The aim of the study was to determine how the health of people living with Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome is affected by social and structural factors conducive to non-adherence to antiretroviral treatment. In a qualitative study conducted at Victoria Hospital in Alice, a town in the Eastern Cape, South Africa, 23 isiXhosa-speaking participants between the ages of 18 and 60 years were interviewed. Guided by the social-ecological framework of Bronfenbrenner, which is based on the notion that the (...) health-seeking behaviour of people living with HIV/aids is influenced by their social, institutional and physical environments, the analysis of the data identified the following themes conducive to non-adherence to antiretroviral treatment: food insecurity, financial constraints, poor service from health workers, unfair dismissal, fear of the consequences of disclosure, and rejection by church members. Based on these findings, and given that there is no single model of best practice that can appropriately address the various social and structural factors complicating the treatment of HIV/aids and hence the containing of the pandemic, the study suggests the need for not only supportive community initiatives, but a collaborative approach at both local and national level, and particularly in impoverished communities, by the appropriate departments of state to promote adherence to anti-retroviral treatment by making treatment and counselling facilities more accessible to PLWHA and educating communities about the implications and prevention of the disease. (shrink)

Individuals, organizations, and institutions adopt prominent people as political symbols for a variety of reasons. They then produce conflicting memories and images of their chosen symbols. In this article we argue that multiple representations of celebrated public figures should not only be viewed in terms of a choice between "truths" and "lies." Using the case of Chief Albert Luthuli, the president of the African National Congress from 1952 to 1967, we show that secrets and silences about aspects of his political (...) life would make it difficult for anyone to establish the veracity of competing memories which have been produced around his name since his death in 1967. We argue that many "Luthulis" were produced for different purposes and at different times during this period. We therefore suggest that to understand the motives for the making of the various images of Luthuli we need to explore in some depth the contexts in which they were made. (shrink)

Abstract:AbstractThis essay reads expressive work by Peju Alatise as an experimental Afro-matriarchal visual language emerging from Nigeria. Initiating a conscious confrontation of neo-colonial patriarchy in contemporary African art, Alatise develops a radical womanist voice to question the monologue of Afro-patriarchal pronouncements around which globalization is emerging from the former western colonies in Africa. The essay positions Alatise in historical perspective perpendicular to her body of work, highlighting her contribution to the vocabulary of emergent Afro-matriarchal aesthetics germinating in the Third world. (...) The playful imaginary leap in Alatise's work is unpredictable, as her characters jump across traditional boundaries of painting, sculpture, installations and performance arts. The transdisciplinary creativity coming from Alatise's resistance is not simply reactive: she espouses cultural initiatives grounding a difference that is independent of patriarchal cultural hegemony. Her work is therefore a proactive engagement engendering the foundations of an Afro-matriarchal discourse in Nigerian art, while contributing to a genre reexamining the colonial politics of women configuration of space. (shrink)

Depression is ranked as most common type of mental illness by the World Health Organization. Although cognitive behavioural therapy is recommended as the evidence-based psychological treatment of choice, this applies mostly to youthful, attractive, verbal, intelligent and successful persons with medical aid support in high income countries. More holistic counselling that includes holistic, verbal and non-verbal, expressive therapeutic modalities are more suitable for the planetary majority. Consequently, this study describes the process and effectiveness of philophonetics counselling with a sample of (...) ten depressed clients seeking clinical psychological services in Zululand, South Africa, a region and country beset with considerable violence, crime illness and unemployment. Client reports of effectiveness of philophonetics counselling warrants further intervention and evaluative research, with special reference to wider community psychological applications of this expressive therapeutic modality via primary health care facilities, online courses and mobile technology. (shrink)

This article identifies the two currents that have divided the Left over the Zimbabwe question. It argues that in the course of the radicalisation of the Zimbabwean state, 'Two Lefts' emerged, the so-called 'internationalist' and the 'nationalist', to take up opposite positions over a series of political questions, most notably the agrarian question and the national question. The article defends the nationalist Left and offers a critique of the 'internationalist' Left through a discussion of contemporary imperialism, the neocolonial state, and (...) civil society. (shrink)

This article identifies the two currents that have divided the Left over the Zimbabwe question. It argues that in the course of the radicalisation of the Zimbabwean state, 'Two Lefts' emerged, the so-called 'internationalist' and the 'nationalist', to take up opposite positions over a series of political questions, most notably the agrarian question and the national question. The article defends the nationalist Left and offers a critique of the 'internationalist' Left through a discussion of contemporary imperialism, the neocolonial state, and (...) civil society. (shrink)

Simulated standardized patients (SPs) are trained individuals who pose incognito as people seeking treatment in a health care setting. With the method’s increasing use and popularity, we propose some standards to adapt the method to contextual considerations of feasibility, and we discuss current issues with the SP method and the experience of consent and ethical research in international SP studies. Since a foundational discussion of the research ethics of the method was published in 2012, a growing number of studies have (...) implemented this method to collect data on the quality of care in a variety of settings around the world. We draw from that experience to provide empirical foundations for a popular approach to ethical approval of such studies in the United States and Canada, which has been to obtain a waiver of informed consent from the health care providers who are the subjects of the research. However, the majority of studies to date have evaluated quality of care outside the U.S., requiring additional ethical consideration when partnering with international institutions. We discuss these considerations in the context of a case study from a completed SP study in South Africa, where informed consent is constitutionally protected. (shrink)

Community engagement to protect and empower participating individuals and communities is an ethical requirement in research. There is however limited evidence on effectiveness or relevance of some of the approaches used to improve ethical practice. We conducted a study to understand the rationale, relevance and benefits of community engagement in health research. This paper draws from this wider study and focuses on factors that shaped Community Advisory Group members’ selection processes and functions in Malawi. A qualitative research design was used; (...) two participatory workshops were conducted with CAG members to understand their roles in research. Workshop findings were triangulated with insights from ethnographic field notes, key informant interviews with stakeholders, focus group discussions with community members and document reviews. Data were coded manually and thematic content analysis was used to identify main issues. Results have shown that democratic selection of CAG members presented challenges in both urban and rural settings. We also noted that CAG members perceived their role as a form of employment which potentially led to ineffective representation of community interests. We conclude that democratic voting is not enough to ensure effective representation of community's interests of ethical relevance. CAG members’ abilities to understand research ethics, identify potential harms to community and communicate feedback to researchers is critical to optimise engagement of lay community and avoid tokenistic engagement. (shrink)

Concerns have been raised in Africa to address women’s construction health and safety needs adequately. These concerns include less participation of women in the sector, low income and less benefits being given to women, lack of adequate protective construction clothing suited for women, unfavourable employment conditions for women, and lack of construction site security and other facilities for women. This research article provides an overview of the suggested solutions to address the concerns raised. In addition, practical interventions being implemented by (...) the Durban University of Technology and Makerere University research collaboration project team to address women’s needs in construction health and safety through women empowerment and involvement in construction research, education and practice in Africa are outlined. The main approaches applied in this research study are as follows: use of relevant publications on women’s construction health and safety needs in Africa and analysis of data obtained from reliable construction professional bodies in South Africa and Uganda to demonstrate gender imbalances.Contribution: The main contribution of this study was to emphasise the significance of including and involving women in construction research, education and practice as a major solution to address women’s health and safety needs in Africa in the future as women are in a much better position to understand their own needs than men. (shrink)

Constitutional federalism is usually suggested as an appropriate and effective form of government for a country that is characterized by significant levels of ethnic diversity. Hence, where destructive ethnic mobilization has resulted in state failure, the suggestion has usually been for the country to adopt some form of constitutional federalism as a way to more effectively manage diversity and minimize further violent conflict. While Somalia is, today, a clear example of a failed state, its governance problems, however, do not emanate (...) from its inability to effectively manage its diverse ethnic populations since the country, essentially, is the most ethnically homogenous country in Africa. Instead, the origins of state failure in Somalia can be traced to violent mobilization by clans and sub-clans for control of the apparatus of governance. This paper puts forth several strategies that can be used to reconstruct and reconstitute the Somali State and provide the country with the types of institutions that will enhance peaceful coexistence and promote long-term and sustainable economic growth and development. The first line of business must be to secure the peace-and this will require external intervention-and then to engage all relevant stakeholders in negotiations to construct and adopt an appropriate system of government. Constitutional federalism, however, may not be well-suited for Somalia, especially given the expressed desire of many of the country's factions for autonomy. A more fitting alternative is the functional overlapping competing jurisdictions governance model, under which regional political units are defined by their physical boundaries but the delivery of public goods and services is provided jointly by various overlapping jurisdictions. Under the FOCJ, an individual can choose to belong to more than one political jurisdiction, for example, establishing his residence in one jurisdiction and purchasing water, electricity and other services from another. (shrink)

“Suu ulimwengu bahari tesi [This world is a tempestuous sea],” laments the poet Sayyid Abdallah bin Ali bin Nasir in his poem Al-Inkishafi, in which he seeks a stable point in the stormy ocean of historical upheavals. Al-Inkishafi has been translated as “The Soul’s Awakening”, as self-examination or revelation. Against the backdrop of a depiction of the economic decline of the Pate sultanate at the end of the seventeenth century, the poem dwells on the vanity of earthly life and worldly (...) pleasures and questions the presence of the self in the world and whether the self can withdraw itself from the world in search of a transcendent stable point. The poem arose in the context of an ongoing poetic discourse along the East African coast, where Sufism and religious asceticism found expression in poetry, and my paper reads it alongside other poems from this period as evidence of the constitution of introspection, interiority, and a new kind of self-consciousness. I will specifically examine the role of attention in this process. In addition to being a cognitive filter that removes confusion and error from thought and ensures the self—a relational construct arising from the interaction of reason, passions, and the world—constructs an adequate intellectual representation of the world, attention acquires ethical and pragmatic connotations in facilitating the self’s resistance to temptation as well as its focus on salvation. It is, effectively, only thanks to attention that the self is able to discriminate both cognitively and morally and, crucially, to maintain agency through exercising control over its desires and actions. (shrink)

There is a general consensus among religious scholars that Pentecostalism has risen phenomenally in Africa and Zimbabwe is no exception. In most cases, Pentecostalism has been presented as a sophisticated brand of Christianity while members of African Independent churches are shown to be gullible. The newly founded Pentecostal churches are more focused on gospreneurship while the media is busy with cases of cheating, dishonesty and the sexual abuse of women in these churches. Thus, academic scholars have begun to pay their (...) attention on gullibility in Pentecostalism. Unfortunately, not many scholarly works have looked at literary texts that bring out the gullibility of members of Pentecostal churches in Zimbabwe. This article seeks to bridge this gap by analysing Aaron Chiundura Moyo’s Kereke Inofa [The Church Can die]. The main purpose is to bring out the significance of literary texts in projecting societal ills, specifically the gender power dynamics in Zimbabwean Pentecostal churches that may be difficult to deal with directly. The focus is on how women and some men are victims of the whims of some Pentecostal church leaders. The article is informed by the socio-historical approach, which states that artists derive the material for their works of art, subject matter, images and artistic languages from the life experiences of their societies. The socio-historical approach enables the researcher to understand the prevalence of gullibility in Pentecostal churches in Zimbabwe. The article relies heavily on content analysis of Moyo’s Kereke Inofa’s presentation of deception, and infidelity in Pentecostal Churches being performed on members who are projected in this play as ‘gullible’.Contribution: This article’s contribution lies in its critical analysis of gender and gullibility in African Pentecostalism in Zimbabwe. It is significant as it utilises a literary text to project the ills in Pentecostal churches and women’s sexual vulnerabilities. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:preface “Africa Reconfigured,” the cluster in this issue on recent scholarly and creative work on Africa, displays a variety of cultural, artistic, and linguistic approaches to decolonizing gender. Originating in disparate fields, each article in this cluster presents examples of how new meanings of gender are produced that defy dominant definitions. Xavier Livermon examines the cultural and political context of postapartheid South Africa, arguing that redefinitions of “tradition”—not just (...) legal rights—have led Black South Africans to “queer” marriage practices. Busi Makoni pushes the boundaries of feminist linguistics to consider how young women creatively relate to the prevailing lexicon of body parts in southern African languages and, in doing so, how they challenge normative gender identities. Cheryl Toman offers an account of writer, playwright, and performer Werewere Liking’s distinctive lifelong fusing of performance art and social activism in Côte d’Ivoire and Mali and how Liking’s plays, prose, and poetry enact decolonization in unique ways. Nigerian artist Peju Alatise, whose work is featured in our art spread, presents an array of ideas, materials, and genealogies that deeply question European and US aesthetics, as the art essay by Moyo Okediji explains. Concluding “Africa Reconfigured” are critical perspectives on Euro-American gender orders found in Olumide Popoola’s except from a novel and the poems by Gabeba Baderoon. Two articles in the second half of this issue reconsider a specific moment of US women’s history: women’s liberation in the 1960s and early 1970s. Sara M. Evans challenges the stereotyping of the women’s liberation movement as white, middle class, and antisex, arguing that this is a myth fostered by academic theory, the movement’s opponents, and the mistaken notion that women ’s liberation rejected its New Left roots. Complementing Evans’s argument, Agatha Beins addresses the issue of racism in that same historical moment of women’s liberation in the United States by revisiting images 8Preface of revolutionary women of color in US feminist periodicals of the time, arguing that we have to understand the use of these images in the context of mainstream and New Left portrayals that demeaned feminism as being not serious about politics. Also in this issue is Mark Schuller ’s analysis of gender-based violence in Haiti in the aftermath of the earthquake of 2010, in which he examines how international humanitarian organizations are not always fully aware of how structural violence operates in the country. In our forum “Teaching about Ferguson,” Feminist Studies offers our readers reflections on the pedagogical challenges and opportunities in taking up the issue of state-sanctioned violence against people of color in the United States. All the articles and essays in this issue emphasize that the specificities of transnational, historical, and political contexts—rather than abstract invocations of globalization —are essential for understanding the changing meanings of gender identities and hierarchies as well as the political goals of women ’s organizations. The first article in our cluster on “Africa Reconfigured” takes on a popular Western assumption about South Africa, which is that the constitutional changes that acknowledged and legalized same-sex partnerships replaced intolerant “traditional” practices among Black South Africans. Xavier Livermon challenges this assumption by demonstrating how Black South Africans engage tradition in creative nonheteronormative ways. He closely follows how Black South Africans redefine autochthonous cultural practices in order to create new meanings and practices for marriage. Just as the very definitions of gender have been continuously in flux, so have the definitions of marriage, and Livermon demonstrates how marriage and long-standing coupling practices have become queered and reconstituted in contemporary Black South Africa. In line with Livermon’s interest in redefinitions of sexuality and gender in a postapartheid context, Busi Makoni explores the relationship between the naming of genitalia and gender positionings. Studying both men’s and women’s uses of the lexicon for body parts in multiple Southern African languages, Makoni concludes that women engage in a process of dis-identification with, and reappropriation of, socially inscribed language for their bodies. Women use the same name labels, but assign them completely different meanings, thereby creating counternarratives of feminine identity. Preface 9 The ability to create new meanings permeates the art... (shrink)