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10 December 2020 | Story Gcina Mtengwane and Andiswa Khumalo | Photo Scott sa ha Molefe (Scott Photography)
Gcina Mtengwane and Andiswa Khumalo
Gcina Mtengwane and Andiswa Khumalo believe economic vulnerability of women is a cause and a propellant of gender-based violence.

Gender-based violence can be understood as violence that is perpetuated as a result of normative role expectations associated with gender, power, and culture. It takes different forms. The most common forms are physical, emotional, psychological, verbal, domestic and socio-economic violence, to mention a few.

It is a profound, widespread, and pressing matter in South Africa and beyond its borders. In its entirety, gender-based violence is a threat to the economy, society, and humanity, as it creates emotional, social, and economic unrest that prohibits the growth and success of individuals, families, communities, and society as a whole. More than 30% of women in South Africa suffer from gender-based violence in the form of harassment, rape, femicide or domestic violence. Although women and young girls are the worst affected by gender-based violence, the term and act apply to both genders, including men and young boys.

Economic vulnerability of women

Notwithstanding the fact that gender-based violence happens to both genders, it is worth noting that women are the worst affected. There is a myriad of reasons for this. This article puts its focus on the economic vulnerability of women as both a cause and a propellant of gender-based violence. What we argue here is that there are structural socio-economic differentials that create and perpetuate the vulnerability of women to gender-based violence. We further posit that unless these vulnerabilities are addressed, gender-based violence will be a persistent problem for generations to come.

Our starting point is that women in South Africa generally have a higher unemployment rate than men. Additional to this, women struggle to ascertain livelihoods outside employment. This means that even in cases where women are employed, they will earn less than men. Furthermore, women also struggle to succeed in entrepreneurship. This can be associated with the ‘unpaid normative duties’ of child-rearing and household maintenance. This makes them vulnerable to abuse, as they cannot exercise their independent social and economic existence outside the confines and control of the male partner. It is worth noting that black African women are the most vulnerable, with an unemployment rate of more than 30%.

More worrying is that more than four out of every ten young females (15-34) are not in employment, education, or training (NEET). This further exacerbates the vulnerability context across all ages. Females consistently record a higher headcount; however, they remain behind in social, political, economic, and cultural matters. To amplify this, Statistics SA (2020) reports that 39,2% of female-headed households in South Africa do not have an employed member of the household.

Another point of concern is that there is a ‘social class and income link’ associated with gender-based violence. Gender-based violence is more prevalent among less-educated women than those with secondary education or higher. Additional to this, wealth/income is a key factor in the prevalence of gender-based violence. To that end, Statistics SA (2020) reported that the prevalence of physical and sexual violence decreased with the wealth quintile. In other words, the higher the wealth/income, the lower the prevalence of gender-based violence.

Overcoming economic vulnerability

Over and above all of this, the bigger question is, ‘how do we overcome the economic vulnerability that subjects poor women to gender-based violence?’ Here are a few contemplations:
1) Empowerment of women and economic justice. It may be good to take more deliberate and decisive action to capacitate women to a point where they are able to support their own livelihoods outside of economic dependence on a male.
2) Unlearning the outdated gender roles. Research suggests that more and more women are exiting the ‘nurturing and child-rearing’ role. This is because of the rising cost of living. Technology has made paid work less labour intensive. This then eliminates physical traits as a requirement for high-paying employment opportunities.
3) Socio-cultural re-engineering. This speaks to unlearning outdated cultural norms and dictates. While noting that every society, ethnic group, and culture has gender role expectations, these can also change over time. Perhaps now is the time for those expectations to change. If its existence is tantamount to abuse and even death, then certainly we need to unlearn the toxic and outdated and learn the forward-looking and solidarity-inducing doctrine.
4) Women as spearheads in women’s issues to inform legislation, policy, and practice. As the adage goes, ‘one is the master of your own condition’. This means that a person’s awareness of her/his condition allows them to be better suited to make the best inputs to liberate herself and those in like conditions.  

A lot more than what we suggest can be done to uplift women from the economic vulnerability that subjects them to gender-based violence in the household and elsewhere. We do not hold a monopoly on gender-based violence and the solutions therein. Our only hope is to spark a conversation that will contribute to feasible real-life solutions to one of our biggest and far-reaching challenges as a nation – gender-based violence and its socio-economic roots.

News Archive

Higher than expected prevalence of dementia in South African urban black population
2010-09-22

 Prof. Malan Heyns and Mr Rikus van der Poel

Pilot research done by University of the Free State (UFS) indicates that the prevalence of dementia, of which Alzheimer’s disease is only one of the causes, is considerably higher than initially estimated. Clinical tests are now underway to confirm these preliminary findings.

To date it has been incorrectly assumed that dementia is less prevalent among urban black communities. This assumption is strongly disputed by the findings of the current study, which indicates a preliminary prevalence rate of approximately 6% for adults aged 65 years and older in this population group. Previous estimates for Southern Africa have been set at around 2,1%.

The research by the Unit for Professional Training and Services in the Behavioural Sciences (UNIBS) at the UFS and Alzheimer’s South Africa is part of the International 10/66 Dementia Research Group’s (10/66 DRG) initiative to establish the prevalence of dementia worldwide.

Mr Rikus van der Poel, coordinator of the local study, and Prof. Malan Heyns, Principal Investigator, say worldwide 66% of people with dementia live in low and middle income countries. It is expected that it will rise to more than 70% by 2040, and the socio-economic impact of dementia will increase accordingly within this period. 21 September marks World Alzheimer’s Day, and this year the focus is on the global economic impact of dementia. Currently, the world wide cost of dementia exceeds 1% of the total global GDP. If the global cost associated with dementia care was a company, it would be larger than Exxon-Mobil or Wal-Mart.

The researchers also say that of great concern is the fact that South Africa’s public healthcare system is essentially geared toward addressing primary healthcare needs, such as HIV/Aids and tuberculosis. The adult prevalence rate of HIV was 18,1% in 2007. According to UNAIDS figures more than 5,7 million people in South Africa are living with HIV/Aids, with an estimated annual mortality of 300 000. In many instances the deceased are young parents, with the result that the burden of childcare falls back on the elderly, and in many cases elderly grandparents suffering from dementia are left without children to take care of them. “These are but a few reasons that highlight the need for advocacy and awareness regarding dementia and care giving in a growing and increasingly urbanized population,” they say.

Low and middle income countries often lack epidemiological data to provide representative estimates of the regional prevalence of dementia. In general, epidemiological studies are challenging and expensive, especially in multi-cultural environments where the application of research protocols relies heavily on accurate language translations and successfully negotiated community access. Despite these challenges, the local researchers are keen to support advocacy and have joined the international effort to establish the prevalence of dementia through the 10/66 DRG.

The 10/66 DRG is a collective of researchers carrying out population-based research into dementia, non-communicable diseases and ageing in low and middle income countries. 10/66 refers to the two-thirds (66%) of people with dementia living in low and middle income countries, and the 10% or less of population-based research that has been carried out in those regions.

Since its inception in 1998, the 10/66 DRG has conducted population based surveys in 14 catchment areas in ten low and middle income countries, with a specific focus on the prevalence and impact of dementia. South Africa is one of seven LAMICs (low and medium income countries) where new studies have been conducted recently, the others being Puerto Rico, Peru, Mexico, Argentina, China and India.

Mr Van der Poel says participating researchers endeavour to conduct cross-sectional, comprehensive, one-phase surveys of all residents aged 65 and older within a geographically defined area. All centres share the same core minimum dataset with cross-culturally validated assessments (dementia diagnosis and subtypes, mental disorders, physical health, anthropometry, demographics, extensive non-communicable risk factor questionnaires, disability/functioning, health service utilization and caregiver strain).

The local pilot study, funded by Alzheimer’s South Africa, was rolled out through an existing community partnership, the Mangaung University of the Free State Community Partnership Programme (MUCPP).

According to Mr Van der Poel and Prof. Heyns, valuable insights have been gained into the myriad factors at play in establishing an epidemiological research project. The local community has responded positively and the pilot phase in and of itself has managed to promote awareness of the condition. The study has also managed to identify traditional and culture-specific views of dementia and dementia care. In addition, existing community-based networks are being strengthened, since part of the protocol will include the training and development of family caregivers within the local community in Mangaung.

“Like most developing economies, the South African population will experience continued urbanization during the next two decades, along with increased life expectancy. Community-based and residential care facilities for dementia are few and far between and government spending will in all probability continue to address the high demands associated with primary healthcare needs. These are only some of the reasons why epidemiological and related research is an important tool for assisting lobbyists, advocates and policymakers in promoting better care for those affected by dementia.”

Media Release
Issued by: Mangaliso Radebe
Assistant Director: Media Liaison
Tel: 051 401 2828
Cell: 078 460 3320
E-mail: radebemt@ufs.ac.za  
21 September 2010

 

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