Routledge Studies in Health in Africa – serie

The book describes key socio-political reforms that helped shape post-apartheid South Africa’s mental health system. The author interrogates how reforms shaped public, community-based services for people living with severe mental illness, and how features of this care has been determined, in part at least, by the relations between actors and structures in the state, private for-profit health care, and civil society spheres. A description of the development of South Africa’s post-apartheid health system, and the contentions that emerge therein, sets the stage for an analysis of the country’s most tragic human rights failure during its democratic period, namely the Life Esidimeni tragedy. The roots of the tragedy are not only framed as a loss of life and dignity as a result of political corruption and administrative mismanagement, but as a power differential that ultimately highlights an unjust system that relegates its most vulnerable citizens to commodities, without voice and without agency. The book concludes that the commodification of severe mental illness has been a product of neoliberal discourses that have shaped the economistic ways in which the post-apartheid South African state have governed poverty and severe mental illness.This book will be of interest to scholars of health, social and economic policy in South Africa.

This book explores the normalization of HIV and AIDS, reflecting upon the intended and unintended consequences of the multifarious "AIDS industry."The Normalization of the HIV and AIDS Epidemic in South Africa deals with the manner in which the HIV and AIDS epidemic has become such a well-known disease with such wide-ranging ramifications. With its focus on the "AIDS industry," this book examines issues such as the framing of the HIV and AIDS epidemic in a manner that greatly fostered notions of stigmatization and moralization. This book looks at the complexities of dealing with the epidemic in contemporary South Africa, examining the difficulties of addressing the social aspects of a disease in the context of increased focus on technological quick-fix solutions. De Wet explores these issues thoroughly, looking at the social determinants of the spread of the disease as well as the configuration and the nature of the responses to it, and their increasing marginalization as factors to address in an era of increased biomedicalization and concomitant normalization. This book will intrigue scholars and students of public health, global health care, medical sociology, and African Studies.

This book provides an overview of the current epidemiology of the HIV epidemic among young people in Eastern and Southern Africa (ESA) and examines the efforts to confront and reduce the high level of new HIV infections amongst young people.Taking a multi-dimensional approach to prevention, the contributors discuss the many challenges facing these efforts, in view of the slow progress in curbing the incidence of HIV amongst young people, focusing particularly on the structural and social drivers of HIV. Through an examination of these issues, chapters in this book provide valuable insights on how to mitigate HIV risk among young people and what can be regarded as the catalysts to mounting credible policy and programmatic responses required to achieve epidemic control in the region. The contributors draw on examples from a range of primary and secondary data sources to illustrate promising practices and challenges in HIV prevention, demonstrating links between conceptual approaches to prevention and lessons learnt from implementation projects in the region.Bringing together social scientists and public health experts who are actively engaged in finding effective solutions, the book discusses ‘which interventions works’, ‘why they work’, and the limitations and gaps in our knowledge to curb the pandemic amongst young people. As such it is an important read for researchers focusing on HIV/AIDS and public health.The Open Access version of this book, available at https://www.taylorfrancis.com/books/e/10.4324/9780429462818 has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license.

The book describes key socio-political reforms that helped shape post-apartheid South Africa’s mental health system. The author interrogates how reforms shaped public, community-based services for people living with severe mental illness, and how features of this care has been determined, in part at least, by the relations between actors and structures in the state, private for-profit health care, and civil society spheres. A description of the development of South Africa’s post-apartheid health system, and the contentions that emerge therein, sets the stage for an analysis of the country’s most tragic human rights failure during its democratic period, namely the Life Esidimeni tragedy. The roots of the tragedy are not only framed as a loss of life and dignity as a result of political corruption and administrative mismanagement, but as a power differential that ultimately highlights an unjust system that relegates its most vulnerable citizens to commodities, without voice and without agency. The book concludes that the commodification of severe mental illness has been a product of neoliberal discourses that have shaped the economistic ways in which the post-apartheid South African state have governed poverty and severe mental illness.This book will be of interest to scholars of health, social and economic policy in South Africa.

This book explores the normalization of HIV and AIDS, reflecting upon the intended and unintended consequences of the multifarious "AIDS industry."The Normalization of the HIV and AIDS Epidemic in South Africa deals with the manner in which the HIV and AIDS epidemic has become such a well-known disease with such wide-ranging ramifications. With its focus on the "AIDS industry," this book examines issues such as the framing of the HIV and AIDS epidemic in a manner that greatly fostered notions of stigmatization and moralization. This book looks at the complexities of dealing with the epidemic in contemporary South Africa, examining the difficulties of addressing the social aspects of a disease in the context of increased focus on technological quick-fix solutions. De Wet explores these issues thoroughly, looking at the social determinants of the spread of the disease as well as the configuration and the nature of the responses to it, and their increasing marginalization as factors to address in an era of increased biomedicalization and concomitant normalization. This book will intrigue scholars and students of public health, global health care, medical sociology, and African Studies.

This book analyses the first two years of South Africa’s response to the COVID-19 epidemic, from its emergence in early 2020.Drawing on the perspectives of a range of public health experts, economists and other social scientists, and development practitioners, this book argues that understanding this early response will be essential to moderate and improve future policy thinking around health governance and epidemic readiness. This book provides a systemic analysis of not only the epidemiological progression of COVID-19 in South Africa, but also the socio-political factors that will be key in determining the future of the country as a whole, including health system challenges, socio-economic disparities and inequalities, and variable (often contradictory and tardy) policy responses. Overall, this book exposes Manichean thinking and the spurious policy dichotomies that pitch public health against human rights, economic recovery against viral vector control, and science against ideology, with lessons not just for South Africa, but also for elsewhere on the African continent, and beyond.This book will be perfect for researchers and practitioners across Public Health, Health Policy, and Global Health, as well as those with an interest in South African politics and development more generally.The Open Access version of this book, available at http://www.taylorfrancis.com, has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives (CC-BY-NC-ND) 4.0 license.

This book analyses the first two years of South Africa’s response to the COVID-19 epidemic, from its emergence in early 2020.Drawing on the perspectives of a range of public health experts, economists and other social scientists, and development practitioners, this book argues that understanding this early response will be essential to moderate and improve future policy thinking around health governance and epidemic readiness. This book provides a systemic analysis of not only the epidemiological progression of COVID-19 in South Africa, but also the socio-political factors that will be key in determining the future of the country as a whole, including health system challenges, socio-economic disparities and inequalities, and variable (often contradictory and tardy) policy responses. Overall, this book exposes Manichean thinking and the spurious policy dichotomies that pitch public health against human rights, economic recovery against viral vector control, and science against ideology, with lessons not just for South Africa, but also for elsewhere on the African continent, and beyond.This book will be perfect for researchers and practitioners across Public Health, Health Policy, and Global Health, as well as those with an interest in South African politics and development more generally.The Open Access version of this book, available at http://www.taylorfrancis.com, has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives (CC-BY-NC-ND) 4.0 license.

This comprehensive book brings together reflections, lessons and insights relating to the post Covid-19 era in Zimbabwe. The outbreak of the COVID-19 pandemic has immensely affected all facets of humanity globally. Its impact on Zimbabwe is evident through its effect on socio-economic and education systems, politics, religion, infrastructural development, and health delivery systems. This book provides scholarly introspections into the lessons drawn from the pandemic in an effort to re-imagine the future possibilities of public health in Zimbabwe and beyond. Providing a platform for research that seeks to re-think global public health matters from a Decolonial school of thought, the book asks questions such as: What is the role of religion, linguistics, communication, education, economics, politics, and science in preparing Zimbabwe for possible future pandemics? How can the lessons drawn from the pandemic inform scholars to re-imagine the future trajectories of the country in the various domains? How can researchers evaluate the power and economic dialectics of COVID-19, navigate the tumultuous challenges generated, and come up with appropriate systems for future pandemics? Offering a realistic picture of the post COVID-19 era in Zimbabwe, the book will be a key resource to students and researchers across the fields of political communication, science communication, decolonial discourse, language and culture, as well as African Studies more broadly.

This comprehensive book brings together reflections, lessons and insights relating to the post Covid-19 era in Zimbabwe. The outbreak of the COVID-19 pandemic has immensely affected all facets of humanity globally. Its impact on Zimbabwe is evident through its effect on socio-economic and education systems, politics, religion, infrastructural development, and health delivery systems. This book provides scholarly introspections into the lessons drawn from the pandemic in an effort to re-imagine the future possibilities of public health in Zimbabwe and beyond. Providing a platform for research that seeks to re-think global public health matters from a Decolonial school of thought, the book asks questions such as: What is the role of religion, linguistics, communication, education, economics, politics, and science in preparing Zimbabwe for possible future pandemics? How can the lessons drawn from the pandemic inform scholars to re-imagine the future trajectories of the country in the various domains? How can researchers evaluate the power and economic dialectics of COVID-19, navigate the tumultuous challenges generated, and come up with appropriate systems for future pandemics? Offering a realistic picture of the post COVID-19 era in Zimbabwe, the book will be a key resource to students and researchers across the fields of political communication, science communication, decolonial discourse, language and culture, as well as African Studies more broadly.

This book investigates how mental health in South Africa is conceptualised and constructed in public policy. Critiquing embedded assumptions within existing policy documentation, the book advocates for policy solutions centred on poverty alleviation and economic development.Mental health in South Africa has historically been neglected within the health-care system, a stark reality underscored by the Life Esidimeni tragedy, which exposed widespread mismanagement, negligence, and insufficient resources in mental health-care services. While South Africa has enacted progressive mental health policies, their effective implementation remains hindered by systemic challenges. This book investigates the dominant problems represented in mental health policies, including the segregation of mental health from general health services, inadequate intersectoral collaboration in mental health care, community disconnection from mental health services, the association between poverty and mental health issues, and infringements upon the rights of individuals with mental health problems. Overall, the book underscores mental health as a socio-economic issue, requiring new policy solutions.This book will be an essential read for mental health professionals and policy makers in South Africa, as well as for researchers working on the good governance of mental health, both within the country and at global and multilateral levels.

Over the past 30 years, an ever-expanding community of global health actors have been intervening in the poorest parts of the world with the aim of combatting disease and improving health outcomes. While many global health programmes in the Global South have been successful in saving lives, their successes have often been compromised by poor coordination, inefficiency and a lack of alignment with national priorities.This book outlines the deep historical and political dimensions of this fragmentation, using rural Zambia as a case study. In the name of global health, different actors produce and circulate radically different stories about how to improve health. These narratives not only contribute to a fragmented landscape of health provision but also create more subtle and pervasive forms of fragmentation in the everyday lives of health workers, patients and government officials. Based on long-term ethnographic fieldwork in rural Zambia, this book examines three different global health interventions driven by differing stories of salvation, community and experimentation. Tracing the longer history of these stories, the book shows how they have failed to account for the realities of life in rural Zambia.Providing an innovative and nuanced analysis of global health that challenges the idea of fragmentation as simply a technical problem, this book will be an important read for researchers of global health and African studies.