scholarly journals Maternal mortality in rural South Africa: the impact of case definition on levels and trends

2013 ◽  
pp. 457 ◽  
Author(s):  
Michel Garenne ◽  
Kathleen Kahn ◽  
Mark Collinson ◽  
Xavier Gómez-Olivé ◽  
Stephen Tollman
Keyword(s):  
South Africa ◽  
Maternal Mortality ◽  
Case Definition ◽  
Rural South ◽  
The Impact ◽  
Rural South Africa

scholarly journals Linkage to primary care after home-based blood pressure screening in rural KwaZulu-Natal, South Africa: a population-based cohort study

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e023369 ◽  
Author(s):  
Mark J Siedner ◽  
Kathy Baisley ◽  
Joanna Orne-Gliemann ◽  
Deenan Pillay ◽  
Olivier Koole ◽  
...  
Keyword(s):  
South Africa ◽  
Blood Pressure ◽  
Linkage To Care ◽  
Sampling Weights ◽  
Rural South ◽  
Home Based ◽  
Kwazulu Natal ◽  
Blood Pressure Screening ◽  
The Impact ◽  
Rural South Africa

ObjectivesThe expanding burden of non-communicable diseases (NCDs) globally will require novel public health strategies. Community-based screening has been promoted to augment efficiency of diagnostic services, but few data are available on the downstream impact of such programmes. We sought to assess the impact of a home-based blood pressure screening programme on linkage to hypertension care in rural South Africa.SettingWe conducted home-based blood pressure screening withinin a population cohort in rural KwaZulu-Natal, using the WHO Stepwise Approach to Surveillance (STEPS) protocol.ParticipantsIndividuals meeting criteria for raised blood pressure (≥140 systolic or ≥90 diastolic averaged over two readings) were referred to local health clinics and included in this analysis. We defined linkage to care based on self-report of presentation to clinic for hypertension during the next 2 years of cohort observation. We estimated the population proportion of successful linkage to care with inverse probability sampling weights, and fit multivariable logistic regression models to identify predictors of linkage following a positive hypertension screen.ResultsOf 11 694 individuals screened, 14.6% (n=1706) were newly diagnosed with elevated pressure. 26.9% (95% CI 24.5% to 29.4%) of those sought hypertension care in the following 2 years, and 38.1% (95% CI 35.6% to 40.7%) did so within 5 years. Women (adjusted OR (aOR) 2.41, 95% CI 1.68 to 3.45), those of older age (aOR 11.49, 95% CI 5.87 to 22.46, for 45–59 years vs <30) and those unemployed (aOR 1.71, 95% CI 1.10 to 2.65) were more likely to have linked to care.ConclusionsLinkage to care after home-based identification of elevated blood pressure was rare in rural South Africa, particularly among younger individuals, men and the employed. Improved understanding of barriers and facilitators to NCD care is needed to enhance the effectiveness of blood pressure screening in the region.

scholarly journals The impact of adult mortality on the living arrangements of older people in rural South Africa

2005 ◽  
Vol 25 (6) ◽  
pp. 431-444 ◽  
Author(s):  
VICTORIA HOSEGOOD ◽  
IAN M. TIMÆUS
Keyword(s):  
South Africa ◽  
Older People ◽  
Living Arrangements ◽  
Adult Mortality ◽  
Living Alone ◽  
Rural South ◽  
Kwazulu Natal ◽  
The Impact ◽  
Quality Infrastructure ◽  
Rural South Africa

This paper examines changes in households with older people in a northern rural area of KwaZulu Natal province, South Africa, between January 2000 and January 2002. The focus is the impact of adult deaths, especially those from AIDS, on the living arrangements of older people. The longitudinal data are from the Africa Centre Demographic Information System. In 2000, 3,657 older people (women aged 60 years or older, men 65 years or older) were resident in the area, and 3,124 households had at least one older member. The majority (87%) of older people lived in three-generation households. Households with older people were significantly poorer, more likely to be headed by a woman, and in homesteads with poorer quality infrastructure than households without older members. By January 2002, 316 (8%) of the older people in the sample had died. Of all the households with an older person, 12 per cent experienced at least one adult death from AIDS. The paper shows that older people, particularly those living alone or with children in the absence of other adults, were living in the poorest households. They were also coping with an increasing burden of young adult deaths, the majority of which were attributable to AIDS.

scholarly journals Tourism and poverty in rural South Africa: A revisit

2020 ◽  
Vol 116 (1/2) ◽  
Author(s):  
Daan Toerien
Keyword(s):  
South Africa ◽  
South African ◽  
Poverty Reduction ◽  
Rural South ◽  
Population Sizes ◽  
Hospitality Sector ◽  
Tourism And Hospitality ◽  
The Impact ◽  
New Geography ◽  
Rural South Africa

Debates about the value of pro-poor tourism indicated a need to revisit the links between the dynamics of tourism and hospitality enterprises and community poverty in rural South African towns. The numbers of tourism and hospitality enterprises in these towns are related to population numbers by a power law with a sub-linear exponent. The residents of smaller South African towns are more dependent on the tourism and hospitality sector than are the residents of larger towns. Measurement of the enterprise dependency indices (EDIs) of these towns provides a valid measurement of their wealth/poverty states. Their EDIs are directly and negatively associated with the strength of their tourism and hospitality sectors. Communities in towns with more tourist and hospitality enterprises are overall wealthier, and vice versa. This finding contrasts with a previous view about tourism and poverty reduction in South Africa. Debates about the benefits of pro-poor tourism should include information about the impact of tourism on community wealth/poverty. The EDI is a simple, yet powerful, measure to provide poverty information. Expressing the number of tourism and hospitality enterprises per 1000 residents of towns enables comparisons of towns of different population sizes. Based on ideas of the ‘new geography of jobs’, it is clear that tourism is part of what is called the traded sector and results in inflows of external money into local economies. Tourism is a driver of prosperity and a reducer of poverty in South African towns.

scholarly journals Exploring the impact of the 2008 global food crisis on food security among vulnerable households in rural South Africa

Food Security ◽  
2014 ◽  
Vol 6 (2) ◽  
pp. 283-297 ◽  
Author(s):  
Raphael J. Nawrotzki ◽  
Kristin Robson ◽  
Margaret J. Gutilla ◽  
Lori M. Hunter ◽  
Wayne Twine ◽  
...  
Keyword(s):  
South Africa ◽  
Food Security ◽  
Food Crisis ◽  
Rural South ◽  
Vulnerable Households ◽  
The Impact ◽  
Global Food ◽  
Rural South Africa ◽  
Global Food Crisis

scholarly journals The impact of pensions on health and wellbeing in rural South Africa: Does gender matter?

2012 ◽  
Vol 75 (10) ◽  
pp. 1864-1873 ◽  
Author(s):  
Enid Schatz ◽  
Xavier Gómez-Olivé ◽  
Margaret Ralston ◽  
Jane Menken ◽  
Stephen Tollman
Keyword(s):  
South Africa ◽  
Rural South ◽  
Health And Wellbeing ◽  
The Impact ◽  
Rural South Africa

scholarly journals An Exploration of the Impact of Digital Marketing on SMEs Growth and Brand Popularity in Rural South Africa

2015 ◽  
Vol 7 (5(J)) ◽  
pp. 37-42 ◽  
Author(s):  
Lawrence Mpele LEKHANYA
Keyword(s):  
South Africa ◽  
Quantitative Research ◽  
Business Owners ◽  
Digital Marketing ◽  
Primary Data ◽  
Contributing Factors ◽  
Rural South ◽  
Rural Places ◽  
The Impact ◽  
Rural South Africa

The purpose of the study is to establish understand of digital marketing and its use by SMEs in rural South Africa, the extent of its use, examining contributing factors to its use and their implications. Primary data was collected using a quantitative research technique with the use of a structured questionnaire as the survey instrument. A total of 134 SMEs operating in rural KwaZulu –Natal were selected. Questionnaires were distributed to the business owners/ mangers between august and December 2014. SPSS (22.0) version was employed to for data analysis. The findings of this study revealed that some rural places in South Africa still experiencing ICT problems for being not available make it difficult for SMEs growth through the use of digital marketing. The reliability analysis, reflected coefficient values from 0.70 to 0.833. The analysis of factors limiting use of digital marketing among the rural SMEs, are presented with recommended strategies and implications on how to approach the challenges. Digital marketing of rural SMEs may be strengthened through awareness and providing adequate information about ICT and through diverse of internet marketing programmes.

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