Social policy and regional integration in SADC: a regional health care perspective
- Authors: Maduna-Mafu, Nqobani
- Date: 2020-12
- Subjects: Regionalism , AIDS (Disease) -- Africa, Southern , HIV-positive persons -- Africa, Southern Africa, Southern -- Government policy
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/19848 , vital:43386
- Description: The study examined the implementation of SADC health programmes, particularly the health protocol and its role to the advancement of health justice in the SADC region. Social driven regionalism involves member states adopting common policies in social policy areas that include; health, education and social protection. Therefore, the focus of this study was on regional integration-social policy interface and contribution towards socially equitable regional development with specific focus on health care provision. Since the 19th century development co-operation between countries has been informed by traditionalist views on regionalism, particularly the comparative advantage and the customs union paradigms. These anachronistic models have constructed a narrative suggesting that adopting trade-based regional integration schemes is a sustainable solution to fragmented markets and weak economies that are vulnerable to global economic trends. This antediluvian approach has produced forms of regionalism whose endeavour is the liberalisation of trade to the negation of human development. The SADC has experimented with this approach since the 1980s leading to the neglect of social policy and deepening human insecurity as shown by high mortality rates attributable to epidemics and low life expectancy in SADC member countries. Although neo-classical foundations are the socio-historical pivots of regional integration SADC has instruments that are centred on social actions aiming to promote citizens’ normative right to health. Thus, the fundamental strength with SADC regional social policy instruments is the incorporation of pro-poor commitments in systems of regional governance. While these social policies do not establish guarantees to the realisation of the right to health because they do have the politico-legal means to enforce such guarantees, they define regional agenda for justice in the context of deepening social challenges. This consequently makes the SADC region a site for norms that engender practices towards addressing the challenge of economic development and social transformation dichotomy. The existence of social policies arising from global health diplomacy means that the region has an opportunity to play a role as a vector for social justice through committing member states to equity and promoting social rights while providing brokerage needed for redistribution of public commodities. Using the qualitative approach, the study examined the implementation of SADC health programmes, particularly the health protocol, and the contribution to regional integration experience in the region. Narratives showed that SADC is facing enormous challenges in re-inventing regional co-operation towards health diplomacy. Although there is a confluence of factors militating against this form of regionalism, the fundamental contributory factor is lopsided regional integration favouring economic development ahead of social transformation. The architectural framework of SADC is trade-driven. Consequently, it lacks structures that can foster regional action on social questions that include; health infrastructure, health human resources, medical research and technology, vaccines production and procurement, regional health financing, civil society engagement towards achieving health justice in the region. The study has adopted the justice-driven regional health approach grounded on South to South co-operation principles and universalisation of health as the framework for understanding region and state-level interventions required to resolve intensifying social policy challenges including TB and HIV/AIDS. , Thesis (PhD) -- Faculty of Management & Commerce, 2020
- Full Text:
- Date Issued: 2020-12
- Authors: Maduna-Mafu, Nqobani
- Date: 2020-12
- Subjects: Regionalism , AIDS (Disease) -- Africa, Southern , HIV-positive persons -- Africa, Southern Africa, Southern -- Government policy
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/19848 , vital:43386
- Description: The study examined the implementation of SADC health programmes, particularly the health protocol and its role to the advancement of health justice in the SADC region. Social driven regionalism involves member states adopting common policies in social policy areas that include; health, education and social protection. Therefore, the focus of this study was on regional integration-social policy interface and contribution towards socially equitable regional development with specific focus on health care provision. Since the 19th century development co-operation between countries has been informed by traditionalist views on regionalism, particularly the comparative advantage and the customs union paradigms. These anachronistic models have constructed a narrative suggesting that adopting trade-based regional integration schemes is a sustainable solution to fragmented markets and weak economies that are vulnerable to global economic trends. This antediluvian approach has produced forms of regionalism whose endeavour is the liberalisation of trade to the negation of human development. The SADC has experimented with this approach since the 1980s leading to the neglect of social policy and deepening human insecurity as shown by high mortality rates attributable to epidemics and low life expectancy in SADC member countries. Although neo-classical foundations are the socio-historical pivots of regional integration SADC has instruments that are centred on social actions aiming to promote citizens’ normative right to health. Thus, the fundamental strength with SADC regional social policy instruments is the incorporation of pro-poor commitments in systems of regional governance. While these social policies do not establish guarantees to the realisation of the right to health because they do have the politico-legal means to enforce such guarantees, they define regional agenda for justice in the context of deepening social challenges. This consequently makes the SADC region a site for norms that engender practices towards addressing the challenge of economic development and social transformation dichotomy. The existence of social policies arising from global health diplomacy means that the region has an opportunity to play a role as a vector for social justice through committing member states to equity and promoting social rights while providing brokerage needed for redistribution of public commodities. Using the qualitative approach, the study examined the implementation of SADC health programmes, particularly the health protocol, and the contribution to regional integration experience in the region. Narratives showed that SADC is facing enormous challenges in re-inventing regional co-operation towards health diplomacy. Although there is a confluence of factors militating against this form of regionalism, the fundamental contributory factor is lopsided regional integration favouring economic development ahead of social transformation. The architectural framework of SADC is trade-driven. Consequently, it lacks structures that can foster regional action on social questions that include; health infrastructure, health human resources, medical research and technology, vaccines production and procurement, regional health financing, civil society engagement towards achieving health justice in the region. The study has adopted the justice-driven regional health approach grounded on South to South co-operation principles and universalisation of health as the framework for understanding region and state-level interventions required to resolve intensifying social policy challenges including TB and HIV/AIDS. , Thesis (PhD) -- Faculty of Management & Commerce, 2020
- Full Text:
- Date Issued: 2020-12
Assessing linkages between local ecological knowledge, HIV/AIDS and the commercialisation of natural resources across Southern Africa
- Authors: Weyer, Dylan James
- Date: 2012
- Subjects: AIDS (Disease) -- Africa, Southern , HIV infections -- Africa, Southern , Natural resources -- Management -- Africa, Southern , Traditional ecological knowledge -- Africa, Southern , Households -- Economic aspects -- Africa, Southern , Poverty -- Environmental aspects -- Africa, Southern , Ecology -- Economic aspects -- Africa, Southern
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:4769 , http://hdl.handle.net/10962/d1007180 , AIDS (Disease) -- Africa, Southern , HIV infections -- Africa, Southern , Natural resources -- Management -- Africa, Southern , Traditional ecological knowledge -- Africa, Southern , Households -- Economic aspects -- Africa, Southern , Poverty -- Environmental aspects -- Africa, Southern , Ecology -- Economic aspects -- Africa, Southern
- Description: That natural resources (NRs) are important to those experiencing adversity, and, especially, vulnerability associated with HIV/AIDS, is well documented, particularly with respect to food and energy security. What is unclear is where HIV/AIDS ranks in terms of its significance in comparison to other household shocks, the role local ecological knowledge may (LEK) play in households' response to shock, a propos the types of coping strategies that are employed. Consequently, this research aims to bridge the knowledge gap between HIV/AIDS and the degree to which it is contributing to the expansion of NR commercialisation and to explore the unknowns surrounding the influence of LEK on people's choice of coping strategy. A two phase study was designed to provide quantitative rigour with qualitative depth. Phase one was an extensive, rapid survey of NR traders within urban and rural settings in five southern Africa countries. The principle objective was to profile the trade, the livelihoods of those involved and their reasons for entering the trade, to ultimately establish to what degree HIV/AIDS may have been a catalyst for this. Almost one third of the sample entered the trade in response to illness and/or death in their households, with 80% of deaths being of breadwinners. The findings illustrated considerable dependence on the sale of NRs; for almost 60% of the sample it was their household's only source of income. There was evidently increased blurring of the lines between rural and urban NR use with a greater diversity of products being traded in urban areas. Phase two involved in-depth interviews and work with a smaller sample at two sites selected based on the findings from the first phase. It incorporated three groups of households; non-trading, inexperienced trading and experienced trading households. Key areas of focus were household shocks, coping strategies employed in response to these and the role LEK may be playing in the choice of coping strategies. Within a two year period, 95% of households registered at least one shock, of which 80% recorded AIDS-related proxy shocks. Non-trading households were significantly worse-off in this regard, while in the case of non-AIDS proxy shocks, there was no such difference between groups. The most frequently employed coping strategy was the consumption and sale of NRs and was of particular importance when households were faced with AIDS proxy shocks. Trading households emerged as having superior levels of LEK in comparison to non-trading households, even for non-traded NRs, suggesting that prior LEK of NRs opened up opportunities to trade in NR as a coping strategy. Further inspection of the latter group however revealed that the portion of non-trading households who traded on a very ad hoc basis actually had comparable levels of LEK to the trading households. Despite the ad hoc trading households' vulnerable state and their disproportionately high level of AIDS proxy measures, they had at their disposal, sufficient LEK to unlock certain key coping strategies, namely the NR trade. In this sense there are apparent linkages between LEK, HIV/AIDS and the expansion of the commercialisation of NRs.
- Full Text:
- Date Issued: 2012
- Authors: Weyer, Dylan James
- Date: 2012
- Subjects: AIDS (Disease) -- Africa, Southern , HIV infections -- Africa, Southern , Natural resources -- Management -- Africa, Southern , Traditional ecological knowledge -- Africa, Southern , Households -- Economic aspects -- Africa, Southern , Poverty -- Environmental aspects -- Africa, Southern , Ecology -- Economic aspects -- Africa, Southern
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:4769 , http://hdl.handle.net/10962/d1007180 , AIDS (Disease) -- Africa, Southern , HIV infections -- Africa, Southern , Natural resources -- Management -- Africa, Southern , Traditional ecological knowledge -- Africa, Southern , Households -- Economic aspects -- Africa, Southern , Poverty -- Environmental aspects -- Africa, Southern , Ecology -- Economic aspects -- Africa, Southern
- Description: That natural resources (NRs) are important to those experiencing adversity, and, especially, vulnerability associated with HIV/AIDS, is well documented, particularly with respect to food and energy security. What is unclear is where HIV/AIDS ranks in terms of its significance in comparison to other household shocks, the role local ecological knowledge may (LEK) play in households' response to shock, a propos the types of coping strategies that are employed. Consequently, this research aims to bridge the knowledge gap between HIV/AIDS and the degree to which it is contributing to the expansion of NR commercialisation and to explore the unknowns surrounding the influence of LEK on people's choice of coping strategy. A two phase study was designed to provide quantitative rigour with qualitative depth. Phase one was an extensive, rapid survey of NR traders within urban and rural settings in five southern Africa countries. The principle objective was to profile the trade, the livelihoods of those involved and their reasons for entering the trade, to ultimately establish to what degree HIV/AIDS may have been a catalyst for this. Almost one third of the sample entered the trade in response to illness and/or death in their households, with 80% of deaths being of breadwinners. The findings illustrated considerable dependence on the sale of NRs; for almost 60% of the sample it was their household's only source of income. There was evidently increased blurring of the lines between rural and urban NR use with a greater diversity of products being traded in urban areas. Phase two involved in-depth interviews and work with a smaller sample at two sites selected based on the findings from the first phase. It incorporated three groups of households; non-trading, inexperienced trading and experienced trading households. Key areas of focus were household shocks, coping strategies employed in response to these and the role LEK may be playing in the choice of coping strategies. Within a two year period, 95% of households registered at least one shock, of which 80% recorded AIDS-related proxy shocks. Non-trading households were significantly worse-off in this regard, while in the case of non-AIDS proxy shocks, there was no such difference between groups. The most frequently employed coping strategy was the consumption and sale of NRs and was of particular importance when households were faced with AIDS proxy shocks. Trading households emerged as having superior levels of LEK in comparison to non-trading households, even for non-traded NRs, suggesting that prior LEK of NRs opened up opportunities to trade in NR as a coping strategy. Further inspection of the latter group however revealed that the portion of non-trading households who traded on a very ad hoc basis actually had comparable levels of LEK to the trading households. Despite the ad hoc trading households' vulnerable state and their disproportionately high level of AIDS proxy measures, they had at their disposal, sufficient LEK to unlock certain key coping strategies, namely the NR trade. In this sense there are apparent linkages between LEK, HIV/AIDS and the expansion of the commercialisation of NRs.
- Full Text:
- Date Issued: 2012
- «
- ‹
- 1
- ›
- »