory-based AMR surveillance, 4. Development of antimicrobial stewardship (AMS) Action Plans and Teams. However, challenges such as poor laboratory infrastructure, logistical challenges, poor financial commitment and inadequate education and training were identified as challenges impeding the successful implementation of AMR interventions in Africa. Our findings reveal a range of successful AMR interventions in African health systems although infrastructural and financial challenges remain. Better standardization and reporting of AMR diagnosis while leveraging the available information is needed to improve the optimization of treatment guidelines across Africa.

Neoliberalism in South African higher education language policy: A decolonial perspective

The global spread and hegemony of English as a medium of teaching, learning and research has come to be closely associated with neoliberalisation of higher education in the universities across the world, and has negatively impacted on epistemic issues, especially in Global South universities. No permanent solution has been found on challenges of English hegemony, particularly in African higher education. This article adds to the advancement of neoliberal discourse in higher education in South Africa by analysing neoliberal manifestations in its higher education language policy agenda. The article used desktop analysis to assess relevant literature on mainstream neoliberal ideologies and manifestations in the language policy reform post-apartheid. Drawing on relevant literature and through critical discourse analysis, it integrated evidence from the selected sources associated with mainstream neoliberal ideologies and then analysed the neoliberal manifestations in the language policy reforms pursued in South African post-apartheid context to bring out how the neoliberal actors in the higher education sector have reconfigured neoliberal principles. The decolonial perspective premised on concepts such as coloniality of being, power and knowledge was used to critique the neoliberal manifestations in South African higher education language policy directives. The paper presents the argument that universities in the country are deeply entrenched in linguistic hierarchisation which perpetuates epistemic injustices in teaching and learning. The African higher education should endeavour to underpin its language policies in indigenous knowledge systems to help harness the African content while existing in a global space where all knowledges should be regarded as equally relevant.Contribution: This article contributes to the emerging discourse of neoliberalism in higher education in the Global South and its impact on language policy formulation and implementation.

Hybrid retirement strategy in South Africa

Background: Many retirees in South Africa face the challenge of either outliving their retirement savings or living below their means. Studies suggest a ‘safe’ withdrawal rate of between 4% and 5%, which is below the average fund size-weighted drawdown rate of approximately 6.66%.Aim: To provide a scientific basis for the success rate of a ‘hybrid’ retirement strategy, whereby a retiree invests a proportion of their savings in a life annuity and the remaining proportion in a living annuity, to increase the success rate for South African retirees.Setting: Historical asset class returns (equities, bonds and inflation) for South Africa were sourced for the period 1900–2020.Method: Bootstrap sampling of historical asset returns was employed to simulate 10 000 random scenarios to investigate the success rate of various compositions of the ‘hybrid’ retirement strategy.Results: The success rate of all ‘hybrid’ portfolio compositions is significantly greater than the success rate of a pure living annuity when the withdrawal rate is less than 8%.Conclusion: In a South African context, a ‘hybrid’ retirement portfolio increases the probability of success for retirees withdrawing less than 8% from their portfolio – which constitutes approximately 50% of the current annuatised population – and may increase the inheritance of a retiree’s heir.Contribution: Where other studies have focussed solely on the success rate of a living annuity, we have shown that a ‘hybrid’ retirement strategy increases a South African retiree’s likelihood of retiring successfully when the withdrawal rate is less than 8%, which is approximately 50% of the annuatised population.

A 10-year retrospective analysis of sudden unexpected death in the young investigated at Salt River Mortuary, Cape Town.

Sudden unexpected death in the young (SUDY) is defined as the rapid, unsuspected demise of an apparently healthy individual between the ages of one and 40 years. There is a gap in research pertaining to this population in a South African context. This retrospective study aimed to explore the burden, scope of post-mortem investigation, and risk factors of SUDY admissions to Salt River Mortuary (SRM) in Cape Town between 1 January 2010 and 31 December 2019. Medico-legal case files pertaining to SUDY cases from SRM were reviewed. SRM received a total of 34 601 admissions in the 10-year period; of which 1 997 (5.77%) were SUDY cases. Nearly two-thirds (62.59%) of the SUDY admissions were male. The leading cause of death was pneumonia (17.11%), and the most prevalent organ system implicated in cause of death was the pulmonary system (45.19%). At least 32.46% of SUDY cases were infectious-related, with varying degrees of confidence. A large proportion of cases had no history of acute or chronic illness (45.43%), and no family history of illness (56.66%). In total, 52 potential candidates were identified for a molecular autopsy, of which 47 have stored biological samples for future investigations. This study advocates for the routine performance of post-mortem ancillary microbiological and toxicological testing in cases of SUD, considering the large burden of infectious disease and substance abuse in South Africa. The retention of biological samples in undetermined or non-specific natural cases is also urged, to allow for cause of death determination on a molecular level.

The Interplay Between Social Entrepreneurial Knowledge, Prosocial Motivation, Perceived Access to Finance and Social Entrepreneurial Intention

Building on insights from human capital and self-determination theories, this study examines the chain mediating effect of prosocial motivation and perceived access to finance in the linkage between social entrepreneurial knowledge and social entrepreneurial intention. Using survey data from 330 university students from Nigeria, the findings show that social entrepreneurial knowledge is positively linked with social entrepreneurial intention, and that prosocial motivation mediates this relationship. Perceived access to finance also positively intervened in the link between social entrepreneurial knowledge and social entrepreneurial intention. Finally, prosocial motivation and perceived access to finance had a significant serial mediating effect on the influence of social entrepreneurial knowledge on social entrepreneurial intention of university students. The study concludes with academic and practical implications for educators and policymakers in under-researched Sub-Saharan African contexts like Nigeria.

Transforming Healthcare in Africa: The Role of Artificial Intelligence in Combatting Infectious Diseases, Neglected Tropical Diseases, and Antimicrobial Resistance

This review article focuses on the role of Artificial Intelligence (AI) in transforming healthcare in Africa, specifically in combatting infectious diseases, Neglected Tropical Diseases (NTDs), and antimicrobial resistance. We provide a comprehensive overview of the significance of AI in the healthcare industry, highlighting its urgency and importance in addressing these specific health challenges in Africa. We begin by discussing the role of AI in infectious disease surveillance and outbreak detection. We explore how AI technology can be employed for real-time tracking and prediction of outbreaks, providing examples of successful AI applications in infectious disease surveillance within the African context. Next, we examine the potential of AI-enabled diagnosis and treatment for faster and more accurate diagnoses of infectious diseases and NTDs. We highlight specific examples of AI applications in diagnosing and treating these diseases in Africa, showcasing the potential of AI to improve clinical outcomes and save lives. Furthermore, we focus on how AI-driven drug discovery and development can expedite the search for new treatments for infectious diseases and combat antimicrobial resistance. We present examples of AI applications in drug discovery within the African context, illustrating the potential for AI to revolutionize the development of effective therapeutics. In addition, we delve into how AI-powered public health interventions can enhance the design and implementation of targeted interventions. We explore how AI can optimize resource allocation and facilitate data-driven decision-making processes, providing examples of AI applications in public health in Africa. Finally, we address the challenges and limitations of implementing AI in combatting infectious diseases, NTDs, and antimicrobial resistance in Africa. We discuss potential barriers and ethical concerns surrounding AI applications in healthcare, aiming to encourage informed and responsible utilization of AI technologies. Overall, this review emphasizes the importance and potential of AI in combatting infectious diseases, NTDs, and antimicrobial resistance in Africa. It positions AI as a catalyst for revolutionizing healthcare in the region, leading to more effective disease surveillance, diagnosis, treatment, drug discovery, and public health interventions.

Spirituality and Transcendental meditation practitioners’ experiences in South Africa and Ghana

ABSTRACT Spirituality involves being in harmony with the cosmos or nature and a willingness to engage in good works for the sake of mankind; for instance, love for one another, care for the environment, and the production and protection of the common good for society. Spirituality could also be defined as the connectedness with nature or the cosmos, seeing beyond the circumstances of one’s limitation and the suffering one encounters (transcendence) and understanding one purpose and meaning of one existence. In an African context, spirituality is experienced by many people as being in touch with one’s spirit which is an indication of integration of the body with the spirit and without this spiritual aspect of the essence of oneself, it becomes natural to see and feel problem. When one is permanently established on the platform of the Transcendental Being, life is lived in eternal freedom and enjoyment of blissfulness throughout the day. In this vein, the self silently witnesses daily activity. This is the essence of TM practice where practitioners experience spiritual upliftment. Though much research has been done on TM globally, the spiritual lived experiences of the practitioners have not been adequately explored, especially in South Africa and Ghana. Therefore, the study sought to explore the spiritual lived experiences of TM practitioners in South Africa and Ghana. The study adopted the constructivist paradigm through the lens of phenomenology. In all, 28 participants took part in the study − 14 participants from South Africa and another 14 from Ghana. Open-ended questionnaires and semi-structured interviews were used to collect data for the study. Husserl’s transcendental phenomenological data analysis was used to analyze and synthesize the descriptions of the spiritual lived experiences of the TM practitioners. The results suggest that TM act as a catalyst for the spiritual growth of the participants from both countries and that they experienced spiritual upliftment with the practice of TM. However, two participants both females were of the view that TM has nothing to do with their spirituality. It is the recommendation of this study that people who seek a spiritual path to discover their purpose and meaning in life explore this technique although there are other paths toward spiritual enlightenment. For instance, Christian’s contemplations player and Sufism.

Validation of the parents’ version of the KINDLR and Kiddy Parents questionnaire in a South African context

BackgroundThis study aimed to assess the usefulness of the parent version of the KINDLR and the additional items of the Kiddy Parents questionnaire in the South-African context and to validate it as an appropriate tool for measuring health-related quality of life (HRQoL).MethodThe ExAMIN Youth SA study was designed to investigate lifestyle behaviours, including psychosocial factors that may adversely impact on cardiovascular health of children. Construct validity was examined by using exploratory and confirmatory factor analysis, while internal consistency was tested by Cronbach’s alpha. The final factor structure was confirmed by model fit indices.ResultsThe study included children (n = 1088) aged between 5 and 10 years in North-West, South Africa. The reliability coefficients of the original factors could not be reproduced in this data set, with the Cronbach’s alphas ranging between 0.46 and 0.78. With exploratory factor analysis, including the additional items, our data supported a 7-factor structure with acceptable internal consistency (Cronbach’s alpha: 0.68–0.79; Omega: 0.75–0.85) and acceptable model fit indices (CFI: 0.91; TLI: 0.90; RMSEA: 0.05; SRMR: 0.07). Two factors (emotional wellbeing and everyday functioning) further split into separate factors for positive and negative experiences related to each of these dimensions.ConclusionWe confirmed a new factor structure of the parent version of the KINDLR and the additional items of the Kiddy Parents questionnaire, which can be used in the African context. Although the new factor structure has great overlap with the original structure, some items did not contribute to the factors as expected. Language and cultural differences between the original German group and the current South African study group resulted in a different factor structure.

Language and Group-based Power: Myths, Proverbs and Metaphors as Depositories of Gendered and Ethnic Identities in Perpetua Nkamanyang Lola’s Revised Edition of "The Lock on my Lips (2023)"

Gender and Ethnicity are two types of group distinctions with which group-based power is associated and, in most postcolonial African urban contexts, gender and ethnicity intersect to shape our identities, opportunities and the challenges we face. Drawing from postcolonial, queer and feminist theories, this study examines the role of language in the construction of group-based power structures. The study examines the gender and ethnic specific function of Language (specifically myths, proverbs, metaphors, idioms and witty sayings) in the revised edition of Lola’s The Lock On My Lips with the view of demonstrating that the budding dramatist employs these linguistic devices to invest her work with a truly African sensibility and flavour, but mainly to show the role language plays in the social construction of gender and ethnic otherness.

Connection between urbanization and CO2 emissions in South Africa: does global uncertainty matter?

Purpose Given the interest in sustainable development, this study aims to assess the relationship between CO2 and urbanization as well as the role of world uncertainty in this association in a South African context. Design/methodology/approach This study focuses on yearly data from 1968 to 2020. To do this, the authors use the autoregressive distributed lag (ARDL) approach. Findings The authors find that urbanization’s effect on CO2 emissions is only significant when it is augmented with world uncertainty. Moreover, this effect is negative (referring to a reduction in CO2 emissions). Meanwhile, the authors find that GDP has a positive (that is, increasing) and significant effect on CO2 emissions. Overall, policymakers should focus on decoupling economic growth from traditional fossil fuels that produce greenhouse gas emissions. Originality/value The existing body of research contains numerous studies examining the relationship between urbanization and CO2 emissions. However, the dearth of research on the impact of global uncertainty on this connection is weak. Hence, this study aims to fill this gap and make a significant contribution to the field.

Thresholds to sustainability: Globalization's impact on the institutional quality-ecological footprint nexus in Africa

This study explores how globalization influences the relationship between institutional quality and the ecological footprint in Africa. Utilizing dynamic panel threshold models with data from 49 African countries (2002-2022), we investigate how different types of globalization—economic, social, cultural, and political—affect this relationship. Our findings reveal that the impact of institutional quality on the ecological footprint varies significantly depending on globalization thresholds. Specifically, below certain thresholds, improved institutional quality increases the ecological footprint, whereas above these thresholds, it tends to reduce it. For economic globalization, the threshold is 53.510; for social globalization, 48.332; for cultural globalization, 28.446; and for political globalization, 69.663. These results highlight the need for targeted environmental policies that consider the specific effects of each globalization dimension to effectively manage Africa's ecological footprint. The study contributes to the literature by addressing the complex link between institutional quality and globalization and provides practical insights for policymakers to design more effective sustainability strategies in the African context.

Decolonization and Democratization in African Countries: The Impact of Liberal Democracy on Political Stability

Since the 1990s, the African continent has experienced dramatic changes in the political sphere. Specifically, as mentioned by Samuel Huntington in The Third Wave: Democratization in the Late Twentieth Century, many Sub-Saharan African countries have undergone democratic transitions, marked by reforms from one-party systems or military rule to multiparty systems with regular elections, a process that prominently features characteristics of Western-style liberal democracy. Despite the fact that African countries employing Western-style democracy have made certain progress in political development and social governance, many African countries that have undergone this political transformation exhibit a lack of political stability. As such, this article studies the development of liberal democracy and political stability in Kenya against the backdrop of the third wave of democratization. Through analyzing the historical and socio-economic contexts of African countries, it argues that the winner-take-all logic of the western representative democracy contradicts with the cultural tradition in African countries, which emphasizes social consensus and consultation. Considering the historical problems left since the colonial era, it adds to the difficulty of applying the western democracy in contemporary African countries, and thus results in the incompatibility between the liberal democracy model and the reality of African social contexts. Consequently, it is argued that the democratization process in Africa requires further exploration and more appropriate combination of advanced political institutions and the local contexts.

Optimizing Local Climate Zones through Clustering for Surface Urban Heat Island Analysis in Building Height-Scarce Cities: A Cape Town Case Study

Studying air Urban Heat Islands (AUHI) in African cities is limited by building height data scarcity and sparse air temperature (Tair) networks, leading to classification confusion and gaps in Tair data. Satellite imagery used in surface UHI (SUHI) applications overcomes the gaps which befall AUHI, thus making it the primary focus of UHI studies in areas with limited Tair stations. Consequently, we used Landsat 30 m imagery to analyse SUHI patterns using Land Surface Temperature (LST) data. Local climate zones (LCZ) as a UHI study tool have been documented to not result in distinct thermal environments at the surface level per LCZ class. The goal in this study was thus to explore relationships between LCZs and LST patterns, aiming to create a building height (BH)-independent LCZ framework capable of creating distinct thermal environments to study SUHI in African cities where LiDAR data are scarce. Random forests (RF) classified LCZ in R, and the Single Channel Algorithm (SCA) extracted LST via the Google Earth Engine. Statistical analyses, including ANOVA and Tukey’s HSD, assessed thermal distinctiveness, using a 95% confidence interval and 1 °C threshold for practical significance. Semi-Automated Agglomerative Clustering (SAAC) and Automated Divisive Clustering (ADC) grouped LCZs into thermally distinct clusters based on physical characteristics and LST data internal patterns. Built LCZs (1–9) had higher mean LSTs; LCZ 8 reached 37.6 °C in Spring, with a smaller interquartile range (IQR) (34–36 °C) and standard deviation (SD) (1.85 °C), compared to natural classes (A–G) with LCZ 11 (A–B) at 14.9 °C/LST, 17–25 °C/IQR, and 4.2 °C SD. Compact LCZs (2, 3) and open LCZs (5, 6), as well as similar LCZs in composition and density, did not show distinct thermal environments even with building height included. The SAAC and ADC clustered the 14 LCZs into six thermally distinct clusters, with the smallest LST difference being 1.19 °C, above the 1 °C threshold. This clustering approach provides an optimal LCZ framework for SUHI studies, transferable to different urban areas without relying on BH, making it more suitable than the full LCZ typology, particularly for the African context. This clustered framework ensures a thermal distinction between clusters large enough to have practical significance, which is more useful in urban planning than statistical significance.

Measuring Success: Western ABC's, Paul's XYZ's & Ubuntu as Markers for Church Growth in Africa

Traditional measures of church growth, such as attendance and giving, come from aspects of growth that can readily be counted. These countable measures resonate with cultural assumptions about success, in which more is better. In contrast, the Apostle Paul offers a measure of church growth built around conforming to the kenotic example of Christ, in which Christ emptied Himself of divine power and took on the form of a slave to serve humanity (Phil. 2:6–8). In Paul's paradigm, the necessary indicator of church growth is how well believers follow Christ's example of servanthood by living in Christian community. The present paper uses the communitarian values associated with ubuntu to provide a framework for understanding Paul's kenotic paradigm of church growth in the African context.

Social and Relationship Capital Disclosure, Business Model and Firm Value: A Comparative Study of Listed Companies in Kenya and South Africa

The increased volatility and decline in firm value has been observed for companies listed in the Nairobi Securities exchange, Kenya as evidenced by substantial variations between market-to-book values. Company disclosures in integrated reports have long been linked with firm value. However, integration of non-financial information disclosures with financial information in a single report and its worth to the company and its distinctive stakeholders has not been accorded a proper assessment in the African context. While, preceding studies in other settings have shown mixed results, emphasis has been on establishing the total effects. This comparative study was intended to determine the effect of <IR> capitals disclosure on value of listed companies in Kenya and South Africa, focusing on the role of the business model. Specifically, the role of the business model on the relationship between social and relationship capital disclosure and value of listed companies was examined in this research comparing Kenya and south Africa from 2018 to 2020. Positivist research philosophy was applied, while the research design encompassed both exploratory and confirmatory. The study was grounded on the Legitimacy theory. Firm value in this study was proxied by Tobin’s Q ratio, while, social and relationship capital was measured using an unweighted disclosure index. The study population contained 209 listed companies from which a sample of 137 was identified using purposeful sampling technique, comprising of 19 firms listed in the NSE, Kenya and 118 companies listed in the JSE, South Africa. Secondary data was collected from annual integrated reports and financial statements of the targeted firms. Preliminary analyses were conducted, such as descriptive statistics and correlation matrix. On the other hand, mediation effect was analysed by using stepwise regression method. The results depict that social and relationship capital disclosure has a statistically significant positive effect on firm values for both Kenya and South Africa. Further, business model mediates this relationship, with Kenyan listed firms manifesting inconsistent mediation while South African companies reported full/complete mediation. The study therefore recommends that social and relationship capital aspect of integrated reporting in Kenya should be made mandatory because this will improve shareholder understanding of financial statements and appropriate valuation of the firm.

Nutrient-Dense African Indigenous Vegetables and Grains in the FAO Food Composition Table for Western Africa (WAFCT) Identified Using Nutrient-Rich Food (NRF) Scores.

Nutrient profiling (NP) models that assess nutrient density of foods can help remedy micronutrient deficiencies. We used NP methods to identify the most nutrient-rich foods in the 2019 FAO/INFOODS Western Africa Food Composition Table (WAFCT). The WAFCT had complete data for 909 foods. Three versions of the well-established Nutrient-Rich Food (NRF) model were used: (1) the original NRF9.3 based on 9 micronutrients (protein, fiber, calcium, iron, potassium, magnesium, vitamin A, vitamin C, and vitamin D); (2) a new NRF6.3 based on 6 priority micronutrients (iron, zinc, calcium, folate, vitamin A, vitamin B12); and (3) NRF 15.3, based on 15 nutrients to encourage (NRF6.3 nutrients + vitamin D, vitamin E, vitamin C, vitamin B1, vitamin B2, vitamin B3, vitamin B6, copper, and magnesium). Data analyses used one-way ANOVAs and independent t-tests, with significance at α = 0.05. Animal-source foods were rated higher by NRF6.3 priority micronutrient and NRF15.3 NP models than by the NRF9.3 model. African indigenous vegetables had higher protein content and higher nutrient density compared to non-indigenous vegetables, and African indigenous grains had higher nutrient density compared to non-indigenous grains. Though animal-source foods received some of the highest scores, NP models adapted to the West African context showed that African indigenous vegetables and grains were also nutrient rich. Indigenous foods could be important sources of priority micronutrients for the region.

Africanizing the SDGs: A key factor for enhancing sustainability consciousness within South African universities

The Sustainable Development Goals (SDGs) can be viewed as the aftermath of the Millennial Development Goals (MDGs). This is due to the fact that the seventeen (17) SDGs are designed to continue the work expected to have been done by the MDGs. In other words, the failure of the MDGs to eradicate poverty birthed the SDGs. However, the SDGs seem not to be achieving the desired result. This has led to the projection for the need for a decade of action. In the African context, the questions of why the MDGs failed and the SDGs tend to be failing are yet to be asked. By projection, if the questions are not asked and answers are not provided, the projection of the decade of action may also fail. Hence, the reason for this conceptual paper which was targeted at exploring the possibility of considering the Africanization of the SDGs as remedy to ensuring sustainable development in the African continent. Different relevant sources were identified, reviewed and analysed. The findings from the reviewed and analysed sources showed among others that for Africanization of the SDGs to be a reality and practicable, glocalization must be embraced. Meanwhile, there will be need to question the use of Eurocentric curricula in African institutions of learning.

The management of community-acquired pneumonia in adults at a rural regional hospital in KwaZulu Natal

BackgroundPneumonia stands as a significant global contributor to mortality, particularly in South Africa, where it ranks as the second leading cause of death. The country’s high prevalence of HIV infection compounds this issue, significantly increasing mortality rates associated with community-acquired pneumonia (CAP).ObjectiveThis study aimed to audit CAP patient management at a regional rural hospital in KwaZulu-Natal.MethodA retrospective review of patient files from September to December 2016 was undertaken. Data extraction from clinical files, conducted according to inclusion criteria, was transferred to a data collection sheet and analyzed using SPSS version 21.ResultsThe review encompassed 124 patient files over four months, revealing that 117 (94.4%) patients were not managed by the Standard Treatment Guidelines and Essential Medicines List for South Africa. Of the patients admitted with CAP, 54% were HIV positive, and 49 (39.5%) patients succumbed to the illness. Notably, none of the patients underwent assessment using a severity score.ConclusionThe findings underscore a need for more adherence to South African guidelines for managing CAP among staff at the rural regional hospital. This leads to severe consequences, exemplified by the high mortality rate. Urgent intervention is required to incorporate severity assessment scores into pneumonia evaluations, thus enabling appropriate clinical management.ContributionThis study sheds light on the significant impact of CAP within the South African hospital context, delineating critical gaps in clinical care and emphasizing the imperative to address clinical inertia.

The experiences of women in the workplace in a South African context: A systematic review

The experiences of women in the workplace in a South African context: A systematic review

The Integration of ICT in Primary Education – Examination of the Global African Southern African Contexts

The Integration of ICT in Primary Education – Examination of the Global African Southern African Contexts