DOCSLIB.ORG

HIV/AIDS in Context: the Culture of Health Promotion Among Ndau Women in Rural Zimbabwe Lynne Duffy

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
HIV/AIDS in Context: the Culture of Health Promotion Among Ndau Women in Rural Zimbabwe Lynne Duffy Walden University ScholarWorks Harold L. Hodgkinson Award for Outstanding University Awards Dissertation 2002 HIV/AIDS in context: The culture of health promotion among Ndau women in rural Zimbabwe Lynne Duffy Follow this and additional works at: http://scholarworks.waldenu.edu/hodgkinson This Dissertation is brought to you for free and open access by the University Awards at ScholarWorks. It has been accepted for inclusion in Harold L. Hodgkinson Award for Outstanding Dissertation by an authorized administrator of ScholarWorks. For more information, please contact [email protected]. HIV/ AIDS in Context: The Culture of Health Promotion Among Ndau Women in Rural Zimbabwe by Lynne Duffy BScN, University de Moncton, 1985 MEd., University of New Brunswick, 1996 Dissertation Submitted in Partial Fulfillment of the Requirements for the degree of Doctor of Philosophy Health Services Walden University November 2002 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. UMI Number: 3098037 UMI UMI Microform 3098037 Copyright 2003 by ProQuest Information and Learning Company. All rights reserved. This microform edition is protected against unauthorized copying under Title 17, United States Code. ProQuest Information and Learning Company 300 North Zeeb Road P.O. Box 1346 Ann Arbor, Ml 48106-1346 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. DOCTOR OF PHILOSOPHY DISSERTATION OF LYNNE DUFFY APPROVED: PAULA E. PEINOVICH, PhD EXECUTIVE VICE PRESIDENT AND PROVOST WALDEN UNIVERSITY 2002 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. Walden University HEALTH SERVICES This is to certify that I have examined the doctoral dissertation by Lynne Duffy and have found that it is complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Dr. Jeanne L. Connors, Committee Chair Health Services Faculty Signature f - Date Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. Walden University HEALTH SERVICES This is to certify that I have examined the doctoral dissertation by Lynne Duffy and have found that it is complete and satisfactory in all respects. Dr. Sigrin Newell, Committee Member Education Faculty / // Signature V Date Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. Walden University HEALTH SERVICES This is to certify that I have examined the doctoral dissertation by Lynne Duffy and have found that it is complete and satisfactory in all respects. Dr. Raymond W. Thron, Committee Member Health Services Faculty eh 6"J (/ Signature Date Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. Walden University HEALTH SERVICES This is to certify that I have examined the doctoral dissertation by Lynne Duffy and have found that it is complete and satisfactory in all respects. Dr. Barbara Knudson, Faculty Representative Human Services Faculty Signature ^ Date Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. ABSTRACT This ethnographic study explored factors that facilitate or hinder women's participation in health promotion and HIV prevention in the Mt. Selinda area of rural Zimbabwe. Rates of HIV and AIDS in Zimbabwe are among the highest in the world and increasing most quickly among young females. A purposeful convenience sample of 11 Ndau women (key participants) was interviewed twice. Seventeen key informants and four focus groups offered further perspectives. The resulting narrative presents a picture of Ndau women's existence that is difficult and oppressive. Females are socialized early to be workers and mothers within a context of limited voice, subservience, violence, and economic powerlessness. Application of a health promotion framework reinforced the reality that these women are generally unable to use measures for HIV prevention. Socio-cultural and economic factors of gender inequality were analyzed through an ecological approach, showing that cultural beliefs and practices, along with national and international forces, support and sustain gender inequality. If there is to be change in the AIDS crisis, the study's findings suggest that HIV prevention strategies should be integrated within a participatory community development model that includes opportunities for both men and women to carry out gender analysis. While health professionals must understand and be sensitive to culture and context, existing unjust and inequitable structures at all levels of society must be examined and challenged. Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. HIV/AIDS in Context: The Culture of Health Promotion Among Ndau Women in Rural Zimbabwe by Lynne Duffy BScN, Universite de Moncton, 1985 MEd., University of New Brunswick, 1996 Dissertation Submitted in Partial Fulfillment of the Requirements for the degree of Doctor of Philosophy Health Services Walden University November 2002 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. DEDICATIONS This work is first of all dedicated to my husband, Dave, who exemplifies a role model for relationships based on gender justice, and who has supported me through this in so many ways. He is truly "the wind beneath my wings." Second, this is dedicated to all women who experience oppression and gender injustice. May there be cultural and economic transformation for both women and men so that narratives like these will soon be only stories of the past. Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. ACKNOWLEDGMENTS A dissertation process is considered a journey and can be a difficult and lonely one at times. In a distance program this is even more real, and when researching thousands of miles from home and university, the aloneness is amplified. Yet, the faculty and staff of Walden University made it less so through their caring and responsive manner at residencies and through e-mail contact. Dr. Robert Hoye guided me through my first year, and then committee chair Dr. Jeanne Connors, with members Dr. Sigrin Newell and Dr. Ray Thron, continued to challenge and nurture my thinking and writing. Dr. Barbara Knudson joined later as the 4th committee member, and she added further to the support and encouragement. My mother, Pauline Ervin, deserves recognition for being not only a role model for what women can do, but also for the continued guidance and assistance she has provided over the years. The Mt. Selinda Hospital staff and all participants were so supportive of this undertaking, as well as Chief Mapungwana, a very wise and caring leader of his people. May this project be a catalyst for social change in Mt. Selinda so that all may enjoy improved health and quality of life. I am also grateful to Prentice Hall publishers for permission to use Pender's Health Promotion Model. ii Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. TABLE OF CONTENTS List of Tables .................................................................................................................. vii List of Figures ............................................................................................................... viii CHAPTER 1: INTRODUCTION TO THE STUDY...................................................... 1 Introduction .......................................................................................................................1 Problem Statement............................................................................................................1 Background of the Problem ............................................................................................ 2 The Context........................................................................................................................5 Mt. Selinda ................................................................................................................7 The Women of Mt. Selinda .................................................................................. 10 Purpose of the Study......................................................................................................12 Research Questions .........................................................................................................13 Conceptual Framework..................................................................................................13 The Health Promotion Model..............................................................................15 Definition of Terms .........................................................................................................20 Assumptions ...................... 22 Limitations ...................... 23 Significance of the Study ................................................................................................24 Summary..........................................................................................................................25 CHAPTER 2: REVIEW OF THE LITERATURE......................................................... 27 Introduction .....................................................................................................................27
Load more

Recommended publications
  • University of the Witwatersrand
    UNIVERSITY OF THE WITWATERSRAND AFRICAN STUDIES INSTITUTE African Studies Seminar Paper to be presented in RW 4.00pm MARCH 1984 Title: The Case Against the Mfecane. by: Julian Cobbing No. 144 UNIVERSITY OF THE WITWATERSRAND AFRICAN STUDIES INSTITUTE African studies Seminar Paper to be presented at Seminar in RW 319 at 4,00 pm on Monday, 5 March 1984 THE CASE AGAINST THE MFECANE by. QuJJjun Cobbing. By the 1970s the mfecane had become one of the most widely abused terms in southern African historical literature. Let the reader attempt a simple definition of the mfecane, for instance. This is not such an easy task. From one angle the mfecane was the Nguni diaspora which from the early 1820s took Nguni raiding communities such as the Ndebele, the Ngoni and the Gaza over a huge region of south-central Africa reaching as far north as Lake Tanzania. Africanists stress the positive features of the movement. As Ajayi observed in 1968: 'When we consider all the implications of the expansions of Bantu-speaking peoples there can he no doubt that the theory of stagnation has no basis whatsoever.' A closely related, though different, mfecane centres on Zululand and the figure of Shaka. It has become a revolutionary process internal to Nguni society which leads to the development of the ibutho and the tributary mode of production. Shaka is a heroic figure providing a positive historical example and some self-respect for black South Africans today. But inside these wider definitions another mfecane more specific- ally referring to the impact of Nguni raiders (the Nedbele, Hlubi and Ngwane) on the Sotho west of the Drakensberg.
    [Show full text]
  • 11010329.Pdf
    THE RISE, CONSOLIDATION AND DISINTEGRATION OF DLAMINI POWER IN SWAZILAND BETWEEN 1820 AND 1889. A study in the relationship of foreign affairs to internal political development. Philip Lewis Bonner. ProQuest Number: 11010329 All rights reserved INFORMATION TO ALL USERS The quality of this reproduction is dependent upon the quality of the copy submitted. In the unlikely event that the author did not send a com plete manuscript and there are missing pages, these will be noted. Also, if material had to be removed, a note will indicate the deletion. uest ProQuest 11010329 Published by ProQuest LLC(2018). Copyright of the Dissertation is held by the Author. All rights reserved. This work is protected against unauthorized copying under Title 17, United States C ode Microform Edition © ProQuest LLC. ProQuest LLC. 789 East Eisenhower Parkway P.O. Box 1346 Ann Arbor, Ml 48106- 1346 ABSTRACT The Swazi kingdom grew out of the pressures associated with competition for trade and for the rich resources of Shiselweni. While centred on this area it acquired some of its characteristic features - notably a regimental system, and the dominance of a Dlamini aristocracy. Around 1815 the Swazi came under pressure from the South, and were forced to colonise the land lying north of the Lusutfu. Here they remained for some years a nation under arms, as they plundered local peoples, and were themselves swept about by the currents of the Mfecane. In time a more settled administration emerged, as the aristocracy spread out from the royal centres at Ezulwini, and this process accelerated under Mswati as he subdued recalcitrant chiefdoms, and restructured the regiments.
    [Show full text]
  • Linking Culture and Water Technology in Zimbabwe: Reflections on Ndau Experiences and Implications for Climate Change
    Vol. 6(2), pp. 22-28, February 2014 DOI: 10.5897/JASD2013.0266 Journal of African Studies and ISSN 2141 -2189 ©2014 Academic Journals Development http://www.academicjournlas.org/JASD Full Length Research Paper Linking culture and water technology in Zimbabwe: Reflections on Ndau experiences and implications for climate change Tenson Muyambo* and Richard S. Maposa Faculty of Arts, Zimbabwe Ezekiel Guti University, Zimbabwe. Accepted 23 January, 2014 Renaissance studies continue to grow in post-colonial Africa. This study explores the Ndau culture in a bid to assess its vitality and relevance to contemporary society’s water technology in Zimbabwe. The thesis of the study posits that the Ndau people have indigenous knowledge systems (IKS) that can be tapped in the implementation of water resource management. Some Ndau beliefs and practices on water resources can be used as environmental management tools in order to do justice to climate change. These, if blended with western technologies, can be effective intervention strategies to mitigate the challenges posed by climate change. The study adopted a qualitative research design in a case study approach. Purposive sampling was used to select community elders and traditional practitioners who are associated with the in-depth knowledge on traditional beliefs and practices. The data collection techniques included interviews, participant observations and documentary analysis. The study observed that the particular Ndau cultural beliefs and practices that are not only relevant but consistent with water technological changes and these must be strengthened as part of a people’s heritage. Key words: Climate change, climate justice, culture, indigenous knowledge systems, Ndau people, renaissance studies, water technology.
    [Show full text]
  • Participation of Women in the Health
    Ayaz et al. Hum Resour Health (2021) 19:94 https://doi.org/10.1186/s12960-021-00635-7 REVIEW Open Access Participation of women in the health workforce in the fragile and confict-afected countries: a scoping review Basnama Ayaz1* , Maria Athina Martimianakis2, Carles Muntaner1 and Sioban Nelson1 Abstract Introduction and background: The full participation of women as healthcare providers is recognized globally as critical to favorable outcomes at all levels, including the healthcare system, to achieving universal health coverage and sustainable development goals (SDGs) by 2030. However, systemic challenges, gender biases, and inequities exist for women in the global healthcare workforce. Fragile and confict-afected states/countries (FCASs) experience addi- tional pressures that require specifc attention to overcome challenges and disparities for sustainable development. FCASs account for 42% of global deaths due to communicable, maternal, perinatal, and nutritional conditions, requir- ing an appropriate health workforce. Consequently, there is a need to understand the impact of gender on workforce participation, particularly women in FCASs. Methods: This scoping review examined the extent and nature of existing literature, as well as identifed factors afecting women’s participation in the health workforce in FCASs. Following Arksey and O’Malley’s scoping review methodology framework, a systematic search was conducted of published literature in fve health sciences databases and grey literature. Two reviewers independently screened the title and abstract, followed by a full-text review for shortlisted sources against set criteria. Results: Of 4284, 34 sources were reviewed for full text, including 18 primary studies, fve review papers, and 11 grey literature sources. In most FCASs, women predominate in the health workforce, concentrated in nursing and mid- wifery professions; medicine, and the decision-making and leadership positions, however, are occupied by men.
    [Show full text]
  • Early History of South Africa
    THE EARLY HISTORY OF SOUTH AFRICA EVOLUTION OF AFRICAN SOCIETIES . .3 SOUTH AFRICA: THE EARLY INHABITANTS . .5 THE KHOISAN . .6 The San (Bushmen) . .6 The Khoikhoi (Hottentots) . .8 BLACK SETTLEMENT . .9 THE NGUNI . .9 The Xhosa . .10 The Zulu . .11 The Ndebele . .12 The Swazi . .13 THE SOTHO . .13 The Western Sotho . .14 The Southern Sotho . .14 The Northern Sotho (Bapedi) . .14 THE VENDA . .15 THE MASHANGANA-TSONGA . .15 THE MFECANE/DIFAQANE (Total war) Dingiswayo . .16 Shaka . .16 Dingane . .18 Mzilikazi . .19 Soshangane . .20 Mmantatise . .21 Sikonyela . .21 Moshweshwe . .22 Consequences of the Mfecane/Difaqane . .23 Page 1 EUROPEAN INTERESTS The Portuguese . .24 The British . .24 The Dutch . .25 The French . .25 THE SLAVES . .22 THE TREKBOERS (MIGRATING FARMERS) . .27 EUROPEAN OCCUPATIONS OF THE CAPE British Occupation (1795 - 1803) . .29 Batavian rule 1803 - 1806 . .29 Second British Occupation: 1806 . .31 British Governors . .32 Slagtersnek Rebellion . .32 The British Settlers 1820 . .32 THE GREAT TREK Causes of the Great Trek . .34 Different Trek groups . .35 Trichardt and Van Rensburg . .35 Andries Hendrik Potgieter . .35 Gerrit Maritz . .36 Piet Retief . .36 Piet Uys . .36 Voortrekkers in Zululand and Natal . .37 Voortrekker settlement in the Transvaal . .38 Voortrekker settlement in the Orange Free State . .39 THE DISCOVERY OF DIAMONDS AND GOLD . .41 Page 2 EVOLUTION OF AFRICAN SOCIETIES Humankind had its earliest origins in Africa The introduction of iron changed the African and the story of life in South Africa has continent irrevocably and was a large step proven to be a micro-study of life on the forwards in the development of the people.
    [Show full text]
  • Ethnicity, Development and the Dynamics of Political Domination in Southern Matabeleland
    IOSR Journal Of Humanities And Social Science (IOSR-JHSS) Volume 19, Issue 4, Ver. III (Apr. 2014), PP 137-149 e-ISSN: 2279-0837, p-ISSN: 2279-0845. www.iosrjournals.org Ethnicity, Development and the Dynamics of Political Domination in Southern Matabeleland Clifford Mabhena Institute of Development Studies- National University of Science and Technology-Bulawayo, Zimbabwe Abstract: This article argues that the hegemony of the Shona people in Zimbabwe has been largely influenced by ethnicity and the quest to dominate Matabeleland politically, socially and economically. Development marginalisation of Matabeleland region, I argue has been influenced by ethnicity and politics of revenge. The study used ethnography to collect data and hence in-depth interviews were used as data collection tools. The results of the study indicate that Matabeleland has been largely dominated by the Shona ethnic group, and arguments advanced by scholars for this dominance, it is argued, Ndebele dominated the Shona people in the 19th and 20th centuries. This was due to conquest by the marauding Ndebele warriors under the leadership of King Mzilikazi and latter on King Lobhengula. The ascendance of the Zimbabwe African National Union Patriotic Front (ZANUPF) in the 1980 independence elections opened the gates for the ascendancy of the Shona people as the party was pre-dominantly Shona speaking. The march to state house by the ZANUPF dominated party created a lot of tension between the two ethnic groups; Ndebele and Shona, and hence the lashing out of the fifth brigade in 1983 and 1984 in Matabeleland and Midlands provinces of the country. Key words: Hegemony, ethnicity, internal colonisation, marginalisation I.
    [Show full text]
  • Investment Case Sixth Replenishment 2019 Ending the Epidemics of Hiv, Tuberculosis and Malaria by 2030 Is Within Reach, but Not Yet Fully in Our Grasp
    INVESTMENT CASE SIXTH REPLENISHMENT 2019 ENDING THE EPIDEMICS OF HIV, TUBERCULOSIS AND MALARIA BY 2030 IS WITHIN REACH, BUT NOT YET FULLY IN OUR GRASP. WITH ONLY 11 YEARS LEFT, WE HAVE NO TIME TO WASTE. WE MUST STEP UP THE FIGHT NOW. I. TABLE OF CONTENTS I. Executive Summary 1 II. Ending AIDS, TB and Malaria is Critical to Achieving the SDGs and Universal Health Coverage 8 III. Step Up or Slip Back? 12 IV. More Innovation, Collaboration, and Execution 19 V. The Global Fund Needs at Least US$14 Billion for the Next Three-Year Cycle 29 VI. The Global Fund Partnership Builds on a Robust Track Record of Impact 39 VII. Conclusion: Now is the Time to Step Up the Fight 44 ANNEX 1: Selected Global Fund 2017-2022 Key Performance Indicators and Targets 47 ANNEX 2: Methodology for Estimating the Resource Needs 48 ANNEX 3: Projection of Available Resources 49 ANNEX 4: Methodology for Impact Modelling 51 ANNEX 5: Methodology for ROI calculation 54 ANNEX 6: Results: Essential Indicators 55 STEP UP THE FIGHT 2019 I. EXECUTIVE SUMMARY 1 STEP UP THE FIGHT 2019 Ending the epidemics of HIV, tuberculosis and malaria The Global Fund plays a vital role in achieving this target If we don’t prevent teens, particularly girls, from getting by 2030 is within reach, but not yet fully in our grasp. and in accelerating progress toward universal health infected with HIV, the massive increase in the youth With only 11 years left, we have no time to waste. We coverage. While governments and communities must population in Africa will lead to more new infections must step up the fight now.
    [Show full text]
  • The Role of Migration in the Morphing of Shona Identity
    THE ROLE OF MIGRATION IN THE MORPHING OF SHONA IDENTITY by TIRIMBOYI WADZANAI submitted in accordance with the requirements for the degree of MASTER OF VISUAL ARTS at the UNIVERSITY OF SOUTH AFRICA SUPERVISOR: PROFESSOR NOMBEKO P MPAKO February 2017 DECLARATION I declare that The role of migration in the morphing of Shona identity is my own work and that all the sources that l have used or quoted have been indicated and acknowledged by means of complete referencing. February 2017 i SUMMARY Title: The role of migration in the morphing of Shona identity This dissertation reports on a study, which used story telling through installation art in analysing how migration has affected the identity of Shona people of Zimbabwe resulting in a new hybrid identity. This identity morphing has happened through the increased rate of trans-border mobility for economic survival and development. The research explores reflections associated with the life of individuals through the unfolding of socio-political and economic situations in Zimbabwe focusing on the historical and contemporary social relations of the Shonas (from Zimbabwe). The research in addition speculates as to how this migration creates difficulties with regards to immigrants’ experiences in their new habitats as they enter a state of limbo. It further investigates how the difference in status and the perception of identity affects Zimbabweans in their social inheritance of nomadic characteristics. The main objective of this study is to cast light on how constant migration has affected the constructs of the Shona identity as the people get in contact with various cultures leading to the formation of an intercultural identity.
    [Show full text]
  • FABLES BOOKSHOP Founder Members of 119 High Street, Grahamstown, 6139, SABDA South Africa
    Fables Africana Catalogue Q199 file:///E:/q199.html Home | Back to catalogues page | We are FABLES BOOKSHOP Founder Members of 119 High Street, Grahamstown, 6139, SABDA South Africa. Telephone / Facsimile: +27-046-636-1525 Email: Africana Catalogue Q199 August 2008 Items have been sold from this catalogue since its issue. It is an electronic representation of a particular catalogue issued at a particular date. All items listed subject to prior sale. Details elsewhere to subscribe to our email catalogues. All Africana material is issued via catalogue prior to shelving in the shop or uploading online. Notes: Brief Terms and Conditions at the end of this catalogue. Full Terms and Conditions All items subject to prior sale All prices exclude p&p and forex charges Subscribe to our catalogues Abbreviations used in our catalogues Contact: FABLES BOOKSHOP Ian Balchin. Proprietor. Specialists in books from Africa Books mailed worldwide Founder Member of Southern African Book Dealers Association (SABDA) Shop Tel & 24/7 fax: +27-(0)46-636-1525 Office & a/h Tel: +27-(0)46-622-2474 Generally: Email to reserve any item Payment by Visa & Mastercard preferred Prices exclude p&p and forex charges INDEX 1 of 37 2008/09/01 08:35 PM Fables Africana Catalogue Q199 file:///E:/q199.html General Africana Subjects BIOGRAPHIES, AUTOBIOGRAPHIES, DIARIES, GENEALOGICAL. BOTANICAL FICTION, LITERATURE & CREATIVE WRITINGS, MAGAZINES. FINE ARTS, PHOTOGRAPHY, ARCHITECTURE. TRUE CRIME MILITARY NADA ANNUAL NATURAL HISTORY PERIODICALS RHODESIANA MAGAZINE EARLY TRAVEL AND EXPLORATION Africa History / Topography by area EASTERN CAPE MOZAMBIQUE NATAL & EAST GRIQUALAND RHODESIA / ZIMBABWE SOUTH WEST AFRICA / NAMIBIA TRANSVAAL WESTERN CAPE SOUTHERN AFRICA, GENERAL SOUTHERN AFRICAN COASTAL AND THE SOUTHERN OCEAN ISLANDS.
    [Show full text]
  • Rebirth of Bukalanga: a Manifesto for the Liberation of a Great People with a Proud History Part I
    THE REBIRTH OF BUKALANGA A Manifesto for the Liberation of a Great People with a Proud History Part I NDZIMU-UNAMI EMMANUEL 2 The Rebirth of Bukalanga: A Manifesto for the Liberation of a Great People with a Proud History Part I ISBN: 978 0 7974 4968 8 ©Ndzimu-unami Emmanuel, 2012 Facebook: Ndzimu-unami Emmanuel Email: [email protected] Twitter: NdzimuEmmanuel Website: http://www.ndzimuunami.blogspot.com Published by Maphungubgwe News Corporation Language Editing and Proof-reading Pathisa Nyathi Bheki J. Ncube Cover Design Greg Sibanda, Tadbagn Designs All rights reserved. Not more than one chapter of this publication maybe reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise without prior permission in writing of the author or publisher, nor be otherwise circulated in any form of binding or cover other than that in which it is published and without a similar condition including this condition being imposed on the subsequent purchaser. 3 About the author Born on 29 March 1982 in Bulawayo and raised by his grandparents in the District of Bulilima-Mangwe, Ndzimu-unami Emmanuel Moyo completed his primary and secondary education at Tokwana Primary and Secondary Schools. He later completed a Diploma in Personnel Management graduating with Distinction with the Institute of People Management (IPMZ). Moyo later entered the Theological College of Zimbabwe (TCZ) in Bulawayo where he majored in reading Theology and Philosophy, dropping out of the College after one-and-a-half- years. Between the time of his finishing of the GCE Ordinary Level in 1999 and publishing this book in 2012, Moyo worked for the Zimbabwe postal service, Zimbabwe Posts, and the National Oil Company of Zimbabwe (Noczim) in his home town of Plumtree.
    [Show full text]
  • The Impact of Economic Performance on Health in Zimbabwe
    The Impact of Economic Performance on Health in Zimbabwe Policy Brief By Dr. A. Makochekanwa Gaborone, Botswana Mobile: +267 76 19 19 97 : +267 7552 7583 Email : [email protected] :[email protected] 4th July 2012 1 1 Introduction The nexus between economic growth and health outcomes has been extensively studied. However the relationship between the two is not clear. Historically, decline in both infant and child mortality rates, and the fall in both male and female adult mortality rates especially since the turn of the 20 th century has been attributed to a multiplicity of factors associated with economic and social advancement. These factors include rising availability of material goods, urbanization, improved infrastructure and housing, rising levels of education, improvement in personal and social hygiene, medical advances, the disappearance of slavery, and other host of significant reductions in discrimination for gender, religious, ethnic groups, etc Whilst most studies and logical reasoning posits a positive relationship between economic growth and improved health, it is important to note that sometimes improved economic growth can result in decline in health. Granados and Ionides (2007) indicate that the negative association found between economic growth and health progress in the most recent half century. These modern studies reveal a short-term tendency of death rates to increase during economic expansions in industrialized countries in recent decades (Graham et al., 1992; Abdala et al., 2000; Ruhm 2000 and 2003). Despite existence of inverse relationship between increase in gross domestic product (GDP) and decline in health in some instances, this study is however going to dwell on the positive correlation between these two variables.
    [Show full text]
  • CSO GFF Platform-Building and Action-Planning Meeting Report
    Zimbabwe CSO GFF Platform-building and Action-planning Meeting Report Hosted by the CWGH in co-operation with the GFF Zimbabwe CSO Interim Steering Committee With support from CSO GFF HUB 19-21 February, 2020 PVO 01/2014 Harare, Zimbabwe Contents I. Background 1 II. Health Sector Investment Case & GFF Process in Zimbabwe 2 III. The HSIC We Want 5 IV. Coalition structure & leadership 7 V. Next steps 12 Appendix 1: Programme 13 Appendix 2: List of Participants 18 Zimbabwe CSO GFF Platform-building and Action-planning Meeting ound I. Background r Backg Zimbabwe joined the GFF in July 2019 to improve the health and nutrition of Zimbabwean people. The Government of Zimbabwe through the Ministry of Health and Child Care (MOHCC) is currently leading the GFF process. The experience of GFF countries has shown that civil society is most effective when it is structured and coordinated in a coalition. Through forming a new GFF CSO Platform, or designating an existing platform for engagement on GFF, Zimbabwean civil society can be stronger together. Civil society can collectively dene priorities to share information, ensure that policy and program “asks” by different members of the platform are mutually reinforcing and emphasize shared concerns, and streamline engagement with government and donors. A small team of Zimbabwean civil society organizations working in the health sector formed an interim coalition steering committee: CWGH, supported by Zimbabwe AIDS Network (ZAN), Women’s Action Group (WAG), and The Centre for Sexual Health and HIV/AIDS Research Zimbabwe (CeSHHAR Zimbabwe). This group worked with the CSO GFF Resource and Engagement Hub to design a workshop to orient Zimbabwean health civil society organizations to the GFF, and develop plans to engage in the process.
    [Show full text]