Cape Town Area Research Articles

Two Lineages of Papillomaviruses Identified from Caracals (Caracal caracal) in South Africa

Papillomaviruses (PV) infect epithelial cells and can cause hyperplastic or neoplastic lesions. In felids, most described PVs are from domestic cats (Felis catus; n = 7 types), with one type identified in each of the five wild felid species studied to date (Panthera uncia, Puma concolor, Leopardus wiedii, Panthera leo persica and Lynx rufus). PVs from domestic cats are highly diverse and are currently classified into three genera (Lambdapapillomavirus, Dyothetapapillomavirus, and Taupapillomavirus), whereas those from wild felids, although diverse, are all classified into the Lambdapapillomavirus genus. In this study, we used a metagenomic approach to identify ten novel PV genomes from rectal swabs of five deceased caracals (Caracal caracal) living in the greater Cape Town area, South Africa. These are the first PVs to be described from caracals, and represent six new PV types, i.e., Caracal caracal papillomavirus (CcarPV) 1–6. These CcarPV fall into two phylogenetically distinct genera: Lambdapapillomavirus, and Treisetapapillomavirus. Two or more PV types were identified in a single individual for three of the five caracals, and four caracals shared at least one of the same PV types with another caracal. This study broadens our understanding of wild felid PVs and provides evidence that there may be several wild felid PV lineages.

Stage of presentation and survival rates of head and neck cancer in Western Cape, South Africa

Background: The Western Cape province in South Africa has a high age-standardised mortality from cancer. Most literature reports significantly poorer access to healthcare, more advanced cancers and worse survival for rural and remote populations. This study investigates if significant disparities exist with regard to stage at presentation and overall survival of patients with head and neck cancer (HNC) between geographical areas within the Western Cape province in South Africa.Methods: A retrospective chart review was conducted on all patients managed at the Combined ENT Head and Neck Oncology clinic at Groote Schuur from January 2010 to December 2014. Ethics approval was granted by the University of Cape Town Human Research Ethics Committee (HREC, 351-2017).Results: Although we observed no significant difference in TNM clinical stages or overall survival between metropolitan and remote patients, there were statistically and clinically significant differences in terms of both stages of HNC and overall survival between some individual metropolitan and remote areas. The remote area of Eden had a median overall survival of more than 6 months less than that of the Southern subdistrict of the City of Cape Town.Conclusion: Differences in HNC stages and overall survivals between some subdistricts of the City of Cape Town and remote areas are not only statistically significant but also clinically relevant.Contribution: This article highlights the need to improve on diagnostic and referral pathways for management of patients with HNC in the Western Cape.

CULTIVATING FOOD JUSTICE: Redefining Harvest Sales for Sustainable Urban Agriculture in Low‐Income Cape Town post Covid‐19

AbstractIt is well established that urban community gardens (UCGs) can either challenge or reinforce neoliberal urbanism. This duality is especially evident among UCGs that sell garden harvests for income generation. In this article I therefore examine UCGs in low‐income areas of Cape Town, South Africa, to understand how they might sell their harvests while countering the neoliberal food system in cities of the global South. I draw on qualitative fieldwork, including observations and semi‐structured interviews with UCG representatives and civil society actors. Most harvests are currently sold to high‐end venues through intermediary actors in civil society organizations (CSOs) and non‐governmental organizations (NGOs). However, this approach disregards the local community's socioeconomic conditions and undermines community gardens’ nutritional objectives. Yet, under specific scenarios, the sale of garden harvests could mitigate the persistent food injustice in Cape Town's low‐income areas. In this article I introduce a model for harvest sales that advances sustainable urban agriculture and fosters food justice in neoliberal cities in the global South.

Hydropolitical potentialities in a post-'Day Zero' Cape Town: "Sensemaking" and the Cape Flats Aquifer

In the context of the climate crisis, water as a natural resource is under threat globally, and the Global South is of critical interest for political ecological studies. This article argues that environmental crises such as the "Day Zero" drought in 2018 in Cape Town (South Africa) can create possibilities for reformulating the deeply unequal hydropolitics stemming from colonial and apartheid regimes. The drought has enabled the politicisation of underground water, examined through an ethnographic study of a small-scale farming organisation in the Philippi Horticultural Area (PHA) of Cape Town. While tracking ways to secure the protection of natural resources such as aquifers in urban areas, the article further considers how such forms of activism around underground water have sought to "make the invisible, visible," thereby developing more inclusive forms of sensemaking. By providing an analysis of activism taking place during and after a period of acute water scarcity, it contributes to scholarship on emergent political ecological mobilisation in the climate crisis in the Global South.

IoT-based data and analytic hierarchy process to map groundwater recharge with stormwater.

The sustainable management of groundwater resources in developing countries is often challenging due to limited measurement and monitoring infrastructure to collect data necessary for decision support. To make a contribution towards addressing these challenges, this study investigated the use of Internet of Things (IoT) technology and low-cost sensors to collect the required groundwater-level data and develop a model to map the recharge potential with stormwater. The study focused on two stormwater ponds located in a highly urbanised area in Cape Town, South Africa. A combination of Geographic Information System and analytic hierarchy process was integrated to generate a groundwater recharge potential zone map of the study area. The IoT-based data were used to develop and calibrate a numerical groundwater model in MODFLOW. The study determined that retrofitted stormwater ponds are potential groundwater augmentation zones and can provide opportunity for stormwater recharge in urban areas. Overall, this study highlights the potential of IoT to collect hydrogeological data with low-cost sensors. Data can be collected at high temporal resolution, and the spatial scale can be increased due to availability of low-cost sensors.

Healthcare access for children in a low-income area in Cape Town: A mixed-methods case study.

In Cape Town, the under-5 mortality rate has plateaued to 20 per 1000 live births, with 60% of child deaths occurring out of hospital. The southern subdistrict has the largest paediatric population in Metro West and accounts for 31% of deaths. This study aimed to uncover the access barriers and facilitators underlying this high burden of out-of-hospital deaths. An exploratory mixed-methods case study design employed three data collection strategies: a quantitative survey with randomly sampled community members, semi-structured interviews with purposively sampled caregivers whose children presented critically ill or deceased (January 2017 - December 2020) and a nominal group technique (NGT) to build solution-oriented consensus among purposively sampled health workers, representing different levels of care in the local health system. A total of 62 community members were surveyed, 11 semi-structured caregiver interviews were conducted, and 11 health workers participated in the NGT. Community members (74%) experienced barriers in accessing care. Knowledge of basic home care for common conditions was limited. Thematic analysis of interviews showed affordability, acceptability, and access, household and facility factor barriers. The NGT suggested improvement in community-based services, transport access and lengthening service hours would facilitate access. While multiple barriers to accessing care were identified, facilitators addressing these barriers were explored. Healthcare planners should examine the barriers within their geographic areas of responsibility to reduce child deaths.Contribution:This study uncovers community perspectives on childhood out-of-hospital deaths and makes consensus-based recommendations for improvement.

Alzheimer’s pathology in older people with HIV in South Africa: protocol of a case‐control study examining mechanisms of inflammation and infection

AbstractBackgroundDue to the success of modern antiretroviral therapy, people with HIV in South Africa are now living into older age. This provides an opportunity to study Alzheimer’s pathology in the context of chronic inflammation and infection. Here we present the protocol of a large case‐control study examining Alzheimer’s pathogenesis.Method250 South African people over 70 years of age will be recruited from a low‐income area of Cape Town with high HIV prevalence. Half will be living with HIV and half will be HIV‐negative and sociodemographically similar. Our primary outcome is CSF biomarkers of amyloidopathy. We have power to detect a 1.5‐fold increase in CSF amyloid positivity from 40% to 60%. Secondary analyses will compare clinical diagnoses of Alzheimer’s disease, and correlate indicators of HIV‐related neuroinflammation with degree of amyloidopathy.ResultProtocol presentation only. Funding is from the Race Against Dementia.ConclusionThis unique cohort will provide a valuable resource for mechanistic studies of Alzheimer’s pathogenesis.

Hydrogeological Investigations of Groundwater and Surface Water Interactions in the Berg River Catchment, Western Cape, South Africa

The Berg River Catchment based in the Western Cape Province, South Africa services the greater Cape Town area with water, subsequent to supplying the vast agricultural activities that exist in the middle and the lower reaches. This study thus investigates the hydrogeochemical interactions between surface and groundwater in the Berg River Catchment with the aim of establishing trends and transfer of constituents between the surface and groundwater systems, investigates the role that geology plays in water chemistry as well as identifies the geochemical processes controlling surface and groundwater chemistry in the catchment. This study was carried out using three types of research designs namely i) experimental research design; ii) field research design and meta-analysis research design. Furthermore, the study made use of hydrochemical data ranging from 2003 to 2013 obtained from the National Water Monitoring Database owned and maintained by the Department of Water and Sanitation and data that were sampled in 2016 by authors and analyzed using the ICP-MS Technique Ground Water Chart, Arc-GIS and Geosoft (Oasis Montaj) were further employed to model the data. The results indicated that: i) in the Upper Berg there is not much interaction and transfer of constituents between surface and groundwater; ii) the Middle Berg, however, indicated a degree of interaction with the sharing of constituents between the two water systems and iii) the Lower Berg indicated only NaCl water type also noting that the area situated near the river mouth whereby there is the mixing of river and seawater.

The Development of Text Messages to Support People at Risk of Diabetes in Low-Resourced Communities: The South African Diabetes Prevention Programme.

Emerging evidence suggests that the addition of text messages to standard healthy lifestyle interventions may improve the outcomes of diabetes prevention programs (DPP). This paper describes the process of developing text messages targeting behavior change in people at risk of developing diabetes in low-resourced communities as part of the South African DPP (SA-DPP). The development comprised multiple steps led by nutrition and physical activity experts. The steps included the following: (1) text message development based on the existing SA-DPP curriculum and its formative research; (2) text message evaluation for readability/understandability in terms of content, language, and quality, with 75 participants from two low-resourced areas in Cape Town; (3) text message refinement by the expert panel; (4) evaluation of the refined text messages by participants from Step 2; and (5) text bank finalization. Based on the readability survey, 37 of the 67 formulated text messages [24 of the 44 encouraged healthy eating, and 13 of the 23 promoted physical activity] were refined. Based on focused discussions with participants, seven more messages were refined to consider alternative terminology. The final text bank includes a total of 67 messages comprising topics related to fruit and vegetable consumption as well as the importance of having variety in the diet (n = 15), limiting fat intake (n = 10), avoiding sugar (n = 11), avoiding salt (n = 5), promoting fiber-rich foods (n = 1), messages promoting physical activity (n = 21), and general check-in messages (n = 4). Most of the text messages were acceptable, understandable, and largely feasible to all participants, with some of the nutrition-related messages being less feasible for participants due to their socioeconomic position. The next step is to assess the text messages in the SA-DPP intervention trial.

Losses of children’s cognitive potential over time: A South African example

About 250 million children under the age of 5 years in low- and middle-income countries (LMICs) lose lifelong cognitive potential. However, the primary focus of interventions has been to increase survival and promote growth. All pregnant women in 24 non-contiguous, low-income areas in Cape Town, South Africa (N=1 238) were recruited between 2009 and 2010 and reassessed six times over 8 years post birth. Mothers in half of the 24 areas were randomised to receive home visits by community health workers, concentrated during the pregnancy and the first 6 months of life. At 18 months, the children’s cognitive development was at the global norm, i.e a mean standard deviation (SD) value of 100 (15). By 5 years of age, the mean cognitive development fell to one SD below the global norm (<85; mean = 83) and 60% of children had scores below the global mean. By 8 years of age, cognitive development scores significantly fell again (mean = 73; 88% of children <85). The magnitude of the loss was substantial and warrants sustained interventions throughout childhood that support children’s cognitive development in LMICs. The first 1 00 days of life are important, but insufficient to inoculate children against the negative consequences of poverty and coping with multiple, chronic community challenges (e.g. HIV, alcohol abuse, interpersonal violence)

A nexus between airbnb and inequalities in water use and access.

The emergence of digital tourism platforms through the sharing economy has brought into focus the potential opportunities it could promote and the inequalities it could exacerbate. Sharing economy platforms such as Airbnb are increasingly being utilised as alternative tourism accommodations. Though the sharing economy is promoted as economically beneficial and environmentally sustainable, its realised impacts are questioned. These realised impacts are of particular concern in water-scarce contexts such as Cape Town, South Africa as while water use may be virtually forgotten, its actual consumption remains predominately placed-based. This study explores these issues of inequality through the lens of the impact of Airbnb in Cape Town during one of the most severe droughts in over a century. Using a triangulation of mixed methods including web-based listing profile analysis, questionnaires, interviews and media analysis, Airbnb hosts were found to undertake the role of water ambassadors as concerned citizens and responsible tourism accommodation providers. However, spatial inequalities around outsourcing rental linen to marginalised areas of Cape Town and the power-laden training of domestic staff originating from outlying low-income areas, highlight the perpetuation of historically based understandings and considerations of water use.

Intervention development of ‘Diabetes Together’ using the person-based approach: a couples-focused intervention to support self-management of type 2 diabetes in South Africa

ObjectivesType 2 diabetes (T2D) is a growing concern in South Africa, where many find self-management challenging. Behaviour-change health interventions are enhanced by involving partners of patients. We aimed to develop...

Child and adolescent mortality associated with pesticide toxicity in Cape Town, South Africa, 2010–2019: a retrospective case review

BackgroundPoisoning of children after exposure to pesticides is a major public health concern, particularly in countries with poorer urban populations, such as South Africa. This may stem from the illegal distribution and domestic use of street pesticides, which are highly hazardous agricultural pesticides. The aim of this study was to profile paediatric deaths due to acute pesticide poisoning in the west-metropole of Cape Town, South Africa; to identify whether the active ingredients were highly hazardous pesticides according to the FAO and WHO; and to inform policy and public health interventions to prevent future exposures and mortality.MethodsA retrospective and descriptive analysis of forensic post-mortem records (2010 to 2019) was conducted to identify cases of paediatric deaths (< 18 years old) in the west metropole of Cape Town, involving pesticide poisoning admitted to the Salt River mortuary (one out of 16 mortuaries in the Western Cape province). Demographic, circumstantial, autopsy, and toxicological information was captured. Descriptive statistics, together with chi-square tests, Fisher’s probability tests, and Mann–Whitney U tests were used to analyse the data.ResultsIn total, 54 paediatric pesticide deaths were identified, including 22 (40.7%) males and 32 (59.3%) females, out of 5,181 paediatric unnatural deaths admitted over the 10-year period. The median age of the decedents was 8.3 years (range: 1 day to 17.9 years), with the majority under five years (42.6%) or between 15 and 18 years old (40.7%). All incidents occurred in peri-urban areas of Cape Town, with most individuals being admitted to hospital (88.9%) for a median survival time of 4.8 h. Toxicological analysis was requested in 50 cases (92.6%) with the organophosphate pesticides terbufos (n = 29), methamidophos (n = 2) and diazinon (n = 2) detected most frequently. Adolescent (15–18 years) suicides (29.6%) and accidental child deaths (< 4 years) (18.5%) were common.ConclusionsTerbufos and methamidophos are highly hazardous pesticide (HHP) active ingredients registered in South Africa for agricultural uses, yet commonly sold as street pesticides for domestic use in lower socioeconomic areas. Reducing access and availability of toxic pesticides, especially through the illegal selling of street pesticides, and providing low toxic alternatives to poorer communities, may support mortality reduction initiatives. Mortality and toxicology data provide important, often overlooked, surveillance tools for informing policy and public health interventions to reduce toxic pesticide harm in local communities.

Urban water crises driven by elites’ unsustainable consumption

AbstractOver the past two decades, more than 80 metropolitan cities across the world have faced severe water shortages due to droughts and unsustainable water use. Future projections are even more alarming, since urban water crises are expected to escalate and most heavily affect those who are socially, economically and politically disadvantaged. Here we show how social inequalities across different groups or individuals play a major role in the production and manifestation of such crises. Specifically, due to stark socioeconomic inequalities, urban elites are able to overconsume water while excluding less-privileged populations from basic access. Through an interdisciplinary approach, we model the uneven domestic water use across urban spaces and estimate water consumption trends for different social groups. The highly unequal metropolitan area of Cape Town serves as a case in point to illustrate how unsustainable water use by the elite can exacerbate urban water crises at least as much as climate change or population growth.

A precarious archive: using photography to enable liveable lives in District Six, Cape Town

This paper proposes that the dissemination of marginal archival resources can be informed by forms of socioeconomic precarity experienced by their creators and primary subjects. To account for these modes of circulation, the author proposes the notion of a precarious archive. The concept is developed with reference to the Kewpie Collection, an official though marginal archival resource containing photographs as well as recordings and transcripts of interviews with the photographs’ collector, Kewpie. The Collection depicts a group of self-described gays and girls living in District Six, a multicultural, inner-city area of apartheid Cape Town, before and during the District’s physical destruction by the Nationalist government. By the early 1980s, the girls were among the sixty thousand residents forcibly removed from the District because they were legally classified ‘Coloured’. The circulation of materials constituting the Kewpie Collection is characterised as precarious in two senses. First, the materials have been available to diverse uses incorporating a range of identificatory claims, often in terms in which Kewpie does not describe herself. Second, Kewpie’s account of the girls’ experiences of precarity has been de-emphasised and her photographs celebrated as evidence of the ability of gay lives to flourish in the lost District. The author instead reads these photographs as one example of the girls’ efforts to imagine new forms of social existence in the absence of sustaining infrastructure and thereby enable liveability.

"Soldiers against gangsters?": Evaluation of the impact of the army deployment against gang violence on homicides in the Cape Flats

The debate on militarisation of domestic security around the world Is mostly normative and conceptual, but there are few estimates of the direct impact of the use of military forces in public security tasks. This paper assesses the impact on local homicides of the 2019 deployment of the South African National Defence Force in police station areas in Cape Town, a measure taken to stem gang violence. It uses an interrupted time-series approach to estimate the effect by comparing murder counts in relevant precincts before and during the deployment, compared to precincts with similar murder rates and socioeconomic characteristics. Results show that there was an apparent initial reduction in the month in which the measure was taken, but the presence of the army was not associated with a significant decrease in homicides over the deployment period.

Financial Performance Measures That Drive Utility Abandonments in India

Our research “Financial Performance Measures That Drive Utility Abandonments in India’ is a down moving of financial backer claimed water and wastewater utilities and the constant expansion in utility abandonments and moves inside the administrative climate propelled the investigation of financial backer possessed utilities, utilizing tests from the territory of Florida. The review decided the monetary and nonfinancial drivers of utility andandonments and moves. Utilizing the NRRI and Acheampong et al. worked on monetary proportions, utilized in utility feasibility studies (liquidity proportion, influence proportion, obligation to value proportion, benefit pattern proportion, development and productivity proportion, proficiency proportion, and the productivity proportion), the review recognized sixteen nonfinancial execution estimates under four classes (yield measure, quality measures, proprietors' value structure, and the administrative measures). The review utilized strategic relapse and predominance examination to rank the exhibition estimates that influence utility abandonments and moves. Four monetary execution estimates the liquidity, influence, development, and proficiency, and the effectiveness proportions, along with nine nonfinancial measures, decided the probability for a utility to deserted or moved. In any case, the effect of these actions was different among abandonments and moves. The review utilized the predominance investigation to focus on the drivers of utility relinquishment and moves. The nonfinancial presentation measures for utility abandonments overwhelmed monetary execution measures. Utility relinquishment is in all probability because of nonfinancial hardships experienced by the utility, prompting monetary issues. The exchange of a utility either to another utility or to a current utility was not likely because of monetary execution measures. The nonfinancial presentation estimates overwhelmed the monetary measures both in total and individual drivers. Monetary execution measures (FPMs) are the most regularly involved proportions of efficiency and proficiency in organizations, with less thought for non-monetary execution measures. FPMs are viewed as conventional measures that lead to supportability of a firm, consequently they should be appropriately overseen and controlled. This paper reports the degree to which SMEs perceive the meaning of FPMs in their store network the board (SCM). The review followed a positivist worldview, with the utilization of surveys to gather information from proprietors and supervisors of SMEs in the assembling area in Cape Town. That's what the significant discoveries demonstrate albeit monetary execution measures are exceptionally respected by these elements, they come up short on abilities to appropriately decide their monetary measures, and don't be aware with sureness, which monetary execution measures are of pertinence to their organizations. Broad preparation is one of the proposals.

Inadequate Access to Potable Water Impacts Early Childhood Development in Low-Income Areas in Cape Town, South Africa.

Water and sanitation are vital to human health and well-being. While these factors have been studied in relation to health, very little has been done to consider such environmental risk factors with child development. Here, we investigated possible relations between household water access/storage and early childhood development in four low-income settlements in the City of Cape Town, Western Cape province of South Africa. Our objectives were 1) to determine water access/storage practices in dwellings of children; 2) to assess early childhood development; and 3) and to understand the relationship between water access/storage practices in relation to early childhood development. We used a questionnaire to assess household water risk factors and the International Development and Early Learning Assessment (IDELA) tool to assess child early learning / cognitive, socio-emotional and motor development. Mean age of the children (N = 192) was 4 years and 55% were female. The mean IDELA score was 48% (range: 36-54%) where the higher the score, the better the child's development. Around 70% of households had a tap inside their dwelling and half said that they stored water with the largest percentage of storage containers (21%) being plastic/no lid. Child IDELA scores were lower for children living in households that did not have an indoor tap and for households who stored water. Given the risks associated with climate change and the already poor conditions many children face regarding water and sanitation, research is needed to further investigate these relations to provide evidence to support appropriate interventions and ensure healthy child development.

Reflections on measuring the soundness of the digital storytelling method applied to three Cape Flats vulnerable communities affected by drought, fire and flooding in Cape Town

Aligned to the Sendai framework, the UKRI GCRF Water and Fire research project aims to co-produce knowledge with residents of three vulnerable communities in the Cape Flats area of Cape Town to generate adaptive solutions that strengthen resilience against the environmental disasters of drought, flooding and fire outbreaks. To achieve this aim, the research team employed household surveys and participatory visual methods including digital storytelling (DST), community mapping and photovoice with residents of three affected communities. This paper focuses on validating the DST method used in the ‘Water and Fire’ project and interrogates how well the DST process conforms to six types of validity, namely, participatory, intersubjectivity, catalytic, contextual, ethical and empathic validity as guided by the International Collaboration for Participatory Health Research (ICPHR). Twenty-five digital stories on the overarching theme of resilience were produced by 25 Cape Flats residents.We suggest that participatory validity was achieved through participants making decisions about the stories and details they wanted to share. Intersubjective validity was fostered by involving community advisory members in DST process design, through co-conceptualizing resilience with participants and by evaluating the DST experience. Catalytic validity was achieved when participants screened their digital stories in shared learning spaces to convey how they respond to and live with disasters at numerous community and policy engagement events. Contextual validity was met by exploring relevant environmental disasters affecting the Cape Flats communities. Ethical validity was attained by creating safe and supportive spaces, enabling dynamic informed consent and transferring ownership of the digital stories to the story tellers. Connecting participants through collective sharing of individual disaster experiences, lessons-learned and adaptive strategies fostered empathy.We recommend complementing DST methods with other research methods like surveys, and focus group discussions, while evaluating the transformative potential of the DST process and stakeholder engagement events, to enable better catalytic validity. We advocate for collaborative and inclusive approaches with vulnerable communities alongside stakeholders and statutory bodies in multi-stakeholder engagement events. We conclude that digital stories are an effective and valid conduit for knowledge co-production with vulnerable communities in the context of climate change resilience as these methods create opportunities for affected communities to raise their concerns and share their experiences.

'Do you own your freedom?' Reflecting on Cape Town youths' aspirations to be free

&#x0D; &#x0D; &#x0D; Young people make up half of the world’s population and constitute the majority of the population across the Global South (Cooper et al. 2019). In South Africa, the youth constitute one-third of the country’s population, many of whom belong to the so-called ‘born free’ generation. The ‘born free’ generation typically refers to those who were born after the end of Apartheid, or those who were coming of age after 1994. The youth, particularly in cities of the South, represent an excluded majority in terms of access to meaningful employment and quality living environments.&#x0D; This article reflects on a research project which used narrative photovoice as a method to engage a group of 13 young people from Mitchell’s Plain, Philippi and Gugulethu; poor marginalised areas in Cape Town. Narrative photovoice combines photography with writing to give participants an opportunity to convey particular stories or issues through their photography. Through a process of co-production and collaboration between academic researchers, a community-based organisation (CBO) called ‘Youth for Change’ and a creative enterprise called ‘noDREAD’productions, the youth were engaged in a creative process using photographs to tell stories about themselves, their communities and the broader city context in which they live.&#x0D; This article draws on Appadurai’s notion of the ‘capacity to aspire’ to make sense of the aspirations and dreams the participants talk about through their photographs; how they navigate structural, psychological and other factors which impede their aspirations and their freedom, and how they make sense of their everyday realities. The article advances two interlinked arguments: firstly, it makes visible the ‘navigational capacity’ of youth from marginalised neighbourhoods and their capacity to aspire amidst multiple constraints. It does so by illustrating how the youth grapple with the idea and experience of freedom in their everyday life. Secondly, it makes a case for the use of photovoice as a method that is well positioned to (a) capture the visual dimension of youth aspirations and (b) allow for co-production between the different stakeholders.&#x0D; &#x0D; &#x0D;