A critical analysis of community participation at the primary level of the health system in Goromonzi District, Zimbabwe
- Authors: Gondo, Rachel
- Date: 2016
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: http://hdl.handle.net/10962/1454 , vital:20059
- Description: The adoption of the primary health care approach by Zimbabwe in 1980 signalled the government’s intention to consolidate the gains of the liberation struggle by providing equitable health for all citizens regardless of race and class. This approach frames community participation as central to the design and implementation of responsive health systems. Having earned international recognition for its pro-poor policies in the social sectors after independence in 1980, the Zimbabwean government over the last three decades has overseen a progressive decline in the provision of health services and near collapse of the health sector. Participation of communities, whether in the form of organised groups or as unorganised members of the public, is argued to be an important pillar in the effective performance of a health system. There has been extensive research conducted on Zimbabwe’s implementation of primary health care in light of health status, accessibility and health services uptake. A few studies have been undertaken to demonstrate that the participation of communities in the health system is an important factor in improving the effectiveness of the health system in Zimbabwe. This thesis analyses the existing mechanisms for community participation in the health system in Zimbabwe and brings out multiple perspectives on the underlying contradictions, tensions and processes at play between policy and practice. This thesis makes a contribution to the growing number of studies on participation in health by offering an empirically rich critical analysis of community participation in the health system in one ward located in Goromonzi District in Zimbabwe. In examining the structural and procedural forms of the health system, insights concerning the nature and form of community participation in primary health care are brought to the fore. The thesis concludes that the ways in which community participation takes place in the health system in Zimbabwe is influenced by a number of socio-economic, political and societal factors and this in turn has a bearing on how health policy expresses itself in practice.
- Full Text:
- Authors: Gondo, Rachel
- Date: 2016
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: http://hdl.handle.net/10962/1454 , vital:20059
- Description: The adoption of the primary health care approach by Zimbabwe in 1980 signalled the government’s intention to consolidate the gains of the liberation struggle by providing equitable health for all citizens regardless of race and class. This approach frames community participation as central to the design and implementation of responsive health systems. Having earned international recognition for its pro-poor policies in the social sectors after independence in 1980, the Zimbabwean government over the last three decades has overseen a progressive decline in the provision of health services and near collapse of the health sector. Participation of communities, whether in the form of organised groups or as unorganised members of the public, is argued to be an important pillar in the effective performance of a health system. There has been extensive research conducted on Zimbabwe’s implementation of primary health care in light of health status, accessibility and health services uptake. A few studies have been undertaken to demonstrate that the participation of communities in the health system is an important factor in improving the effectiveness of the health system in Zimbabwe. This thesis analyses the existing mechanisms for community participation in the health system in Zimbabwe and brings out multiple perspectives on the underlying contradictions, tensions and processes at play between policy and practice. This thesis makes a contribution to the growing number of studies on participation in health by offering an empirically rich critical analysis of community participation in the health system in one ward located in Goromonzi District in Zimbabwe. In examining the structural and procedural forms of the health system, insights concerning the nature and form of community participation in primary health care are brought to the fore. The thesis concludes that the ways in which community participation takes place in the health system in Zimbabwe is influenced by a number of socio-economic, political and societal factors and this in turn has a bearing on how health policy expresses itself in practice.
- Full Text:
Sex work as a livelihood strategy in the border town of Beitbridge, Zimbabwe
- Authors: Takawira, Wadzanai Michelle
- Date: 2016
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: http://hdl.handle.net/10962/3801 , vital:20544
- Description: Zimbabwe is experiencing an ongoing downward spiral in its national economy, dating back to the early 1990s. The demise of the country’s formal economy has led to unprecedented growth in informal economic activities including illegal forms such as sex work. The thesis seeks to understand and explain sex work as a livelihood strategy in Zimbabwe with particular reference to the border town of Beitbridge. In understanding sex work as a livelihood strategy in Beitbridge, the thesis adopts a livelihoods framework in providing key insights into the daily lives of sex workers including the context of vulnerability in which they live and work as well as the challenges they face constantly. In addition, because of the significance of patriarchy in shaping the lives of women and specifically sex workers in Zimbabwe, the feminist theory is used as a secondary theoretical framework. The fieldwork for the study is based on informal interviews and focus group discussions with sex workers as well as observation. Diverse and interrelated themes are covered in examining the livelihoods of sex workers in Beitbridge, and these include sex worker income and expenditure, the motivations underpinning entry into sex work, the home origins of sex workers and their ongoing linkages with their areas of origin, occupational hazards such as client violence and health risks, stigma and discrimination of sex workers, and sex worker solidarity. Though the lives of the sex workers in Beitbridge are marked by precariousness and uncertainty, it is concluded that sex workers are not mere victims of their historical and social circumstances as they are actively engaged in constructing their livelihoods.
- Full Text:
- Authors: Takawira, Wadzanai Michelle
- Date: 2016
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: http://hdl.handle.net/10962/3801 , vital:20544
- Description: Zimbabwe is experiencing an ongoing downward spiral in its national economy, dating back to the early 1990s. The demise of the country’s formal economy has led to unprecedented growth in informal economic activities including illegal forms such as sex work. The thesis seeks to understand and explain sex work as a livelihood strategy in Zimbabwe with particular reference to the border town of Beitbridge. In understanding sex work as a livelihood strategy in Beitbridge, the thesis adopts a livelihoods framework in providing key insights into the daily lives of sex workers including the context of vulnerability in which they live and work as well as the challenges they face constantly. In addition, because of the significance of patriarchy in shaping the lives of women and specifically sex workers in Zimbabwe, the feminist theory is used as a secondary theoretical framework. The fieldwork for the study is based on informal interviews and focus group discussions with sex workers as well as observation. Diverse and interrelated themes are covered in examining the livelihoods of sex workers in Beitbridge, and these include sex worker income and expenditure, the motivations underpinning entry into sex work, the home origins of sex workers and their ongoing linkages with their areas of origin, occupational hazards such as client violence and health risks, stigma and discrimination of sex workers, and sex worker solidarity. Though the lives of the sex workers in Beitbridge are marked by precariousness and uncertainty, it is concluded that sex workers are not mere victims of their historical and social circumstances as they are actively engaged in constructing their livelihoods.
- Full Text:
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