This study sought to investigate the macro determinants of maternal mortality in Southern African Development Community (SADC) states. The study drew on the fact that maternal mortality remains a major public health issue in developing countries. The Millennium Development Goals (MDGs) were adopted by UN member states in 2000, and one of them was to reduce maternal deaths by three-quarters by 2015. While the Millennium Development Goals increased efforts, the goal was not met in the countries with the highest death rates. The World Health Organisation (WHO) estimates that every single day about 810 women die from pregnancy or childbirth-related complications around the world. This is despite several international initiatives being adopted to reduce maternal mortality. The study was quantitative, and it used secondary data to achieve its objective. A panel data estimation (Generalized Method of Moments) covering the period from 2005–2019 was used to examine how various factors affect maternal mortality. The analysis included the following variables: education, fertility, GDP per capita, institutional quality, health expenditure and HIV infection. The econometric analysis reveals a significant positive impact of fertility, GDP per capita and HIV on maternal mortality. This implies that when fertility, GDP per capita and HIV are increasing, maternal mortality also increases. The analysis also showed that education has a negative relationship with maternal mortality. This implies that when literacy levels (education) increase, maternal mortality decreases. Based on the results, this study emphasizes that, in order to improve maternal health and consequently reduce maternal mortality, access to family planning (to reduce fertility), access to early prenatal care and promoting women’s access to education should be a priority in government policies.
30 November 2022 in Journal of Local Government Research and Innovation
The Journal of Local Government Research and Innovation (JOLGRI) focuses on improving the system of local governance and to proffer local government as the major stakeholder for development in South Africa and the globe.
This study sought to examine the factors that influence women’s health in conflict zones for the period spanning 1975–2018. The investigation was motivated by the fact that war and violent conflict strain already underdeveloped healthcare systems and frequently put disadvantaged groups—particularly women and children—at risk of being denied access to essential services like healthcare. Living in or close to conflict zones puts women at a higher risk for sexual assault, poor reproductive health, unwanted pregnancy, and poor maternal health outcomes. By destroying infrastructure, food, water, and sanitation systems, armed conflict reduces access to healthcare. The results showed that the remittances and life expectancy have a negative relationship with maternal mortality. Development assistance, the number of refuges, and military expenditure were seen as having a positive relationship with maternal mortality, but no significant relationship was found with either economic growth or internet usage. This calls for new policy and self-care interventions. There is also a need to explore how to maximise the benefits of technology in delivering health interventions to hard-to-reach populations. There is also a need for policymakers to explore how to maximise the benefits of technology in delivering health interventions to hard-to-reach populations.
Urbanization is rapidly transforming cities, especially in the Global South, with Sub-Saharan Africa expected to see the fastest growth in the next 30 years. In South Africa’s Mopani District, this urban expansion has led to the growth of informal settlements, increasing disaster risks related to water, health, and fire. This study focuses on Giyani Local Municipality, examining disaster risks in its informal settlements and the factors influencing the implementation of spatial planning tools. Using a SWOT analysis combined with the Analytical Hierarchy Process (AHP), the study found that while the municipality has strong land use and disaster management policies, poor enforcement, lack of integration, and weak governance limit their effectiveness. Opportunities for improvement include securing grants from the National Government and Disaster Management Centre to support disaster risk reduction (DRR) initiatives. However, challenges such as land shortages and ecological degradation threaten sustainable planning. The findings provide important insights for policymakers, urban planners, and disaster management professionals. The SWOT-AHP approach helps in prioritizing resource allocation, identifying risk trends, and focusing on key areas for mitigation. Overall, the study supports efforts to enhance resilience and promote sustainable urban development in informal settlements through better spatial planning.
25 April 2018 in International Journal of Public Policy and Administration Research
In contemporary post-apartheid a number of housing policies have been made since the 1994 democratic dispensation in an attempt to solve housing problems especially for poor and low-income population in South Africa. The most recent policy has been the Comprehensive Housing Plan for the Development of Integrated Sustainable Human Settlements commonly known as the Breaking New Ground (BNG) housing plan of 2004. The aims of this paper are to present an overview and empirical analysis on research and emerging legitimisation of the participation of informal institutions in planning phase for housing development in rural areas. This paper analyses public participatory processes in the planning phase of rural housing project(s) in Jozini Municipality in KwaZulu-Natal. Since the establishment of a fully-fledged local government institutions and the promulgation of the BNG in 2004, inhabitants have experienced materialisation of new housing opportunities for community members. These opportunities created during the planning phase which results to community members benefiting in housing development excludes the poor in the process of self-help subsidy administration and housing allocation. Grounded on the works of Foucauldian scholars especially the ‘discourse of power’ in participation, the paper argues that the local community members not only embody the local knowledge to be accessed, but their participation presents an important entry point to the political decision-making needed for collecting differing viewpoints and interests but also for initiating the negotiations needed that would lead to coordination, if not cooperation for housing development. We propose that participatory processes that are beneficiary to the poor are best understood when traced over time as a dynamic response to a constantly unfolding-project related intervention.
Introduction: Public sector institutions must utilize public policies effectively to deliver essential programs and services designed to tackle pressing community issues. The pervasive housing shortages have created significant distress surrounding asset acquisition, housing finance, property dynamics, affordable housing, and community development.Methodology: Adopting a qualitative methodology, the paper using the systematic review rigorously analysed the contributions of social actors in fostering sustainable communities and elevating the living standards of residents. The PRISMA assisted in identifying sources that can be included or excluded in the study for relevance, credibility, and methodological rigor. This diligent search encompassed literature published between 2005 and 2024, using academic databases, including EBSCO, SCOPUS, Google Scholar, Web of Science, ProQuest, Springer, and Science Direct. Furthermore, the inclusion of grey literature and registry sources enriched the inquiry with diverse conceptual perspectives.Results: A total of 113 records emerged 80 from databases, 20 from registers, and 13 from additional sources like manual searches and unpublished materials. Leveraging social identity theory highlights the importance of individual identification with collective groups that share common interests. The findings unequivocally indicate that robust mechanisms are necessary to allow individuals in need of housing to align themselves with policy concerned groups devoted to building sustainable cities and enriching citizens’ quality of life.Discussion: This paper decisively assesses the critical role of social actors in constructing sustainable cities that aim to enhance the quality of life for marginalized communities. Active participation in public policy processes is not just beneficial but essential for these community members, enabling them to secure improvements that would be unattainable without their engaged involvement. The paper strongly recommends that social actors engaged in housing challenges take the initiative to advocate for legislative changes that unequivocally benefit their constituents with shared goals.