‘Growing’ social protection in developing countries: lessons from Brazil and South Africa
- Authors: Barrientos, Armando , Moller, Valerie , Saboia, Joao , Lloyd-Sherlock, Peter , Mase, Julia
- Date: 2013
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/67195 , vital:29058 , https://doi.org/10.1080/0376835X.2013.756098
- Description: publisher version , The rapid expansion of social protection in the South provides a rich diversity of experiences and lessons on how best to reduce poverty and ultimately eradicate it. Knowledge on how best to ‘grow’ social assistance, understood as long-term institutions responsible for reducing and preventing poverty, is at a premium. This article examines the expansion of social assistance in Brazil and South Africa, two of the middle income countries widely perceived to have advanced furthest in ‘growing’ social protection. It examines three aspects: the primacy of politics in explaining the expansion of social protection and assistance, the tensions between path-dependence and innovation in terms of institutions and practices, and the poverty and inequality outcomes of social assistance expansion. The article concludes by drawing the main lessons for other developing countries.
- Full Text: false
- Date Issued: 2013
Whatever happened to social indicators in Africa? Whatever happened indeed! A developing world perspective on the Kenneth C. Land and Alex C. Michalos report on 'Fifty years after the Social Indicators Movement'
- Authors: Moller, Valerie
- Date: 2017
- Language: English
- Type: Article
- Identifier: vital:24531 , http://hdl.handle.net/10962/36238 , https://link.springer.com/article/10.1007/s11205-017-1555-y
- Description: Africa is a latecomer to the Social Indicators Movement. The first social indicators for Third World countries were developed by outsiders and covered almost exclusively topics related to basic needs and development. In response to Kenneth Land's and Alex Michalos' historical assessment and their agenda for future 'social indicators/quality of life/well-being' research, the commentary traces how South Africa and sub-Saharan countries-with a little help from many friends who are pioneers in the movement-have succeeded in developing their own home-grown social indicators movement. Addressing some of the themes outlined in the agenda that Land and Michalos set for future research, the commentary discusses the importance of monitoring social change occurring in African society in a 'post-industrialized and much more globalized, and digitized-computerizedroboticized' era: How will new values and nom1s impact on the quality of life of future generations of African people?
- Full Text:
- Date Issued: 2017
What are the best and worst times in the lives of South African township dwellers? A content analysis of the self-defined end-anchors for Bernheim’s ACSA scale of subjective well-being
- Authors: Moller, Valerie , Theuns, P
- Date: 2013
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/67155 , vital:29042 , https://doi.org/10.1007/s11205-012-0073-1
- Description: publisher version , Bernheim’s ACSA, a less conventional measure of subjective well-being originally developed for use in a clinical setting, was applied to a sample of black South African township dwellers (n = 1,020) in the Eastern Cape Province. The Anamnestic Comparative Self Assessment is an experiential self-anchoring scale with concrete anchors (Bernheim in Psychologie médicale 15:1625–1626, 1983). Respondents described the ‘best’ and ‘worst’ periods experienced in their lives in their own words and rated their current life situation within these two extremes that served as the end-anchors of an 11-point rating scale, ACSA. The ACSA score was significantly positively correlated with conventional measures of subjective well-being. The study examined in detail the content of the ACSA anchors, the best and worst periods of respondents’ lives, classified by domain, to gain insights into reference comparisons applied in quality-of-life evaluation in a developing country setting. As was the case in earlier ACSA studies, most domains that served as reference standards were related to the self and family life. However, material living standards, represented by the domains of income, financial security and housing also featured prominently as personal anchors—a reflection of life goals in post-apartheid South Africa. Age, gender, education and self-reported health were associated with the choice of select anchors. The discussion provides pointers for future applications of ACSA in large sample surveys using a pre-coded multiple-choice format for anchor descriptions. It is concluded that the content of ACSA anchors corresponds closely to contemporary definitions of the good life among ordinary South Africans.
- Full Text: false
- Date Issued: 2013
Waiting for happiness in Africa
- Authors: Moller, Valerie , Roberts, Benjamin J , Tiliouine, Habib , Loschky, Jay
- Date: 2017
- Language: English
- Type: text , book
- Identifier: http://hdl.handle.net/10962/67225 , vital:29061 , https://s3.amazonaws.com/sdsn-whr2017/HR17-Ch4_lr.pdf
- Description: publisher version , From Introduction: Are the people in Africa really among the least happy in the world? And if African countries do have a ‘happiness deficit’, what are the prospects of Africa achieving happiness in the near future? These are questions we shall try to address in this chapter. The World Happiness Report (WHR), published since 2012, has found that happiness is less evident in Africa than in other regions of the world. It reports Gallup World Poll (GWP) ratings of happiness, measured on the ‘ladder of life’, a scale of 0 to 10, with 10 indicating greatest happiness. On the map of the Geography of Happiness, published in an earlier World Happiness Report Update 2015, the happiest countries in the world are shaded green, the unhappiest red. Africa stands out as the unhappiest continent, being coloured almost entirely in shades of glaring red (See Fig. 4.1). In 2017, the WHR reports that average ladder scores for over four in five African countries are below the mid-point of the scale (see Fig. 4.2). And only two African countries have made significant gains in happiness over the past decade . There are also considerable inequalities in life evaluations in African countries, and this inequality in happiness has increased over the past years . In this chapter, we shall tentatively seek a number of explanations for the unhappiness on the African continent, which is home to about 16% of the world’s population. It will be no easy task to identify factors that may have shaped perceptions of well-being among the 1.2 billion African people who live in 54 nation states with different historical, cultural, and socio-economic backgrounds. Nonetheless, we shall attempt to describe some of the positive and negative experiences in the lives of people in African countries that likely impact on personal well-being. We shall also try to identify the prospects for change and development that could spell hope for increasing the happiness of African people in future.
- Full Text: false
- Date Issued: 2017
Valerie Møller: a pioneer in South African Quality of Life Research
- Authors: Moller, Valerie
- Date: 2013
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/67205 , vital:29059 , https://doi.org/10.1007/s11482-013-9249-3
- Description: publisher version , Professor Valerie Møller is Professor Emeritus of Quality of Life Studies at Rhodes University, Grahamstown, South Africa. Before that she was director of the Institute of Social and Economic Research at Rhodes University (1998–2006) and headed the Quality of Life Research Unit at the University of KwaZulu-Natal, Durban, South Africa, in the 1990s. She completed her primary school education in North Carolina, USA, and her secondary and tertiary education in Zürich, Switzerland. She earned Lic. Phil and DPhil degrees from the University of Zürich, majoring in sociology. She has lived and worked in Southern Africa since 1972. Together with the late Professor Lawrence Schlemmer she developed the first survey instruments to measure objective and subjective well-being among South Africans from all walks of life. The South African Quality of Life Trends Study has tracked happiness and life satisfaction from apartheid to the transition to democracy (1983–2012).
- Full Text: false
- Date Issued: 2013
Use of indigenous and indigenised medicines to enhance personal well-being: a South African case study
- Authors: Cocks, Michelle L , Moller, Valerie
- Date: 2002
- Language: English
- Type: Article
- Identifier: vital:7106 , http://hdl.handle.net/10962/d1010679
- Description: An estimated 27 million South Africans use indigenous medicines (Mander, 1997, Medicinal plant marketing and strategies for sustaining the plant supply in the Bushbuckridge area and Mpumalanga Province. Institute for Natural Resources, University of Natal, Pietermaritzburg, South Africa). Although herbal remedies are freely available in amayeza stores, or Xhosa chemists, for self-medication, little is known about the motivations of consumers. According to African belief systems, good health is holistic and extends to the person's social environment. The paper makes a distinction between traditional medicines which are used to enhance personal well-being generally and for cultural purposes, on the one hand, and medicines used to treat physical conditions only, on the other. Drawing on an eight-month study of Xhosa chemists in Eastern Cape Province, South Africa, in 1996, the paper identifies 90 medicines in stock which are used to enhance personal well-being. Just under one-third of all purchases were of medicines to enhance well-being. Remedies particularly popular included medicines believed to ward off evil spirits and bring good luck. The protection of infants with medicines which repel evil spirits is a common practice. Consumer behaviours indicate that the range of medicines available is increased by indigenisation of manufactured traditional medicines and cross-cultural borrowing. Case studies confirm that self- and infant medication with indigenous remedies augmented by indigenised medicines plays an important role in primary health care by allaying the fears and anxieties of everyday life within the Xhosa belief system, thereby promoting personal well-being.
- Full Text:
- Date Issued: 2002
The role of quality of life surveys in managing change in democratic transitions: the South African case
- Authors: Moller, Valerie , Dickow, H
- Date: 2002
- Language: English
- Type: Article
- Identifier: vital:7115 , http://hdl.handle.net/10962/d1010748
- Description: The South African Quality of Life Project has tracked subjective well-being, life satisfaction and happiness, since the early eighties at the national level. In most democratic countries around the globe, the average citizen says he or she is satisfied with life in general. In South Africa this is not the case. Since the early 1980s, the trend study shows up disparities between one sector of the South African population that is satisfied with life in general and various aspects of life and another sector that is very dissatisfied. Generally, the better-off report higher levels of satisfaction and happiness than the worse-off. The most plausible explanation for the South African quality-of-life constellation is the huge gap in living standards between rich and poor, a legacy of the apartheid era, which discriminated against blacks and to a lesser extent against Indian and coloured people. Euphoria following on the first democratic elections in April 1994, which registered equally high aggregate levels of happiness and life satisfaction among all sectors of the population, was short-lived. Under democracy, expectations “for a better life for all”, the election slogans for the 1994 and 1999 general elections, has risen. South Africa has one of the most enlightened constitutions, which guarantees basic human rights and supports advancement of the previously disadvantaged. As long as South Africans perceive barriers to accessing the material rewards of democracy, they do not see justice has been done. South Africa is currently grappling with problems common to other societies in transition to democracy. Since 1994, government programmes and policies have been devised to address the critical twin problems of poverty and inequality in society. The latest round of research for the South African Quality of Life Trends Project probes popular assessments of the policies and programmes aimed at improving the quality of life of ordinary South Africans. Interviews with a panel of 25 opinion leaders in the run-up to the June 1999 general elections were followed by a nationally representative opinion survey in October 1999. The paper outlines the role of social indicators in monitoring quality of life in South Africa and reports findings from the elite and rank-and-file surveys. Generally, the winners and losers in the new political dispensation see changes from a different perspective. The disadvantaged are more likely to have seen material gains and recommend increased delivery of services and opportunities for social mobility. The advantaged, who have mainly experienced non-material or no gains since 1994, are more likely to be pessimistic about the future. It is concluded that the groundswell of optimism will sustain the majority of South Africans who are still dissatisfied with life until their dreams of the good life are fulfilled.
- Full Text:
- Date Issued: 2002
The relationship between subjective well-being and domain satisfactions in South Africa
- Authors: Moller, Valerie , Saris, W E
- Date: 2001
- Language: English
- Type: Article
- Identifier: vital:7116 , http://hdl.handle.net/10962/d1010749 , http://dx.doi.org/10.1023/A:1010851412273
- Description: This paper examines the relationship between subjective well-being and domain satisfactions. In the past different models have been specified. The most commonly applied model is the bottom-up model in which domain satisfactions affect subjective well-being. The more recent top-down model suggests a reversed relationship. Finally there is the supposition that the correlations between these variables can be spurious due to the effect of personality characteristics. Empirical research has shown that different models are found for different domains and in different countries. Focussing on the effects of the domain satisfactions of finances, housing and social contacts it has been found that subjective well-being is mainly affected by satisfaction with social contacts in Western developed countries and by satisfaction with finances in East European countries. The question we should like to answer in this study is whether a similar pattern obtains for the factors which influence subjective well-being among the different race groups in South Africa. Interestingly, coloured people and Asians did indeed show the expected effects but the groups with the most extreme living conditions did not. Evaluation of life circumstances by black and white South Africans was determined by expectations for the future rather than by current living conditions. This surprising result is discussed in the light of the political situation in South Africa.
- Full Text:
- Date Issued: 2001
The Personal Wellbeing Index in the South African isiXhosa translation: a qualitative focus group study
- Authors: Moller, Valerie , Roberts, Benjamin J , Zani, Dalindyebo
- Date: 2015
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/67125 , vital:29034 , https://doi.org/10.1007/s11205-014-0820-6
- Description: publisher version , International scholars who rely on the Personal Wellbeing Index (PWI) to compare cross-cultural quality of life have often been confronted with the problems of nuances getting ‘lost in translation’. This qualitative study explored the meaning of the isiXhosa version of the PWI in focus group discussions with native speakers. Participants in the study discussed how they understood and rated their lives on each item in the index. The discourse conveyed the different shades of meaning associated with the PWI items of life satisfaction and eight domains of life. The study found that PWI items related to material well-being, living standards, achievements in life and future (financial) security were best understood. The PWI items referring to personal relationships and community connectedness were seen as nearly identical in meaning. Both translation and cultural factors may be responsible for the conflation of these two items. Noteworthy is that the PWI item on religion and spirituality was seen to embrace both Christian and traditional African beliefs and practice, without prejudice. A new item on daily activities was piloted with good results. The focus group study also showcased the manner in which discussants worked with the rating scale and drew on social comparisons when evaluating global and domain satisfactions. It is concluded that cognitive testing of PWI items in different translations will serve not only to appraise the validity of PWI ratings across cultures, but importantly also opens a window on what makes for a life of quality in a particular social setting.
- Full Text: false
- Date Issued: 2015
The National Wellbeing Index in the isiXhosa translation: focus group discussions on how South Africans view the quality of their society
- Authors: Moller, Valerie , Roberts, Benjamin J , Zani, Dalindyebo
- Date: 2018
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/67135 , vital:29035 , https://doi.org/10.1007/s11205-016-1481-4
- Description: publisher version , The International Wellbeing Index covers two complementary measures, the Personal Wellbeing Index (PWI) and the National Wellbeing Index (NWI). The focus group study reported here tested the understanding of the NWI when translated into isiXhosa, a language spoken by 6 million South Africans, or 16% of the country’s population. A challenge for the NWI in measuring national well-being is the tendency for meaning to get ‘lost in translation’ in the wording of the instrument, owing to the disparities that exist between levels of living in developed and developing nations. The focussed discussions with native isiXhosa speakers conveyed the different shades of meaning associated with the six domains that make up the NWI. The isiXhosa keywords for the domains of social conditions, the natural environment, national security, and management of the country’s affairs (government) were readily understood, but discussants asked for further clarification of keywords for the domains relating to the economy and business. Conversations showed up the close link between personal and national well-being: discussants drew upon their personal and parochial life experiences along with their knowledge of current affairs to evaluate the nation’s quality of life. They described the social contract between citizens and their government to create a ‘caring society’ that promotes well-being across key domains of national life. Many of the reference standards used to evaluate national well-being were ones postulated to influence personal well-being (Michalos A.C, Social Indicators Research 16(4): 347–413 1985 ). The study also pointed to a potential problem for longitudinal studies if the bipolar satisfaction scale, formerly used to measure the International Wellbeing Index’s PWI and NWI, is changed to a unipolar one. Findings from this pilot study confirm the potential of the NWI as a tool for measuring national well-being cross-culturally.
- Full Text: false
- Date Issued: 2018
TB treatment initiation and adherence in a South African community influenced more by perceptions than by knowledge of tuberculosis
- Authors: Cramm, Jane M , Finkenflügel, Harry J M , Moller, Valerie , Nieboer, Anna P
- Date: 2010
- Language: English
- Type: Article
- Identifier: vital:7101 , http://hdl.handle.net/10962/d1010657
- Description: Background Tuberculosis (TB) is a global health concern. Inadequate case finding and case holding has been cited as major barrier to the control of TB. The TB literature is written almost entirely from a biomedical perspective, while recent studies show that it is imperative to understand lay perception to determine why people seek treatment and may stop taking treatment. The Eastern Cape is known as a province with high TB incidence, prevalence and with one of the worst cure rates of South Africa. Its inhabitants can be considered lay experts when it comes to TB. Therefore, we investigated knowledge, perceptions of (access to) TB treatment and adherence to treatment among an Eastern Cape population. Methods An area-stratified sampling design was applied. A total of 1020 households were selected randomly in proportion to the total number of households in each neighbourhood. Results TB knowledge can be considered fairly good among this community. Respondents' perceptions suggest that stigma may influence TB patients' decision in health seeking behavior and adherence to TB treatment. A full 95 percent of those interviewed believe people with TB tend to hide their TB status out of fear of what others may say. Regression analyses revealed that in this population young and old, men and women and the lower and higher educated share the same attitudes and perceptions. Our findings are therefore likely to reflect the actual situation of TB patients in this population. Conclusions The lay experts' perceptions suggests that stigma appears to effect case holding and case finding. Future interventions should be directed at improving attitudes and perceptions to potentially reduce stigma. This requires a patient-centered approach to empower TB patients and active involvement in the development and implementation of stigma reduction programs.
- Full Text:
- Date Issued: 2010
Southern African Journal of Gerontology, volume 9, number 2, October 2000
- Authors: Ferreira, Monica (editor) , Moller, Valerie , HSRC/UCT Centre for Gerontology
- Date: 2000
- Subjects: Gerontology -- South Africa , Older people -- Care -- South Africa
- Language: English
- Type: Text
- Identifier: vital:8081 , http://hdl.handle.net/10962/d1012915
- Description: [From Editorial] In this special issue of SAJG, an attempt is made to demonstrate how a selection of studies were conducted and how the research outcomes have been translated into action. Heslop, Agyarko, Adjetey-Sorsey and Mapetla give us a paper in which they have evaluated the methodology used in studies in Ghana and South Africa to determine the contributions of older people. After long periods of implementation and learning, this participatory-research methodology has become synonymous with HAl's research work. The authors take us through the methodology, describe the studies carried out in the two countries, and provide us with a vivid picture of not only the problems which older people in the countries face, but also the immense contribution which they make to the well-being of other people. The impact which this work has had in both countries is notable. Older participants in the studies have taken it upon themselves to advocate their rights, and the governments in the two countries have started to put measures in place to address some of the problems identified in the studies. The paper by Van Vuuren and Groenewald examines the pattern of expenditure of pension income by black pension beneficiaries in the Free State Province of South Africa, against a backdrop of these persons' living circumstances. It goes into detail about issues regarding the payment of pensions, pension sharing within households and expenditure of pension money on specific items, and challenges allegations that pensioners are frequently robbed of their pension money and that they lose this income to loan sharks. Some of the findings of this paper contrast with the findings of the HAl studies conducted with partners in the Northem, Gauteng and Kwazulu-Natal provinces of South Africa (see the first paper in this issue by Heslop and colleagues). In their paper, Kowal, Wolfson and Dowd point out that there is a dearth of empirical and credible data on older people in Africa. Although some research has been conducted on this population, the authors note that by and large the available data derive from small samples, are scattered, and have neither been widely disseminated nor shared. The authors further note a lack of common approaches to data collection. Realising these gaps, the World Health Organisation arranged a workshop in Harare, Zimbabwe in January 2000, to begin a process to develop a minimum data set (MDS) for use by researchers in Africa. An overall aim of the MDS project is to provide data to influence policy and decision makers in various areas which affect older persons. , Needs-driven research on nutrition and ageing, carried out by HAl in collaboration with the London School of Hygiene and Tropical Medicine, is reported by Busolo, Ismail and Peachey in their paper. Nutrition and ageing in developing countries is an area which bas received scant attention. The nutritional requirements of older persons in these countries have not only been inadequately investigated but as a result, nutrition practitioners in various settings simply shoot in the dark. The authors take us down the path which the research took, from bow the needs were identified, to how the research was conducted, to how an intervention programme was set up. They give us some key findings of the research, describe the dissemination process and the application of the findings, and suggest a way forward. An Africa-wide programme currently being implemented as a direct result of this work is aimed at providing knowledge and information on the nutritional requirements of older people to key nutrition institutes, older people's organisations, N GOs (particularly those working in emergency situations), donors and governments. HelpAge International earlier conducted research in the Magu district of Tanzania on the plight of older women who are victimised on suspicion of their being witches (cf. Forrester Kibuga, 1999). Forrester Kibuga and Dianga now draw on this work in their paper. The authors take us through facts pertaining to the witchcraft-related killings, some of the problems which older people in the district face, the changing roles of older people in that area, beliefs and customs of the communities, and the stance of the government and the church on witchcraft. The dynamics of gender issues are also discussed. Following on this research, HAl designed and is now implementing a programme aimed at addressing some of the factors which lead up to these killings and developing sustainable structures to protect older people from violence. In his paper, Gorman draws on the work of HAl in various parts of the world, particularly in Africa - including Tanzania, Ghana, South Africa and Kenya. He argues that violence against older women and men in Africa cannot be attributed to a single, straight-forward problem but must be understood within a complex web that touches on history, family structures, and social and economic factors. He makes practical suggestions on what needs to be done to deal with the problem of violence. HelpAge International will soon be implementing an Africa-wide programme as a response to some of the issues which have been raised in its research on violence. While there is a clear need for more research on ageing in Africa, the research should not be done in a vacuum. There is a simultaneous need for greater collaboration and sharing of research results, and perhaps most importantly, for more action based on research outcomes. At the end of the day researchers should never forget that they have an ethical commitment to their subjects, to society and to their colleagues. , Thanks are due to Karen Peachey and Alex Dianga in the HAl Africa Regional Development Centre for the co-ordination of this special issue. Special thanks are due to Monica Ferreira for dedicating the issue to the experience and work of HAl, and for her commitment to addressing issues pertaining to ageing in Africa. She has worked tirelessly to ensure the success of not only this issue of SAJG but of previous issues as well. I have found her a pillar of support and a pleasure to work with. Tavengwa M. Nhongo.
- Full Text:
- Date Issued: 2000
Southern African Journal of Gerontology, volume 9, number 1, April 2000
- Authors: Ferreira, Monica (editor) , Moller, Valerie , HSRC/UCT Centre for Gerontology
- Date: 2000
- Subjects: Gerontology -- South Africa , Older people -- Care -- South Africa
- Language: English
- Type: Text
- Identifier: vital:8080 , http://hdl.handle.net/10962/d1012914
- Description: [From Editorial] Four of the five articles in this issue either deal explicitly with or refer to the effects of the AIDS epidemics in the authors' countries. The fifth paper deals with late-life chronic diseases of life-style. In the first paper, Akinsola examines effects of the epidemic on older Batswana and evaluates the effectiveness of his country's Community Home-Based Care programme against the programme's objectives, with special reference to the situation of older persons as primary caregivers to PWAs and AIDS orphans. He concludes that the situation of older carers calls for strong and urgent policy action to assist this highly vulnerable and marginalized group in its critical and valuable role and function as carers. In her paper on the provision of housing and care for older persons in Zambia, Sichingabula considers implications of the anticipated increases in AIDS morbidity and mortality, in the form of an increased demand for formal housing and care by older Zambians in the face of diminished traditional support. Given effects of the country's Structural Adjustment Programme and the Zambian government's inability to expand provision of formal support for the older population, the author makes recommendations for initiatives which NGOs can undertake towards meeting the needs and improving the quality of life of older persons. Next, Shaibu examines the experiences of caregivers to older persons in Botswana within a context of pervasive, abject poverty and multiple, unmet basic needs. The author notes how the HIV I AIDS epidemic, in addition to other social forces, impacts family structures and the capacity of Batswana to care for older relatives. In their paper, authors Patel, Steyn, Charlton, Bourne, Laubscher, Fourie and Jooste describe the risk-factor profile for chronic diseases of life-style, such as hypertension, hypercholesterolaemia and obesity, in the older black population of Cape Town and compare it with risk profiles in other South African ethnic groups. The authors note that although the study population is still at low risk of cardiovascular disease - for example, demographic changes, including urbanisation and the adoption of urban life-styles, are likely to lead to an increase in chronic morbidity in future older cohorts in this population. In a second paper, Sichingabula assesses the physical and social environment of Divine Providence Home, a residential care facility for destitute older persons in Lusaka, Zambia. She draws practitioners' attention to the prudence of incorporating design features in facilities built for older persons which enhance the users' mobility, independence and quality of life. She also highlights a lack of social stimulation and the inactivity of the residents at the home. The author makes the point that given an anticipated increased demand for admission to residential care facilities as a result of AIDS-related deaths and loss of traditional support for older persons, living environments in these facilities must be optimized. In sum, the AIDS-related research papers in this number highlight a need to identify and to strengthen social and care systems which can assist older persons in Africa, as traditional systems are increasingly affected by demographic forces, particularly the effects of the HIV/AIDS epidemics. Finally, Moller reviews a recent, landmark Help Age International report (1999), which is a compilation of 15 papers on ageing in developing countries and challenges facing research, policy and practice.
- Full Text:
- Date Issued: 2000
Southern African Journal of Gerontology, volume 8, number 2, October 1999
- Authors: Ferreira, Monica (editor) , Moller, Valerie , HSRC/UCT Centre for Gerontology
- Date: 1999
- Subjects: Gerontology -- South Africa , Older people -- Care -- South Africa
- Language: English
- Type: Text
- Identifier: vital:8079 , http://hdl.handle.net/10962/d1012913
- Description: [From Editorial] The papers included in this special issue highlight some of the issues of elderliness and old age in Africa outlined above. Using different disciplinary approaches, the papers should appeal to age-old researchers in varied fields. In a discussion of old age and ageing in pre-industrial Africa, Sagner moves away from the rather simplistic images of old age which still beset many African gerontologists. Drawing on the Xhosa-speaking peoples in the 19th century he argues that the experience of later life was shaped by gender, kinship and "class" differences as well as by biographical factors, making for a variety of later-life experiences. He points out that old age was not a clear-cut period of life with unique demographic, economic or social characteristics/ conditions, set apart from earlier life phases. However, he notes that (deep) old age was firmly tied to religious and metaphysical beliefs. He argues that loss of bodily functions in (deep) old age was hardly stigmatizing as the loss was socially constructed as a sign of increasing other-worldliness. By linking old age with superhuman agency, the ideological hegemony of old age remained unbroken, despite bodily decline, even though the latter could herald loss of this-worldly status and, finally, abandonment in the bush. Moller and Sotshangaye discuss contemporary relations between Zulu grandmothers and grandchildren in South Africa's KwaZulu-Natal province. Though the grandmothers whom the two authors interviewed expressed deep concern about losing the respect of their grandchildren, in the eyes of the latter old age is, surprisingly, not denigrated as a possible source of moral guidance. Moller and Sotshangaye point out that strains in the grandmothers-grandchildren relationship are located in the rapidly changing social context which easily tends to outdate the elders' teaching, rather than in the intergenerational politics of the family per se. Paradoxically, however, macro-social changes have also led to a re-strengthening of the grandmothers' moral authority. The paper also shows that successful ageing- in the sense of one's personal happiness in old age - is, at least partly, relational defined. , Moving northwards up the subcontinent to Mozambique, da Silva records the results of a case study on the situation of older people who had to cope with several long-standing wars and natural disasters in their lifetimes. She analyses the repercussions which endured displacements, forced migrations and other war-related life-course experiences had on the lives of today's elderly, both at the personal and social level. In detailing social policy propositions she reminds us that there is a fundamental divergence between how older people are represented in some authoritative discourses and the social reality of old age. To overcome the prevailing negative representations of old age is of utmost practical importance, as the problematicity image encourages non-participatory government approaches and hinders thus the empowerment of the elderly. Turning to a methodological plane, Mommersteeg details some of the problems - and advantages - which the use of interpreters in qualitative research settings entail. In keeping with a hermeneutic approach, he shows that the interpreter is in fact a culture broker, rather than a mere provider of a linguistically correct translation. Mommersteeg's paper illustrates very well that interviews which are mediated through interpreters are not dialogically but triologically constituted, as are their "products" - the storied voices of the interviewees. In her article, Coetzee reports on exploratory field research in an old-age centre outside Bloemfontein in South Africa's Free State province. Based on participant observation and in-depth interviews she finds that elderly residents experience old age negatively. Though this subjective reality partly reflects the residents' difficulties in adjusting to their ageing bodies, it is mainly grounded in her subjects' difficulties to construct a framework within which their present position in the world could be instilled with personal/social meaning. Coetzee' s paper stresses both the relevance of a life course perspective and a gender-sensitive approach to the study of old-age experience.
- Full Text:
- Date Issued: 1999
Southern African Journal of Gerontology, volume 8, number 1, April 1999
- Authors: Ferreira, Monica (editor) , Moller, Valerie , HSRC/UCT Centre for Gerontology
- Date: 1999
- Subjects: Gerontology -- South Africa , Older people -- Care -- South Africa
- Language: English
- Type: Text
- Identifier: vital:8078 , http://hdl.handle.net/10962/d1012912
- Description: [From Editorial] Several contemporary building blocks of African gerontology are used in the papers in this number of SAJG. First, Madzingira draws on 1990s' demographic data sources to examine selected levels, patterns and trends of population ageing in Zimbabwe. She briefly outlines implications of population ageing for socio-economic development in the country, and highlights critical areas such as the future of the family as a safety net for elders, inadequate social-security measures, health care provision, trends in consumption of goods and services, and the ageing population structure in the rural areas. Although based on a descriptive modernization theory model, the paper reflects the continued usefulness of the theory in highlighting the effects of structural lag, but avoids a reliance on stereotypes. Staying in Zimbabwe, Mupedziswa takes up feminist issues and critiques the plight of older female informal-sector traders and their gender-based cumulative disadvantage. The author pertinently and sympathetically examines the women's diminished access to power across the lifespan and their dilemma as they become increasingly frail. Refreshingly, he approaches his investigation from a political economy perspective, and considers the interdependence of this gender-differentiated age cohort and the social structure. Moving to Ghana, Adeku in his paper examines socio-demographic factors in the marital status of older persons. His findings highlight the greater proportion of widows in the older population, which gender differential he explains is a function of both a high mortality rate in older men and remarriage. He also specifically examines gender-based inheritance and other wealth transfer patterns - and hence uses both social exchange theory and political economy theory concepts for explanation, as well as draws on feminist theories to analyse the situations of the older women. Staying in Ghana, Darkwa gives his views on the health-care needs and challenges of older Ghanaians who reside in rural areas. Again, the author addresses a political economy issue, and makes suggestions on how the government could bridge the urban-rural health gap and improve both preventive and curative health-care service delivery to the vast majority of the older Ghanaian population which lives in the rural areas. He also introduces an intriguing notion of the role that communication technology can play in the future provision of health care to Africa's elderly. Finally, revisiting demographic and health transitions in Africa, their implications and related issues, Adamchak reviews the World Health Organization's 1997 report on Ageing in Africa, authored by Nana Araba Apt in Ghana. Adamchak evaluates this "overview" report and its relevance, and examines some of the historical and contemporary African gerontology building blocks with which the report is constructed.
- Full Text:
- Date Issued: 1999
Southern African Journal of Gerontology, volume 7, number 2, October 1998
- Authors: Ferreira, Monica (editor) , Moller, Valerie , HSRC/UCT Centre for Gerontology
- Date: 1998
- Subjects: Gerontology -- South Africa , Older people -- Care -- South Africa
- Language: English
- Type: Text
- Identifier: vital:8077 , http://hdl.handle.net/10962/d1012911
- Description: [From Editorial] Articles in this Special Issue on health and ageing in Africa come from a broad spectrum of disciplines and the articles reflect a wide range of topics. Three contributions deal with the maintenance of good health. Remaining active is a key component of successful ageing which minimizes the loss of functional independence in the elderly. An investigation of the role of gender in the analysis of gait of older people by Macfarlane, Nicholson and Muller provides important methodological information which may be applied in practical outcomes-based assessments. The development of a reliable tool to assess gait, as a measure of lower-extremity function, is thus pertinent. There is growing evidence that good nutritional status is an important determinant of optimal cognitive and physical functioning in older people and influences both quality of life and health status. In a study of institutionalized elderly women in Cape Town, Charlton, Joosen and Jaffer report a high prevalence of suboptimal vitamin C status. The authors make out a case for low-dose micro-nutrient supplementation in residents of homes for the aged, particularly in homes where a cook-chill catering system is operated. They suggest that ongoing nutritional assessment should be an integral part of the care of older residents. In keeping with the topic of nutrition, Walker, a prolific author on public health issues in Africa over the past 50 years, has contributed a guest column in which he addresses the nutrition-ageing paradigm from an epidemiological viewpoint. He highlights opportunities for high-quality research on the association between life-style factors and healthy ageing in the continent. Moving on to a specific form of health-care delivery, Makoni examines language practices in the care that is rendered to older residents of a Cape Town nursing home. He describes barriers in communication between nursing staff and residents from different ethnic backgrounds, which compromise the quality of care that is rendered and which may result in conflict and tension between staff and residents. In her article, Tlou evaluates a community-based programme in which older women who live in rural areas of Botswana are trained to educate members of their communities in the prevention of the spread of the HIV I AIDS virus. The findings demonstrate the benefits of targeting lay persons for health education activities in rural Africa and the utilization of older persons, in this case women, as a valuable resource. The special issue also includes two opinion pieces and an item which opens debate. In separate contributions, Wilson and Duodu examine challenges facing effective health-care service delivery systems for older persons in African countries and express their opinions in this regard. Wilson's suggestions for multidisciplinary specialist teams, including incontinence teams, nutrition teams and vision teams, and for the development of training for lay people to become generic " rehabilitation assistants," are examples of appropriate community-based African solutions to health service delivery needs of the older population. Duodo makes similar suggestions to those of Wilson, specifically regarding geriatric care service delivery in Ghana. He also highlights the common practice of traditional self-medication in rural-dwelling older Ghanaians. Readers are invited to comment on, and indeed to augment, the authors' opinions in Letters to the Editor. To date, very little work has been done in South Africa on biological aspects of ageing. In a short contribution on the free radical theory of ageing, Van Rensburg and Potocnik open debate on this topic. Once again, readers are invited to contribute to debate in this area in letters to the editor, for publication in the following number of the journal.
- Full Text:
- Date Issued: 1998
Southern African Journal of Gerontology, volume 7, number 1, April 1998
- Authors: Ferreira, Monica (editor) , Moller, Valerie , HSRC/UCT Centre for Gerontology
- Date: 1998
- Subjects: Gerontology -- South Africa , Older people -- Care -- South Africa
- Language: English
- Type: Text
- Identifier: vital:8076 , http://hdl.handle.net/10962/d1012871
- Description: [From Editorial] Each of the papers in this number of SAJG deals with dilemmas and issues in the matter of public and private care for older persons in southern Africa. Three papers deal explicitly with South Africa's social-security system·- specifically the old-age pension. Two papers deal with residential care models. And a sixth paper examines informal caregiving. In an expansive overview of public finance and ageing in South Africa, Van der Berg examines budgetary expenditure on the older population and places the magnitude and function of the social-pension system in perspective. The author briefly traces the historical evolution of the system. In a paper based on extensive archival research, Sagner details the history of the pension from 1920 to 1960 and shows that numerous contemporary pension-related issues are no different to issues of past decades. In her paper, Oakley examines the effects of recent changes in social-welfare policy on the residents and administrators of a home for marginalized older people in a remote South African town. She contends that new policy erroneously assumes that marginalized and historically disadvantaged older individuals are able to live self-sufficiently within the bosom of family - in a spirit of ubuntu. Ackermann and Matebesi report on a study of the experiences of carers of older family members in an African township and consider how these carers, who have few resources, could be assisted and supported in their care giving tasks. Mupedziswa describes the nature and functioning of an alternative residential care model in Zimbabwe - a cooperative living scheme specifically established to enable destitute and socially-impoverished older people to co-reside in a safe and mutually-supportive environment. Moller gives readers an insightful update and analysis of the January 1998 pension payment debacle in the Eastern Cape Province, when the payment of more than 600 000 pensioners was delayed because of provincial-government management errors. Finally, SAJG welcomes Wilson's announcement in a letter to the editor of the establishment of AFRIT A, whose aims are to promote and to co-ordinate linkages between training and research initiatives on ageing and policy structures in African countries.
- Full Text:
- Date Issued: 1998
Southern African Journal of Gerontology, volume 6, number 2, October 1997
- Authors: Ferreira, Monica (editor) , Moller, Valerie , HSRC/UCT Centre for Gerontology
- Date: 1997
- Subjects: Gerontology -- South Africa , Older people -- Care -- South Africa
- Language: English
- Type: Text
- Identifier: vital:8075 , http://hdl.handle.net/10962/d1012870
- Description: [From Editorial] This Special Issue of the Journal comprises a selection of papers based on research on ageing in African countries, which were read at the Third Global Conference. The papers were revised and peer reviewed prior to acceptance by the Journal. The theme of the Special Issue is "Ageing in urban and rural Africa." Each of the papers included in the issue deals with a situation of ageing-in-place, a late-life migratory pattern, or the impact, or implications of social forces and social change on older Africans, in either an urban and/or a rural setting, or in both types of settings in Africa. The papers also draw together the main sub-themes and strands of the conference, particularly those relating to the family, ubuntu, urbanization, AIDS, and income security and poverty.
- Full Text:
- Date Issued: 1997
Southern African Journal of Gerontology, volume 6, number 1, April 1997
- Authors: Ferreira, Monica (editor) , Moller, Valerie , HSRC/UCT Centre for Gerontology
- Date: 1997
- Subjects: Gerontology -- South Africa , Older people -- Care -- South Africa
- Language: English
- Type: Text
- Identifier: vital:8074 , http://hdl.handle.net/10962/d1012868
- Description: [From Editorial] A variety of papers covering interesting and relevant topics and emanating from several countries are included in this number. Togonu-Bickersteth examines levels of satisfaction with care received from sons and daughters of older Yoruba in rural Nigeria. She finds that contrary to expectations, older women are more satisfied than older men with the assistance received from children. Makoni examines the effects of Alzheimer's disease as the disease progresses on the conversational ability of an older second-language speaker. Cattell reports on exploratory research among Zulu grandmothers and granddaughters in KwaZulu-Natal and finds that older women continue to have important roles in the socialization of granddaughters, especially regarding sexual behaviour. Van Dokkum makes out a case for a durable power of attorney, not yet provided for in South African legislation, which can help to protect older citizens against malpractices or exploitation when, because of impaired mental functioning, they are no longer able to look after their affairs. Lefroy gives an update on the Special Dementia Unit as an alternative residential care facility for afflicted older Australians and examines the advantages of this type of accommodation for individuals. their families and society. Finally, Moller reviews a book written by Nana Araba Apt of Ghana. entitled Coping with old age in a changing Africa. She concludes that readers will learn much from Apt's ideas on building on indigenous institutions to meet the challenges of ageing in Africa.
- Full Text:
- Date Issued: 1997
Southern African Journal of Gerontology, volume 5, number 2, October 1996
- Authors: Ferreira, Monica (editor) , Moller, Valerie , HSRC/UCT Centre for Gerontology
- Date: 1996
- Subjects: Gerontology -- South Africa , Older people -- Care -- South Africa
- Language: English
- Type: Text
- Identifier: vital:8073 , http://hdl.handle.net/10962/d1012867
- Description: The October 1996 number of SAJG is a special issue on "Gender, ageing and empowerment in Africa." The guest editor of the special issue is Maria Cattell of Millersville University, Pennsylvania, USA, who has conducted substantial research on older Kenyans and more recently on Zulu grandmothers. Dr Cattell is the President of the global Association of Anthropology and Gerontology (AAGE). The issue will comprise research papers from authors in several African countries, and will provide valuable data and experience of ageing in Africa for transnational comparison.
- Full Text:
- Date Issued: 1996