The resurgence of tuberculosis in South Africa: an investigation into socio-economic aspects of the disease in a context of structural violence in Grahamstown, Eastern Cape
- Authors: Erstad, Ida
- Date: 2007
- Subjects: Tuberculosis -- South Africa -- Grahamstown Tuberculosis -- Patients -- South Africa -- Grahamstown Tuberculosis -- Treatment -- South Africa -- Grahamstown Community health services -- South Africa -- Grahamstown Medical anthropology -- South Africa -- Grahamstown Tuberculosis -- Economic aspects -- South Africa -- Grahamstown Tuberculosis -- Social aspects -- South Africa -- Grahamstown
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2090 , http://hdl.handle.net/10962/d1002653
- Description: This thesis is an investigation into the socio-economic constraints that influence the decisions of tuberculosis sufferers in the health seeking process and therapeutic management of tuberculosis in Grahamstown, the Eastern Cape. It is shown that structural violence influences experiences and perceptions of tuberculosis at all levels. Management of tuberculosis in the formal health sector is explored at local levels and related to national and global strategies of health care. The role of health workers, and particularly voluntary health workers, is explored and it is shown that they work within a context of growing burden of sickness and co-infections and a lack of government commitment to deal with increasing TB and HIV incidences. Kleinman’s notion of explanatory models is explored and it is evident that although knowledge of the aetiology of tuberculosis is well-known to patients and general members of the communities, they are nevertheless victims of increased stigmatisation and marginalisation as a result of illness. The importance of social support in curing tuberculosis is explored using Janzen’s concept of therapy managing groups. Social capital is a fundamental component in adhering to biomedical therapy, but is commonly weak among the structurally poor. The availability of temporary social grants for people living with TB influences health seeking behaviour. In a context of structural poverty the sick are faced with what Nattrass terms “perverse incentives”, having to choose between the right to health and the right to social security, both guaranteed in the South African Constitution, for him/herself and dependants. Although adherence to biomedical therapy is essential in curing tuberculosis, it is shown throughout this thesis that ignoring wider structural causes of disease limits the patient’s ability to get well. The ethnography shows that the right to health is a social and economic right which is not the reality for most South Africans.
- Full Text:
- Date Issued: 2007
"All vistas close in the unseen" : a study of the transcendent in the fiction of E. M. Forster
- Authors: Butler, Ian
- Date: 1987
- Subjects: Forster, E. M. (Edward Morgan), 1879-1970 -- Criticism and interpretation , Forster, E. M. (Edward Morgan), 1879-1970
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2175 , http://hdl.handle.net/10962/d1001826
- Description: From introduction: It has become something of a commonplace among critics to remark Forster's relative lack of success in offering an alternative to the world which he satirises with such wit and humour. His comic treatment of the suburban absurdities of the Edwardian Englishman is, on the whole, far more compelling and memorable than the often vague, symbolic gestures by means of which he implies the possibility of something better. With the exception of his last and greatest novel, A Passage to India, his "alternatives" are largely factitious and contrived. Worse, the reader senses a fundamental uncertainty on the part of the author: his characteristic ambivalence in itself an indication of a perceptive and discriminating mind -- all too often suggests lack of conviction rather than an intelligent awareness of the infinitude of human possibilities.
- Full Text:
- Date Issued: 1987