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Outcomes of arthroplasty in sub-Saharan Africa are not widely reported. To our knowledge, this systematic review is the first to explore this topic. Scopus, EMBASE, Medline and PubMed databases were searched, utilising MeSH headings and Boolean search strategies. All papers from South Africa were excluded. Twelve papers reporting 606 total hip replacements (THRs) and 763 total knee replacements (TKRs) were included. Avascular necrosis was the most common indication for THR, whereas osteoarthritis was the main indication for TKR. HIV prevalence of up to 33% was seen. Improvements were seen in patient-reported outcome measures in both THR and TKR. The dislocation rate in THR was 1.6%. The deep infection rate was 1.6% for TKRs and 0.5% for THRs. Positive results were reported, with comparable complications to high-income countries. However, there is likely to be significant reporting bias and the introduction of mandatory registries would enable more accurate monitoring across the region. [ABSTRACT FROM AUTHOR]

This paper lies at the intersection of discussions surrounding digitally mediated research methods and transnational research projects. It contributes to the current methodological debate surrounding online interviewing by focusing on tensions and affordances involved in Skype-to-phone interviewing in a transnational research context. While the Skype-to-phone facility does indeed increase further access to global participants, complex power hierarchies and ethical concerns continue to exist in relation to technological access/infrastructure, research governance regimes in different places and interpersonal research relations. We, therefore, propose that online researchers involved in transnational research projects using Skype methods move towards consideration of multiple competing constituencies and diverse social and spatial connectivities and power hierarchies in which they are researching. These social differences and spatial registers are not swept away through research conducted in a uniform virtual digital environment; rather transnational researchers must make explicit the multiple place-based contexts of their digitally mediated research, as they shape the research process in distinct ways. Thus, specific consideration must be given to ethical concerns that emanate from transnational online research. [ABSTRACT FROM AUTHOR]

With the public frenzy over Thabo Mbeki's speech, "I am an African" that was delivered in 1996, South Africa has since become a subject of debate as to who is an African and what constitutes as African. This has been going on for almost two decades and a half now. Mbeki's speech appears to have evoked solemn questions relating to the issues of identity and culture. Subsequent to that speech, the South African public began to question what it meant to be African. The central point of enquiry was: what makes one an African? Is it the color of their skin? Their citizenship? Or is one merely an African because others regard him or her as such? These and many other questions arise when one touches upon the subject of Africans. These perplexing questions, however, are not only unique to the South African context; they apply, to some extent, to the general continent of Africa. With talks and debates about African renaissance, decoloniality, and indigenization, the question of African identity and culture resurfaces. Here, the discussion hubs around the issue of African persona and what it means to be authentically African. By means of document analysis, this paper critically employs a philosophical approach in order to grapple with the subject of identity and culture. This is done through a systematic discussion of the following facets: (a) history, (b) identity, and (c) culture. These three facets are therefore critically engaged in order to establish what constitute an African and what can be characterized as an African identity. [ABSTRACT FROM AUTHOR]

Aim: This paper examines financial, emotional, and physical responsibilities elderly women are being asked to take on due to the incapacity of their adult children to care for the next generation; such incapacity is likely to increase as the HIV/AIDS epidemic worsens. Methods: This paper combines quantitative and qualitative data. Census data from the Agincourt health and demographic surveillance system (AHDSS) describe the presence of the elderly (specifically women over the age of 60 and men over the age of 65) in households in the Agincourt study site. Semi-structured interviews with 30 female residents aged 60-75 complement the census data by exploring the roles that older women, in particular, are playing in their households. Results: An elderly man and/or woman lives in 27.6% of households; 86% of elders live with non-elders. Households with a woman over the age of 60 resident (as opposed to those without) are twice as likely to have a fostered child living in the household and three times as likely to have an orphaned child in the household. Elderly women face financial, physical, and emotional burdens related to the morbidity and mortality of their adult children, and to caring for grandchildren left behind due to adult children's mortality, migration, (re)marriage, and unemployment. Conclusions: Older women provide crucial financial, physical, and emotional support for ill adult children and fostered and orphaned grandchildren in their households. As more prime-aged adults suffer from HIV/AIDS-related morbidity and mortality, these obligations are likely to increase. [ABSTRACT FROM AUTHOR]

This paper examines impacts of appropriate resource allocation on subsistence level output. This study uses a stylized Coase Bargaining model and data from the South African Reserve bank to support the second welfare theorem. Back of the envelope calculations indicate the opportunity cost of manufacturing output has been the 20% discount in agricultural output in South Africa since 1968. This paper offers an exercise that can be implemented in developing nations having institutions resulting in two-sector economies. Moreover, the methods used here will help policy makers to estimate an appropriate value for wealth transfers. [ABSTRACT FROM AUTHOR]

The article examines Africa's struggle with corruption in a post-colonial era with specific reference to South Africa. The article conceptualises the Afrocentric appraisal approach to reflect on the corruption challenges in post-colonial Africa. The article demonstrates that even though most African countries have adopted democratic systems of governance, nothing has changed, as the post-colonial leader has used the same tactics used by colonialism to maintain control, force, tyranny and oppression. Even though liberation movements in Africa were seen as heroes in the struggle for freedom, they, in turn, have become a burden to Africa's development through increased corruption, breakdown in governance, political instability and the failure to consolidate a shared vision for Africa's development. This observation has also been observed in South Africa. Narrowing this to South Africa, corruption has been a widespread phenomenon, predominantly post the democratic era. Over the years and until recently, the African National Congress-led government has been severely hindered by immense allegations of corruption among those top of the hierarchy. In the eyes of most academics, researchers and analysts, this has further hindered the need for inclusive development in a country faced with high numbers of escalating unemployment, inequality, poverty and crime. Driven by institutional theory, this article critically delves into corruption from an Afrocentric viewpoint, albeit focusing on South Africa's post-democratic era. [ABSTRACT FROM AUTHOR]

Longitudinal qualitative methodologies have gained increased attention in health and social science research as an appropriate methodology to explore participants' experiences of change over time but is a challenging methodology to implement. We reflect on the methodological aspects of a novel longitudinal 'mixed' mixed-methods study using quantitative and qualitative methods with both individuals and groups, employing various participatory approaches. We focus on key learnings from our study including the use of a structured recruitment process to minimise loss to follow up, and issues of reflexivity when researchers and participants have a similar background. In addition, like many large mixed-methods longitudinal studies we experienced challenges determining sample size and managing and analysing a large dataset. There is a need for establishing clear guidelines for determining sample size, addressing reflexivity and managing large datasets. The lessons learned from this study will add rigour to the literature on conducting mixed-methods longitudinal studies. [ABSTRACT FROM AUTHOR]

Copyright of Africa Spectrum is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Africa Spectrum is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim: To describe household change over a 10-year period of tremendous social, political, economic and health transformation in South Africa using data from the Agincourt health and demographic surveillance system in the rural northeast of South Africa. Methods: Examination of household structure and composition at three points: 1992, 1997, and 2003. These three years loosely represent conditions immediately before the elections (1992), short term post-elections (1997), and longer term (2003), and span a period of notable increase in HIV prevalence. Results: Average household size decreased and the proportion headed by females increased. The within-household dependency ratios for children and elders both decreased, as did the proportion of households containing foster children. The proportion with at least one maternal orphan doubled, but was still relatively small at 5.5%. Conclusions: This analysis is a starting point for future investigations aimed at explaining how HIV/AIDS and other sociocultural changes post-apartheid have impacted on household organization. The analysis shows both consistency and change in measures of household structure and composition between 1992 and 2003. The changes do not include an increase in various types of "fragile families", such as child-headed or skipped-generation households that might be expected due to HIV/AIDS. [ABSTRACT FROM AUTHOR]

Nigeria's claim as the giant of Africa is evident in her foreign policy articulation of African Centre Piece. From 1960, Nigeria has championed the project of Africa through different diplomatic engagements across the continent of Africa most especially under President Olusegun Obasanjo's civilian administration. Nigeria's unwavering support against the apartheid regime in South Africa led to the termination of apartheid government in 1994. However, the post- apartheid politics in Africa as well as the post-Cold War politics changed the dynamics of African politics. Nigeria's claim as the giant of Africa became more contested and hypothetical with the emergence of notable countries such as Ethiopia and South Africa posing serious challenges to Nigeria's hegemony in the continent. The most viable and notable threats came from South Africa following the end of apartheid regime in South Africa and coupled with its good governance rating, which had heightened the status of the country as a notable continental leader. This article attempts to explain the leadership roles of Nigeria and South Africa in a peripheral region of Africa with the view of analysing who has the sway to lead the affairs of Africa to the path of prosperity. Through the secondary method of data collection and qualitative method of data analysis (discourse analysis), the study concludes that Nigeria and South Africa roles in Africa were motivated by realist considerations. The study, however, recommends concerted efforts between Nigeria and South Africa in addressing socio-economic challenges in the African continent. [ABSTRACT FROM AUTHOR]

Since the collapse of the Somali state in the early 1990s, the country has been one of the most dangerous places in the world for journalists. Many have been killed with impunity and the majority of those that have been killed where the perpetrator is known have been connected to political groups, including a range of actors such as government forces, parastatals including the Islamist group, Al-Shabaab and businessmen. The lines between such authorities are often blurred. While the targeting and assassination of journalists is certainly one key aspect of potential transitional justice process, it is not the only one. This article explores the variety of ways that journalists contribute and participate in violence and how transitional justice processes must grapple with these nuances and complexities. Drawing on examples from other countries, including South Africa and the former Yugoslavia, the article reflects on the different ways that media intersects with transitional justice processes in Somalia. [ABSTRACT FROM AUTHOR]

The southern African nation of Lesotho has an HIV seroprevalence of approximately 25%. To address the need for HIV care in rural Lesotho, a project called the Rural Health Initative (RHI) was launched in seven clinics in 2006. Data on enrolment were collected retrospectively and analysed for trends in gender enrolment over time. Of 6001 enrolled, 3904 were women (65.1%) and 2097 (34.9%) were men. When analysed by month of enrolment, there was a higher percentage of men enrolled in December compared with the other months of the year (χ2= 15.98, P < 0.001). This may be due to the migratory work of the men in the mines of South Africa and suggests a need for targeted interventions to increase male enrolments over the entire calendar year. [ABSTRACT FROM AUTHOR]

Background: Collaboration between physicians and nurses is key to improving patient care. We know very little about collaboration and interdisciplinary practice in African healthcare settings. Research question/aim: The purpose of this study was to explore the ethical challenges of interdisciplinary collaboration in clinical practice and education in Botswana Participants and research context: This qualitative descriptive study was conducted with 39 participants (20 physicians and 19 nurses) who participated in semi-structured interviews at public hospitals purposely selected to represent the three levels of hospitals in Botswana (referral, district, and primary). Ethical considerations: Following Institutional Review Board Approval at the University of Pennsylvania and the Ministry of Health in Botswana, participants' written informed consent was obtained. Findings: Respondents' ages ranged from 23 to 60 years, and their duration of work experience ranged from 0.5 to 32 years. Major qualitative themes that emerged from the data centered on the nature of the work environment, values regarding nurse–doctor collaboration, the nature of such collaboration, resources available for supporting collaboration and the smooth flow of work, and participants' views about how their work experiences could be improved. Discussion: Participants expressed concerns that their work environment compromised their ability to provide high-quality and safe care to their patients. The physician staffing structure was described as consisting of a few specialists at the top, a vacuum in the middle that should be occupied by senior doctors, and junior doctors at the bottom—and not a sufficient number of nursing staff. Conclusion: Collaboration between physicians and nurses is critical to optimizing patients' health outcomes. This is true not only in the United States but also in developing countries, such as Botswana, where health care professionals reported that their ethical challenges arose from resource shortages, differing professional attitudes, and a stressful work environment. [ABSTRACT FROM AUTHOR]

The moral panic about 'fake news' internationally has formed the backdrop for debates about the impact of the spread of similar fabrications on politics in South Africa. News – whether 'fake' or 'real' – should not be understood outside of its particular contexts of production and consumption, and therefore an investigation into the phenomenon of 'fake news' in South Africa needs to take account of local specificities. The phenomenon of 'fake news', the discourses that surround it and responses by audiences and the journalistic community have to be understood within the particular social, cultural and political context. This article seeks to locate the manifestation of 'fake news' within the South African media landscape, in order to illustrate how it produces particular responses that relate directly to specific social and political forces at a given historical juncture. In other words, the phenomenon of 'fake news' will be used to understand how journalistic discourses operate within particular environments. Of particular interest is the response of the journalistic community to the emergence of 'fake news', and how this phenomenon is used as leverage to assert a professional identity in the light of pressures on journalism in the context of a young democracy. [ABSTRACT FROM AUTHOR]

Given that hazardous and harmful alcohol use has been identified as a significant barrier to adherence to antiretroviral therapy (ART) in South Africa, alcohol reduction interventions delivered within HIV treatment services are being investigated. Prior to designing and implementing an alcohol-focused screening and brief intervention (SBI), we explored patients' perceptions of alcohol as a barrier to HIV treatment, the acceptability of providing SBIs for alcohol use within the context of HIV services and identifying potential barriers to patient uptake of this SBI. Four focus groups were conducted with 23 participants recruited from three HIV treatment sites in Tshwane, South Africa. Specific themes that emerged included: (1) barriers to ART adherence, (2) available services to address problematic alcohol use and (3) barriers and facilitators to delivering a brief intervention to address alcohol use within HIV care. Although all participants in the present study unanimously agreed that there was a great need for SBIs to address alcohol use among people living with HIV and AIDS, our study identified several areas that should be considered prior to implementing such a programme. [ABSTRACT FROM AUTHOR]

Background: Learning by experience in field schools (FSs) depends implicitly on the willingness of local residents to engage with students. Although critical perspectives have highlighted the potential harms of study abroad on local people, their views are less frequently investigated. Purpose: The purpose of the study is to explore the perspectives and motivations of local residents who agreed to be interviewed by American undergraduates undertaking a 5-week FS in community health research methods in Cape Town, South Africa. Methodology/Approach: Semi-structured interviews were conducted with 23 residents to explore their perspectives on why they, and others, were willing to be interviewed by students. These were thematically analyzed. Findings/Conclusions: Emphasis was given to the status implicit in being "a student" and "a visitor" and the respect, hospitality, and support this status engendered. To be a student was to be a child and not in a position to help. However, expectations were that help would come later. Residents valued the conversations they had which were seen as opportunities for enjoyment, exchange, and bridging social divides. Implications: In experiential learning programs such as these, local residents are a key community learning resource. Certain design features appear to help optimize the engagement and relationship-building valued by students and residents alike. [ABSTRACT FROM AUTHOR]

This study examined health-related quality of life among a sample of South African women diagnosed with endometriosis. Semistructured interviews were conducted with 25 participants in South Africa. Participants discussed the ways in which endometriosis affected their health-related quality of life. A total of 10 categories emerged from the data, namely, (1) medical factors, (2) physical functioning, (3) psychological functioning, (4) sexual functioning, (5) reproductive functioning, (6) interpersonal functioning, (7) occupational functioning, (8) information and knowledge, (9) healthcare and medical treatment and (10) financial impact and considerations. Each category was described and compared with findings from other health-related quality of life research in women with endometriosis. [ABSTRACT FROM AUTHOR]

Previous state hospital-based local studies suggest varying population-based clinicopathological patterns of colorectal cancer (CRC). Patients diagnosed with CRC in the state and private sector hospitals in Durban, South Africa over a 12-month period (January-December 2009) form the basis of our study. Of 491 patients (172 state and 319 private sector patients), 258 were men. State patients were younger than private patients. Anatomical site distribution was similar in both groups with minor variations. Stage IV disease was more common in state patients. State patients were younger, presented with advanced disease and had a lower resection rate. Black patients were the youngest, presented with advanced disease and had the lowest resection rate. [ABSTRACT FROM AUTHOR]

This journal article reflects on the conceptualization of a three-day meeting convened to open space for thinking differently about the city of Johannesburg, South Africa, and to begin to explore the possibility of working beyond the constraints of standard urban studies and regimes of spatial planning through which the city is conventionally viewed and researched. The incentive underpinning the 2015 Performative Urbanisms workshop was the desire to find areas of correspondence and overlap in the often widely separated realms of scholarly research and grassroots urban activism. To this end, a group of international and Johannesburg-based academics, writers, artists, analysts, and activists came together to explore a range of themes around the city and its visual, spatial, textual, and especially performative, representations, in the context of its functioning as a global city in comparative perspective. As the contents of this Special Issue show, the workshop provided space to consider diverse research methodologies, creative writings, and artistic strategies aimed at moving beyond formulaic constructs of Johannesburg, and instead to offer an accounting of its novelties, complexities, and originalities. [ABSTRACT FROM AUTHOR]

Alcohol use may have a negative impact on the course of HIV disease and the effectiveness of its treatment. We studied patients with HIV who use alcohol and associated socio-demographic, health and psychosocial factors. Outcomes from this study may help in selecting patients from clinical practice with high-risk alcohol use and who are likely to benefit most from alcohol reduction interventions. In a cross sectional study in three primary health care clinics in Pretoria, South Africa, from January 2012 to June 2012, patients with HIV infection were interviewed and patients' medical files were reviewed to obtain data on levels of alcohol use (Alcohol Use Disorder Identification Test), patients' socio-demographic characteristics, HIV-related information, health related quality of life (WHOQoL-HIVBref), internalized AIDS stigma, symptoms of depression and adherence to antiretroviral therapy. Analyses consisted of descriptive statistics, bi- and multivariate logistic regression models. A total of 2230 patients (1483 [66.5%] female) were included. The median age was 37 years (interquartile range 31-43), 99.5% were black Africans, 1975 (88.6%) had started ART and the median time on ART was 22 months (interquartile range 9-40). No alcohol was used by 64% of patients, 8.9% were low risk drinkers, 25.1% of patients were hazardous or harmful drinkers and 2.0% had possible alcohol dependence. In multivariate analysis high-risk drinking was positively associated with male gender, never being married, tobacco use, a higher score for the 'level of independence'-domain measured with the WHOQoL-HIVBref questionnaire, and with more depressive symptoms compared to low-risk drinking. This study shows a high prevalence of hazardous or harmful drinking in patients with HIV infection (especially men) attending primary health care clinics in South Africa. Routine screening for alcohol use should be introduced in these clinics and harm reduction interventions should be evaluated, taking into account associated factors. [ABSTRACT FROM AUTHOR]

Despite substantial progress in implementing HIV testing, challenges remain in achieving widespread uptake particularly in rural resource-limited settings. We sought to understand motivations for HIV testing in a community-based HIV testing programme in rural South Africa. We conducted a questionnaire survey in participants undergoing voluntary HIV testing within an ongoing community-based integrated HIV/tuberculosis intensive case finding programme at congregate rural settings. Participants responded to a six-item non-mutually exclusive motivations survey which included the topics of feeling ill, recent HIV exposure, risky lifestyle, illness in a family member, and pregnancy. Among 2068 respondents completing the survey, 1393 (67.4%) were women, median age was 40 years (IQR 19-56), and 1235 (59.7%) were first-time testers. Among all testers, 142 (6.9%) were HIV-positive with median CD4 count was 346 cells/mm(3) (IQR 218-542). Community-based testing for HIV is acceptable and meets the needs of community members in rural South Africa. Motivations for HIV testing at the community level are complex and differ according to gender, age, site of community testing, and HIV status. These differences can be utilised to improve the focus and yield of community-based HIV screening. [ABSTRACT FROM AUTHOR]

This study presents a media content analysis of representations of the Square Kilometre Array telescope on Twitter by South African users, drawing on a sample of 1,588 Tweets recorded over a period of 1 year from September 2011 to August 2012. The framing of the Square Kilometre Array was dominated by the site allocation process, which focused on the contestation between South Africa and Australia and formed a proxy discourse for politico-symbolic themes that framed the project as a symbol of African achievement. The overall composition of messages is dominated by large media firms, but there remains substantial scope for individual agency in shaping the discourse, particularly for high-profile users and leading science journalists. Micro-determinants also played a key role in shaping the virality of messages. [ABSTRACT FROM AUTHOR]

South Africa's population is aging. Most of the older Black South Africans continue to live in extended household structures with children, grand-children, and other kin. They also constitute a source of income through a means-tested noncontributory state-funded pension available at age 60. Using census data from the Agincourt Health and Demographic Surveillance System in 2000, 2005, and 2010, we develop a typology of living arrangements that is reflective of the social positioning of elderly persons as dependent or productive household members and analyze changes in the distribution over time. Older persons, in general, live in large, complex, and multigenerational households. Multigenerational households with "productive" older persons are increasing in proportion over the period, although there are few differences by gender or pension eligibility at any time point. [ABSTRACT FROM AUTHOR]

The emergence of the Brazil, Russia, India, China and South Africa (BRICS) group of states as a new geopolitical power bloc has received substantial coverage in the media. South Africa’s inclusion in the group has been particularly controversial, and media attention tended to focus on the country’s relationship with China against the backdrop of the BRICS alignment. The media industry itself has also been a part of global movements of people and capital. This article seeks to establish how this relationship has been represented in the South African media, and to explore the attitudes of senior journalists and editors towards South Africa’s position within the changing global geopolitical landscape. [ABSTRACT FROM PUBLISHER]

When it comes to organizational performance, leaders matter. Without significant attention to the preparation and development of school leaders, government initiatives aimed at building world class education systems are unlikely to succeed. Across the Anglophone world leadership preparation and development has become a key leverage point in education policy, with many nations establishing systems of licensing, accreditation and mandatory programmes. Outside the Anglophone world and central powers of the global north, school leadership preparation and development exists in a highly contested space that balances colonial legacy, deficit thinking and an unrelenting desire to compete on a global scale, with calls for localized knowledge, values and histories. In this article we problematize this context by arguing that the ontological complicity of policy interventions – particularly those funded by the global north – is shaping African developments in a manner that is exclusive of localized knowledge and in doing so, constrains that which it sort to improve in the first place. We build our argument on two key points: first, the centrality of preparation programmes in our understanding of educational leadership, management and administration, and second, the apparent absence of interrogation of the socio-political work of constructing the research object. What we propose is a greater need to focus on the epistemological preliminaries of research, rather than just the confirmation or disconfirmation, of the researcher’s model of reality. [ABSTRACT FROM PUBLISHER]

Our aim was to describe the association between increasing access to antiretroviral therapy and all-cause mortality in South Africa from 2005 to 2009. We undertook a longitudinal, population-level study, using antiretroviral monitoring data reported by PEPFAR implementing partners and province-level and national all-cause mortality records from Statistics South Africa (provider of official South African government statistics) to analyse the association between antiretroviral therapy and mortality. Using mixed effects models with a random intercept for province, we estimated the contemporaneous and lagging association between antiretroviral therapy and all-cause mortality in South Africa. We also conducted subgroup analyses and estimated the number of deaths averted. For each 100 HIV-infected individuals on antiretroviral therapy reported by PEPFAR implementing partners in South African treatment programmes, there was an associated 2.9 fewer deaths that year (95% CI: 1.5, 4.2) and 6.3 fewer deaths the following year (95% CI: 4.6, 8.0). The associated decrease in mortality the year after treatment reporting was seen in both adults and children, and men and women. Treatment provided from 2005 to 2008 was associated with 28,305 deaths averted from 2006 to 2009. The scale-up of antiretroviral therapy in South Africa was associated with a significant reduction in national all-cause mortality. [ABSTRACT FROM AUTHOR]

There are few dedicated pediatric neurophysiology services in Africa. Optimizing the efficiency of these units is essential for the large populations they serve. Two hundred eighty-seven electroencephalogram (EEG) studies, performed in a sub-Saharan neurophysiology unit, were analyzed for referral sources, appropriateness of referral, reporting consistency, and use in confirming epilepsy or a neurologic process. Pediatric neurologists requested 24% of the electroencephalogram studies and pediatricians 45%. Pediatric neurologists requested more appropriate referrals than pediatricians or nonspecialists. The electroencephalogram studies assisted management in 40% of cases. Electroencephalogram studies for nonepileptic indications, such as syncope, were highly predictable and typically normal. Education and training in the management of children with epilepsy could improve requesting practice and the subsequent usefulness of electroencephalograms in the diagnosis of epilepsy syndromes. This is especially important in the context of a resource-poor country. [ABSTRACT FROM PUBLISHER]

Focusing on the paradox between innocence and responsibility generated by the term child-soldiers, which is treated differently in literary and cinematographic works from the North and the South, this article uses postcolonial theory in order to deconstruct ‘the single story’ that may be erasing these children’s many stories. Accordingly, the analysis brings to the fore both the supposed universality of a hegemonic notion of childhood, revealing it as a regulatory discourse which produces diverse subalternities, and the articulation of this notion within an Africanist discourse that legitimizes neocolonial practices in varied domains. [ABSTRACT FROM PUBLISHER]

Community and Individual Development Association (CIDA) City Campus is a private business college that provided bachelor's degrees to economically disadvantaged students in South Africa. CIDA's model of management education is in stark contrast to conventional business schools, which are not accessible to or adapted to students from extreme poverty. To help overcome their disadvantaged backgrounds, CIDA students are provided with holistic education encompassing inner development and community spirit, not just career-oriented skills and knowledge. Furthermore, CIDA students are engaged in creating economic value for their school and their communities, in contrast to traditional education that sequesters students from productive engagement with their communities. The CIDA model provides lessons for management educators seeking to target impoverished students and their communities. [ABSTRACT FROM AUTHOR]

This article examines Diane Orentlicher's 'Updated Set of Principles for the Protection and Promotion of Human Rights through Action to Combat Impunity and their implications for African countries. The article argues that these principles provide avenues through which records relating to human rights violations, abuses and those arising out of truth and reconciliation commissions may be preserved and made accessible as part of a nation's collective memory. The article further examines how these principles are currently applied to the management of South African Truth and Reconciliation Commission archives, though the principles themselves were formulated after the Commission had finalized its work. The article concludes by examining the possibility of adopting these principles by African governments. [ABSTRACT FROM AUTHOR]

This article discusses the knotty methodological and epistemological issues raised while doing research in rural communities in South Africa. Using entries from the author's field journal and conversations with rural Black women, this article explores the tensions between theory and experience, insiders and outsiders, and writing and orality. Rather than reconciling these tensions, feminist method resides amid the contradictions, wedged in the methodological and epistemological between spaces that open up the possibility of multiple interpretations and dialogue. [ABSTRACT FROM AUTHOR]

This article eavesdrops on testimonies of court cases seeking damages for adultery in the late 1800s in colonial Thembuland, South Africa. It explores issues of gender; power; agency, and sexuality in this period and region. These testimonies suggest a picture that sounds a corrective to that of available studies. The article finds that domestic conflicts, especially their dramatic manifestation in extramarital relationships, were already features of life before the social disruptions brought on by late-nineteenth-century industrialization and the migrant labor regime and twentieth-century urbanization in South Africa. Family tensions, and extramarital relationships especially, were rooted in contradictions inherent in the changing gender relations of power within African families themselves. These testimonies also reveal that the precolonial ideal that constructed women as chattel and without legal standing, contrasted sharply with the very different picture of women's freedom that the prevalence and conduct of extramarital relationships suggest [ABSTRACT FROM AUTHOR]

As a response to globalization, the New Partnership for Africa's Development (NEPAD) is indicative of a new awareness among African leaders that they must respond in ways that create empowering opportunities for African societies to benefit from, rather than be victims of globalization. Following a review of Africa's responses to previous epochs of globalization, we examine the relevance of leadership given the dismal record of past development efforts and given the hard chokes pressed upon African societies by the dynamics of current globalization. We assert that the NEPAD can be transformative if it does not limit its efforts to institutional restructuring and governance but, in addition, becomes a coda for effective leadership. Finally, we highlight the limits and frustrations faced by post-apartheid South Africa—where the state has fully embraced global economic imperatives but must also confront the socioeconomic needs of its apartheid-scarred constituencies, as evident from local resistances. [ABSTRACT FROM AUTHOR]

A cross-sectional study of 360 patients presenting with sexually transmitted diseases (STDs) to a primary care clinic in KwaZulu/Natal, South Africa was done. Prevalence of HIV infection was 42.5%. HIV-infected patients were of similar age to uninfected patients (mean age 25.1 vs 26.1 years), but were less likely to be married (9.2% vs 18.8%; P=0.02). HIV prevalence was highest among young women (47.9% among women aged 15-34 years compared with 33.1% among men of the same age; P=0.03). History of a previous STD in the preceding 3 months was high (40.1% in HIV-infected patients). Similar proportions of the HIV-infected and HIV-uninfected had sought care for the previous illness at private practitioners (16.9%), and primary care clinics (50.0%), and traditional healers (14.6%) or had treated themselves (18.5%). Patients with an STD are at very high risk of HIV infection in this setting. Repeat STDs are frequent and opportunities exist to improve treatment seeking behaviour, to reduce the risk of recurrent STDs, and hence to reduce the incidence of HIV infection. [ABSTRACT FROM AUTHOR]