Journal articles: 'Khayelitsha'

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Fox, Renée C. "Khayelitsha Journal." Society 42, no. 4 (May 2005): 70–76. http://dx.doi.org/10.1007/bf02687436.

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Kroll, Florian, Elizabeth Catherina Swart, Reginald Adjetey Annan, Anne Marie Thow, David Neves, Charles Apprey, Linda Nana Esi Aduku, et al. "Mapping Obesogenic Food Environments in South Africa and Ghana: Correlations and Contradictions." Sustainability 11, no. 14 (July 18, 2019): 3924. http://dx.doi.org/10.3390/su11143924.

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In sub-Saharan Africa, urbanisation and food systems change contribute to rapid dietary transitions promoting obesity. It is unclear to what extent these changes are mediated by neighbourhood food environments or other factors. This paper correlates neighbourhood food provision with household consumption and poverty in Khayelitsha, South Africa and Ahodwo, Ghana. Georeferenced survey data of food consumption and provision were classified by obesity risk and protection. Outlets were mapped, and density and distribution correlated with risk classes. In Khayelitsha, 71% of households exceeded dietary obesity risk thresholds while 16% consumed protective diets. Obesogenic profiles were less (26%) and protective more prevalent (23%) in Ahodwo despite greater income poverty in Khayelitsha. Here, income-deprived households consumed significantly (p < 0.005) less obesogenic and protective diets. Small informal food outlets dominated numerically but supermarkets were key household food sources in Khayelitsha. Although density of food provision in Ahodwo was higher (76/km2), Khayelitsha outlets (61/km2) provided greater access to obesogenic (57% Khayelitsha; 39% Ahodwo) and protective (43% Khayelitsha; 16% Ahodwo) foods. Consumption and provision profiles correlate more strongly in Ahodwo than Khayelitsha (rKhayelitsha = 0.624; rAhodwo = 0.862). Higher obesogenic food consumption in Khayelitsha suggests that risky food environments and poverty together promote obesogenic diets.

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Garone, Daniela Belen, Katherine Hilderbrand, Andrew M. Boulle, David Coetzee, Eric Goemaere, Gilles Van Cutsem, and Donela Besada. "Khayelitsha 2001 - 2011: 10 years of primary care HIV and TB programmes." Southern African Journal of HIV Medicine 12, no. 4 (December 1, 2011): 33. http://dx.doi.org/10.4102/sajhivmed.v12i4.170.

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Tuberculosis (TB) and HIV care in Khayelitsha, and in South Africa as a whole, has overcome numerous obstacles in the past three decades. This article highlights what has been achieved in Khayelitsha, describes the key clinical programme and policy changes that have supported universal coverage for HIV and TB care over the last 10 years, and outlines the challenges for the next decade.

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Cook, G. P. "Khayelitsha: Policy Change or Crisis Response?" Transactions of the Institute of British Geographers 11, no. 1 (1986): 57. http://dx.doi.org/10.2307/622070.

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Hutchison, Andrew. "Uncovering contracting norms in Khayelitsha stokvels." Journal of Legal Pluralism and Unofficial Law 52, no. 1 (January 2, 2020): 3–27. http://dx.doi.org/10.1080/07329113.2020.1728493.

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Cooper, Peter J., Mireille Landman, Mark Tomlinson, Christopher Molteno, Leslie Swartz, and Lynne Murray. "Impact of a mother–infant intervention in an indigent peri-urban South African context." British Journal of Psychiatry 180, no. 1 (January 2002): 76–81. http://dx.doi.org/10.1192/bjp.180.1.76.

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BackgroundA high rate of maternal depression and associated disturbance in the mother–infant relationship has been found in an indigent peri-urban South African community Khayelitsha. The question arises whether a community-based intervention could be beneficial.AimsTo train community workers to deliver an intervention to mothers and infants in Khayelitsha, and to compare mothers and infants receiving this intervention with a sample receiving no such intervention.MethodFour Khayelitsha women were trained in a mother-infant intervention, which they delivered to 32 women recruited in late pregnancy. At 6 months post-partum, maternal mood, the mother–infant relationship and infant growth were assessed. The findings were compared with a matched group of 32 mothers and infants.ResultsThere was no reliable impact of the intervention on maternal mood. However, compared with the comparison sample, the quality of mother – infant engagement was significantly more positive for those who had received the intervention.ConclusionsThe pilot study produced preliminary evidence of a benefit of a community-based mother – infant intervention delivered by trained, but otherwise unqualified, community workers, sufficient to warrant a formal controlled evaluation of this treatment.

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Nattrass, Nicoli. "Who ConsultsSangomasin Khayelitsha? An Exploratory Quantitative Analysis." Social Dynamics 31, no. 2 (December 2005): 161–82. http://dx.doi.org/10.1080/02533950508628712.

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Iwu, Chux Gervase, Saphetha Gwija, Robertson Tengeh, Chris Cupido, and Roger B. Mason. "The Necessity for Education and Training within the Survivalist Retail Entrepreneurship Sector." Journal of Economics and Behavioral Studies 8, no. 2(J) (May 11, 2016): 56–64. http://dx.doi.org/10.22610/jebs.v8i2(j).1254.

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This paper investigates the necessity for education and training within the survivalist retail entrepreneurship sector in Khayelitsha, in the Western Cape Province of South Africa. A structured questionnaire, informal interviews and observations were employed to collect data. To analyse the collected data, Statistical Package for the Social Sciences (SPSS version 23) was employed. A total of 150 questionnaires were distributed, but only 128 usable completed copies were returned. The key findings were twofold: (1) an admission by the majority of the subjects that their businesses are not doing particularly well owing to their lack of basic business skills; and (2) the subjectsâ€™ admission that competitive practices of the immigrant retail entrepreneurs in the township can be counteracted if they had adequate business skills. These findings imply that should survivalist retail entrepreneurs in Khayelitsha be expected to add greater value to the economy by creating employment opportunities, it is essential that they are provided with skills training on a regular basis by government agencies and other stakeholders such as the Wholesale and Retail Sector Education and Training Authority (W&RSETA). This paper has its origin in the considered intention of the Wholesale and Retail Leadership Chair of CPUT1 to assist in developing the retail sector of the community of Khayelitsha.

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Mbinda, Bukelwa, and John Peter Spencer. "Risks connected to the work force at the small, medium and micro enterprises." Risk Governance and Control: Financial Markets and Institutions 6, no. 4 (2016): 161–66. http://dx.doi.org/10.22495/rcgv6i4c1art7.

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The aim of this paper is to report on, and examine the impacts of, a skills shortage as a constraint on entrepreneurial development in the townships, specifically that of Khayelitsha, and to identify tools that are essential for the Small, Medium and Micro enterprise (SMMEs) businesses, in Khayelitsha. These skills are critical for the future development of the area. The research design employed in data gathering for this study was both qualitative and quantitative, and the questionnaires used required participants to answer open and closed ended questions. The review reveals, among other factors, a lack of a skilled workforce facing these businesses, and the recommendations made could lead to an empowering tool necessary for business ventures and entrepreneurs to succeed.

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Domingos, Joao M., and William Fox. "Privatisation as a Tenet of Growth Employment and Redistribution Strategy and its Socio-Economic Impact on the Poor in Khayelitsha." European Scientific Journal, ESJ 14, no. 31 (November 30, 2018): 351. http://dx.doi.org/10.19044/esj.2018.v14n31p351.

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This paper seeks to present the macro-economic impact of privatisation in the Western Cape as perceived by its proponents and detractors, nationally and internationally. It investigates the effects and factors which influence privatisation. The study was conducted in the township of Khayelitsha. The sites were randomly selected and included Site C, Site B, ElithaPark, Macassar and MandelaPark. An in-depth literature review was conducted to investigate the macro-economic policy of Growth Employment and Redistribution Strategy (GEAR) and its tenet, privatisation. The socio-economic impacts of privatisation on the Khayelitsha communities were investigated by posing four questions. The researcher employed qualitative and quantitative research methodology to establish the opinions of the participants. Two types of data analysis were used namely: structural and interpretational. These techniques were appropriate for the study because they explored the feelings of the recipients of government policies. The result of the study revealed that privatisation is not creating jobs as expected and that economic growth does not benefit the poor. The research revealed the financial inability of the people to afford basic services. The Khayelitsha community prefer services rendered by government instead of the private sector. The findings of the statistical analysis indicated the respondents’ dissatisfaction with government’s privatisation objectives. The researchers concludes that it is necessary to take into account that government in principle has the interests of the citizens at heart. However, its macro-economic policy is not having the desired results.

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Cooper, Peter J., Mark Tomlinson, Leslie Swartz, Matthew Woolgar, Lynne Murray, and Christopher Molteno. "Post-partum depression and the mother-infant relationship in a South African peri-urban settlement." British Journal of Psychiatry 175, no. 6 (December 1999): 554–58. http://dx.doi.org/10.1192/bjp.175.6.554.

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BackgroundPost-partum depression in the developing world has received tittle research attention, and its association with disturbances in the mother–infant relationship is unknown.AimsTo determine the prevalence of post-partum depression and associated disturbances in the mother–infant relationship in Khayelitsha, a South African peri-urban settlement.MethodThe mental state of 147 women who had delivered two months previously was assessed, and the quality of their engagement with their infants was determined.ResultsThe point prevalence of DSM–IV major depression was found to be 34.7%. Maternal depression was associated with poor emotional and practical support from the partner. It was also associated with insensitive engagement with the infants.ConclusionsThe rate of post-partum depression in Khayelitsha was around three times that found in British post-partum samples, and these depressions were strongly associated with disturbances in the mother–infant relationship.

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Cooper, Di, Peliwe Mnguni, and Karen Harrison. "Women's Experiences of the State Health Services in Khayelitsha." Agenda, no. 15 (1992): 33. http://dx.doi.org/10.2307/4065581.

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Tomlinson, Mark, Leslie Swartz, Peter J. Cooper, and Christopher Molteno. "Social Factors and Postpartum Depression in Khayelitsha, Cape Town." South African Journal of Psychology 34, no. 3 (September 2004): 409–20. http://dx.doi.org/10.1177/008124630403400305.

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14

Campion, Edward W. "Treating Millions for HIV — The Adherence Clubs of Khayelitsha." New England Journal of Medicine 372, no. 4 (January 22, 2015): 301–3. http://dx.doi.org/10.1056/nejmp1414213.

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15

Super, Gail. "Volatile Sovereignty: Governing Crime through the Community in Khayelitsha." Law & Society Review 50, no. 2 (May 6, 2016): 450–83. http://dx.doi.org/10.1111/lasr.12198.

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Legg, Carol, and Claire Penn. "The Relevance of Context in Understanding the Lived Experience of Aphasia: Lessons from South Africa." Perspectives on Global Issues in Communication Sciences and Related Disorders 4, no. 1 (May 2014): 4–11. http://dx.doi.org/10.1044/gics4.1.4.

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Purpose: In this paper we describe a study of aphasia in a unique sociocultural context, to show the value of the anthropological perspective for the clinician faced with a diverse caseload. Methods: We present findings of an anthropological study of the experience of aphasia for adults living in Khayelitsha, a township on the outskirts of Cape Town, where the isiXhosa speaking residents live in conditions of poverty and where health and social resources are either lacking or in disarray (Legg, 2010). The study involved three years of intermittent fieldwork that included in-depth case studies of five adults living with aphasia in Khayelitsha and sustained contact with a number of healthcare and community institutions. Results: Interpretations and experiences of aphasia assumed a wider significance than communication disorder and were, essentially, a window onto the sociocultural and economic struggles that beset the lives of our participants. These struggles had profound influences on experiences of aphasia and responses to treatment. Conclusions: Understanding the unique contextual influences on experiences of aphasia will place the aphasia clinician in a more potent position to develop relevant interventions.

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Nleya, Ndodana, and Lisa Thompson. "Survey Methodology in Violence-prone Khayelitsha, Cape Town, South Africa." IDS Bulletin 40, no. 3 (May 2009): 50–57. http://dx.doi.org/10.1111/j.1759-5436.2009.00038.x.

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Stinson, Kathryn, Janet Giddy, Vivian Cox, Rosie Burton, Maryirene Ibeto, Carol Cragg, Gilles Van Cutsem, et al. "Reflections on a decade of delivering PMTCT in Khayelitsha, South Africa." Southern African Journal of HIV Medicine 15, no. 1 (February 26, 2014): 30–32. http://dx.doi.org/10.4102/sajhivmed.v15i1.41.

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Cox, H., J. Hughes, J. Daniels, V. Azevedo, C. McDermid, M. Poolman, A. Boulle, E. Goemaere, and G. van Cutsem. "Community-based treatment of drug-resistant tuberculosis in Khayelitsha, South Africa." International Journal of Tuberculosis and Lung Disease 18, no. 4 (April 1, 2014): 441–48. http://dx.doi.org/10.5588/ijtld.13.0742.

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Thompson, Lisa, Ina Conradie, and Pamela Tsolekile de Wet. "Participatory Politics: Understanding Civil Society Organisations in Governance Networks in Khayelitsha." Politikon 41, no. 3 (September 2, 2014): 387–402. http://dx.doi.org/10.1080/02589346.2014.975937.

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Swart, Marieken. "Business English for black adults in Cape Town's Khayelitsha and Nyanga." System 19, no. 3 (January 1991): 241–52. http://dx.doi.org/10.1016/0346-251x(91)90049-u.

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Bowden, Robyn, Etai Even-Zahav, and Candice Kelly. "Innovative Food Procurement Strategies of Women Living in Khayelitsha, Cape Town." Urban Forum 29, no. 3 (July 3, 2018): 315–32. http://dx.doi.org/10.1007/s12132-018-9338-3.

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Nas, L. "Postcolonial travel accounts and ethnic subjectivity: travelling through Southern Africa." Literator 32, no. 2 (June 22, 2011): 151–72. http://dx.doi.org/10.4102/lit.v32i2.16.

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This article deals with three recent South African travelogues, to wit Sihle Khumalo’s “Dark continent: my black arse” (2007) and “Heart of Africa: centre of my gravity” (2009), and Steven Otter’s “Khayelitsha: umlungu in a township” (2007). It argues that the authors are engaged in a postcolonial quest to find out what makes them African: the one, a black corporate employee, by following the footsteps of white nineteenth century explorers; the other, a white journalism student, by living in one of South Africa’s largest black townships.

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SAGNER, ANDREAS, and RAYMOND Z. MTATI. "Politics of pension sharing in urban South Africa." Ageing and Society 19, no. 4 (July 1999): 393–416. http://dx.doi.org/10.1017/s0144686x99007424.

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Analysing the practice of pension sharing, this article looks at social and cultural dimensions of ageing in an urban African residential area, Cape Town's Khayelitsha. First, the paper discusses pension sharing as a future-oriented security strategy. Many older Africans in Khayelitsha believe that if they do not share their pensions with their kin, they do not have much chance of being helped in times of need. Pension sharing as an instrumental act is rooted in the perceived underdevelopment of the state social security system on the one hand, and in the very character of African kinship and the fluidity of today's urban domestic units on the other. Partly triggered by poverty and mass unemployment, African pensioners are under severe normative pressure to share their grants within their families. Taking into account African notions of old age and of personhood, and considering the widespread devaluation of older Africans in social constructions, pension sharing provides older Africans with an (easily available) means by which they can earn (self-)respect. Further, state policies indirectly enhance the normative pressure on pensioners to share their old-age pensions. On a symbolic plane the practice may be construed as a political model that conceptualises duty as the inner bond of the social world. In conclusion, it is propounded that the concept of (intergenerational) reciprocity is inadequate to account for pension sharing or practical provision of old-age care.

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Davies, James, and Lindiwe Dovey. "Bizet in Khayelitsha: U-Carmen eKhayelitsha as audio-visual transculturation." Journal of African Media Studies 2, no. 1 (April 1, 2010): 39–53. http://dx.doi.org/10.1386/jams.2.1.39/1.

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Kaplan, Samantha R., Christa Oosthuizen, Kathryn Stinson, Francesca Little, Jonathan Euvrard, Michael Schomaker, Meg Osler, Katherine Hilderbrand, Andrew Boulle, and Graeme Meintjes. "Contemporary disengagement from antiretroviral therapy in Khayelitsha, South Africa: A cohort study." PLOS Medicine 14, no. 11 (November 7, 2017): e1002407. http://dx.doi.org/10.1371/journal.pmed.1002407.

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magruder, jeremy, and nicoli nattrass. "EXPLORING ATTRITION BIAS: THE CASE OF THE KHAYELITSHA PANEL STUDY (2000-2004)." South African Journal of Economics 74, no. 4 (December 2006): 769–81. http://dx.doi.org/10.1111/j.1813-6982.2006.00096.x.

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schöer, volker, and murray leibbrandt. "DETERMINANTS OF JOB SEARCH STRATEGIES: EVIDENCE FROM THE KHAYELITSHA/MITCHELL'S PLAIN SURVEY." South African Journal of Economics 74, no. 4 (December 2006): 702–24. http://dx.doi.org/10.1111/j.1813-6982.2006.00099.x.

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coetzee, celeste. "THE IMPACT OF HIGHLY ACTIVE ANTIRETROVIRAL TREATMENT (HAART) ON EMPLOYMENT IN KHAYELITSHA." South African Journal of Economics 76 (May 2008): S75—S85. http://dx.doi.org/10.1111/j.1813-6982.2008.00166.x.

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Crankshaw, Owen, Matthew Welch, and Shirley Butcher. "GIS technology and survey sampling methods: The Khayelitsha/Mitchell's plain 2000 survey." Social Dynamics 27, no. 2 (December 2001): 156–74. http://dx.doi.org/10.1080/02533950108458717.

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Coetzee, David, Katherine Hildebrand, Andrew Boulle, Gary Maartens, Francoise Louis, Veliswa Labatala, Hermann Reuter, Nonthutuzelo Ntwana, and Eric Goemaere. "Outcomes after two years of providing antiretroviral treatment in Khayelitsha, South Africa." AIDS 18, no. 6 (April 2004): 887–95. http://dx.doi.org/10.1097/00002030-200404090-00006.

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Thomas, Wolfgang H. "Business development and job creation in African townships: The case of Khayelitsha." Development Southern Africa 5, no. 1 (January 1988): 108–19. http://dx.doi.org/10.1080/03768358808439380.

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Tyabazayo, P. "The Khayelitsha Commission of Inquiry: Challenging the scope of provincial policing powers." South African Crime Quarterly 50 (December 1, 2014): 17. http://dx.doi.org/10.4314/sacq.v50i0.2.

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Tyabazayo, P. "The Khayelitsha Commission of Inquiry: Challenging the scope of provincial policing powers." South African Crime Quarterly 50, no. 1 (December 1, 2014): 17. http://dx.doi.org/10.4314/sacq.v50i1.2.

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Mohr-Holland, E., I. Apolisi, A. Reuter, V. de Azevedo, J. Hill, S. Matthee, J. A. Seddon, P. Isaakidis, J. Furin, and L. Trivino-Duran. "Barriers and solutions to finding rifampicin-resistant tuberculosis cases in older children and adolescents." Public Health Action 9, no. 4 (December 21, 2019): 174–76. http://dx.doi.org/10.5588/pha.19.0050.

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Little is known about the barriers to post-exposure management of rifampicin-resistant tuberculosis (RR-TB) in older children and adolescents. We report on implementation lessons from a pilot programme targeting household-exposed individuals aged 6–18 years in Khayelitsha, South Africa. Barriers included misperceptions regarding risk of exposure, multiple research and implementation stakeholders, additional workload for an overburdened healthcare system, logistical issues faced by families, and insufficient human and financial resources. Solutions to these barriers are possible, but creativity and persistence are required. Our experience can guide others looking to roll-out care for children and adolescents exposed to RR-TB.

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Cremers, Anne Lia, René Gerrets, Christopher James Colvin, Monwabisi Maqogi, and Martin Peter Grobusch. "Tuberculosis patients and resilience: A visual ethnographic health study in Khayelitsha, Cape Town." Social Science & Medicine 209 (July 2018): 145–51. http://dx.doi.org/10.1016/j.socscimed.2018.05.034.

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Mohlala, Boshishi K. F., Simon Gregson, and Marie-Claude Boily. "Barriers to involvement of men in ANC and VCT in Khayelitsha, South Africa." AIDS Care 24, no. 8 (April 23, 2012): 972–77. http://dx.doi.org/10.1080/09540121.2012.668166.

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Skordis, Jolene, and Matthew Welch. "Comparing alternative measures of household income: Evidence from the Khayelitsha/Mitchell's plain survey." Development Southern Africa 21, no. 3 (September 2004): 461–81. http://dx.doi.org/10.1080/0376835042000265441.

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Storey, Angela. "Making Experience Legible: Spaces of Participation and the Construction of Knowledge in Khayelitsha." Politikon 41, no. 3 (September 2, 2014): 403–20. http://dx.doi.org/10.1080/02589346.2014.975935.

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Ndegwa, David, Dudley Horner, and Faldie Esau. "The Links between Migration, Poverty and Health: Evidence from Khayelitsha and Mitchell’s Plain." Social Indicators Research 81, no. 2 (September 29, 2006): 223–34. http://dx.doi.org/10.1007/s11205-006-9008-z.

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Schneider, Marguerite, Emily Baron, Thandi Davies, Judith Bass, and Crick Lund. "Making assessment locally relevant: measuring functioning for maternal depression in Khayelitsha, Cape Town." Social Psychiatry and Psychiatric Epidemiology 50, no. 5 (January 8, 2015): 797–806. http://dx.doi.org/10.1007/s00127-014-1003-0.

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Reisach, Ulrike, and Mitja Weilemann. "Unternehmerische Sozialverantwortung deutscher Unternehmen in Südafrika." Der Betriebswirt: Volume 53, Issue 4 53, no. 4 (November 30, 2012): 34–36. http://dx.doi.org/10.3790/dbw.53.4.34.

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Die sozialen Probleme Südafrikas können nicht von der Politik alleine gemeistert werden. Das haben die großen intern internationalen Unternehmen in Südafrika längst erkannt und engagieren sich bei der Förderung von Schulen und Universitäten. Sie versorgen Schulen mit Mitteln und Ausstattung, um die nächste Generation mit dem auszustatten, was notwendig ist, um die großen gesellschaftlichen Herausforderungen dieses afrikanischen Landes zu bewältigen. Der Artikel basiert auf einem Projekt eines Team von der Hochschule Neu-Ulm, das sie in der Township von Khayelitsha in Kapstadt durchgeführt haben, und auf Interviews mit den verantwortlichen Unternehmensvertretern. Er erklärt wie BMW und T-Systems die Ausbildung von jungen Menschen unterstützen und ihnen ermöglicht, für ihre berufliche und persönliche Entwicklung zu lernen. Die Hürden, wie dabei zu überwinden sind, werden genauso aufgezeigt wie die Erfolge, die bereits erreicht wurden. The societal problems in South Africa cannot be mastered by politics alone. Foreign big companies are pace setters of progress in schools and universities. They provide schools with the skills and equipment to teach the next generation in what is necessary to overcome the huge societal and digital divide in the rainbow nation. The article is based on the research of a team from Neu-Ulm University of Applied Sciences in the township of Khayelitsha in Cape Town and on interviews with the responsible company representatives. It explains how BMW and T-Systems support the education of young people and enable them to learn for their professional and personal development. The hurdles which have to be overcome are shown as well as the achievements that have been accomplished. Keywords: „basic living skills“, t systems südafrika, cosat center for science and technology

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Timothy, Andrea, David Coetzee, Christopher Morgan, Margaret Kelaher, Ross Stewart Bailie, and Margie Danchin. "Using an adaptive, codesign approach to strengthen clinic-level immunisation services in Khayelitsha, Western Cape Province, South Africa." BMJ Global Health 6, no. 3 (March 2021): e004004. http://dx.doi.org/10.1136/bmjgh-2020-004004.

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IntroductionOptimal immunisation programme service delivery and childhood vaccine coverage remains an ongoing challenge in South Africa. Previous health systems approaches have made recommendations on how to address identified barriers but detailed local implementation studies are lacking. This study aimed to improve immunisation service delivery in children under 24 months in Khayelitsha, Western Cape Province using an adaptive, co-design approach to assess and improve childhood immunisation service delivery at the clinic level.MethodsA rapid, adaptive approach to identification of barriers and assessment of current childhood immunisation service delivery was developed with three clinics in Khayelitsha, Western Cape Province. This informed a short co-design process with key stakeholders and service providers to develop local interventions targeted at high priority barriers. Interventions were implemented for 4–6 months and evaluated using theory-based evaluation tools. Clinic service delivery, satisfaction and changes to clinic processes and parent engagement and knowledge were measured.ResultsInterventions developed included weekly community immunisation education radio sessions, daily clinic health talks, immunisation education and promotion materials and service provider and parent quality checklists. Evaluation post-intervention showed improvement in parents’/guardians’ knowledge about immunisation, parent engagement and service provider commitment to improvement in service quality. Radio sessions and immunisation education and communication materials were deemed most useful by parents and providers.ConclusionImmunisation service delivery can be strengthened using an adaptive, clinic-led assessment process which can effectively identify barriers, inform co-designed interventions and be evaluated over a short period. This approach provides a framework to guide future local participatory action research to more effectively improve childhood immunisation service delivery and other child health services in under-resourced settings.

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Lee, Jasper S., Cengiz Zopluoglu, Lena S. Andersen, Amelia M. Stanton, Jessica F. Magidson, Ashraf Kagee, John A. Joska, Conall O’Cleirigh, and Steven A. Safren. "Improving the measurement of food insecurity among people with HIV in South Africa: a psychometric examination." Public Health Nutrition 24, no. 12 (March 26, 2021): 3805–17. http://dx.doi.org/10.1017/s1368980021001312.

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AbstractObjective:Food insecurity is a structural barrier to HIV care in peri-urban areas in South Africa (SA), where approximately 80 % of households are moderately or severely food insecure. For people with HIV (PWH), food insecurity is associated with poor antiretroviral therapy adherence and survival rates. Yet, measurement of food insecurity among PWH remains a challenge.Design:The current study examines the factor structure of the nine-item Household Food Insecurity Access Scale (HFIAS, isiXhosa-translated) among PWH in SA using a restrictive bifactor model.Setting:Primary care clinics in Khayelitsha, a peri-urban settlement in Cape Town, SA.Participants:Participants (n 440) were PWH who received HIV care in Khayelitsha screening for a clinical trial. Most were categorised as severely (n 250, 56·82 %) or moderately (n 107, 24·32 %) food insecure in the past 30 d.Results:Revised parallel analysis suggested a three-factor structure, which was inadmissible. A two-factor structure was examined but did not adequately fit the data. A two-factor restrictive bifactor model was examined, such that all items loaded on a general factor (food insecurity) and all but two items loaded on one of two specific additional factors, which adequately fit the data (comparative fit index = 0·995, standardised root mean square residual = 0·019). The two specific factors identified were: anxiety/insufficient quality and no food intake. Reliability was adequate (ω = 0·82).Conclusions:Results supported the use of a total score, and identified two specific factors of the HFIAS, which may be utilised in future research and intervention development. These findings help identify aspects of food insecurity that may drive relationships between the construct and important HIV-related variables.

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MACGREGOR, HAYLEY. "‘THE GRANT IS WHAT I EAT’: THE POLITICS OF SOCIAL SECURITY AND DISABILITY IN THE POST-APARTHEID SOUTH AFRICAN STATE." Journal of Biosocial Science 38, no. 1 (November 3, 2005): 43–55. http://dx.doi.org/10.1017/s0021932005000957.

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In South Africa, disability grant allocation has been under review and tensions are evident in government rhetoric stressing welfare provision on the one hand, and encouraging ‘rationalization’ on the other. This ambiguity is traced down to the level of grant negotiations between doctors and ‘clients’ in a psychiatry clinic in Khayelitsha. Here ‘having nerves’ embodies the distress associated with harsh circumstances and is deemed by supplicants as sufficient to secure a grant. The paper illustrates how national discourses influence the presentation and experience of suffering and the way in which doctors mediate diagnoses. The implications of local understandings of ‘health citizenship’ for expectations of the post-apartheid state are explored.

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Jury, Catherine, and Nicoli Nattrass. "Parental presence within households and the impact of antiretroviral therapy in Khayelitsha, Cape Town." Southern African Journal of HIV Medicine 14, no. 2 (June 4, 2013): 70–74. http://dx.doi.org/10.4102/sajhivmed.v14i2.81.

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Background. While household support is an important component of effective care and treatment in HIV/AIDS, there are few insights from Southern Africa into how household support arrangements change over time for patients starting antiretroviral therapy (ART).Objective. We hypothesised that patients initiating ART are more likely to be living with family, especially their mothers, compared with the general population, but that over time these differences disappear.Methods. A panel survey of ART patients was matched by age, gender and education to a comparison sample drawn from adults in Khayelitsha, Cape Town.Results. The results show that there is a substantial potential burden of care on the families of patients starting ART, particularly mothers, and that the use of ART appears to reduce this burden over time. But, even after their health is restored, ART patients are significantly less likely to have a resident sexual partner and more likely to be living in single-person households than their counterparts in the general population.

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Barnett, W., G. Patten, B. Kerschberger, K. Conradie, D. B. Garone, G. Van Cutsem, and C. KJ Colvin. "Perceived adherence barriers among patients failing second-line antiretroviral therapy in Khayelitsha, South Africa." Southern African Journal of HIV Medicine 14, no. 4 (November 22, 2013): 166–69. http://dx.doi.org/10.4102/sajhivmed.v14i4.51.

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Background. The recent scale-up of antiretroviral therapy (ART) coverage in resource-limited settings has greatly improved access to treatment. However, increasing numbers of patients are failing first- and second-line ART.Objective. To examine factors affecting adherence to second-line ART from the perspective of clinic staff and patients, assessing both individual and structural perceived barriers.Methods. Research was conducted at a large primary care tuberculosis (TB)/HIV clinic in Khayelitsha, a peri-urban township in Cape Town, South Africa. Participants were drawn from a Médecins Sans Frontières-run programme to support patients failing second-line ART. A qualitative research approach was used, combining multiple methodologies including key informant interviews with staff (n=11), in-depth interviews with patients (n=10) and a Photovoice workshop (n=11). Responses and photographs were coded by content; data were transformed into variables and analysed accordingly.Results. Staff identified drinking, non-disclosure, not using condoms and pill fatigue as barriers to ART adherence, while patients identified side-effects, not using condoms and a lack of understanding concerning medication timing. With respect to service delivery, staff identified a need for continued counselling and educational support following ART initiation. Patients were concerned about missing medical records and poor staff attitudes in the clinic.Conclusion. These findings identify discrepancies between provider and patient perceptions of barriers to, and facilitators of adherence, as well as of service delivery solutions. This highlights the need for on-going counselling and education following ART initiation, improved quality of counselling, and improved methods to identify and address specific barriers concerning medication adherence.

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Boulle, Andrew, Gilles Van Cutsem, Katherine Hilderbrand, Carol Cragg, Musaed Abrahams, Shaheed Mathee, Nathan Ford, et al. "Seven-year experience of a primary care antiretroviral treatment programme in Khayelitsha, South Africa." AIDS 24, no. 4 (February 2010): 563–72. http://dx.doi.org/10.1097/qad.0b013e328333bfb7.

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Mkabile, Siyabulela, and Leslie Swartz. "Caregivers’ and parents’ explanatory models of intellectual disability in Khayelitsha, Cape Town, South Africa." Journal of Applied Research in Intellectual Disabilities 33, no. 5 (March 30, 2020): 1026–37. http://dx.doi.org/10.1111/jar.12725.

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Smit, Warren, Ariane de Lannoy, Robert V. H. Dover, Estelle V. Lambert, Naomi Levitt, and Vanessa Watson. "Making unhealthy places: The built environment and non-communicable diseases in Khayelitsha, Cape Town." Health & Place 39 (May 2016): 196–203. http://dx.doi.org/10.1016/j.healthplace.2016.04.006.

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Journal articles on the topic 'Khayelitsha'

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