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19 March 2020 | Story Opinion article by Prof Hussein Solomon | Photo Supplied
Hussein Soloman
Prof Hussein Solomon, Senior Professor: Political Studies and Goverance

The world celebrated International Women’s Day on 8th March 2020. Such symbolic days, however, seem to have little effect on the actual status of women in the world as a recent United Nations report notes. Despite strides towards greater gender equality, the world body notes there is not a single country which has achieved gender equality. Moreover, 90 percent of men and women hold some bias against females. The statistics are alarming: 50 percent of men thought they had more rights to a job than women, and a third of respondents in 75 countries felt it was acceptable for men to hit women. In China, 55 percent of respondents felt that men make better political figures. Even in what used to be regarded as the bastion of liberal democracy, the USA, 39 percent agreed with the statement that men make better political leaders than women.

Participation of women in the labour force

Disappointing as these figures are, there is hope if one considers how patriarchy is being overcome in the Middle East North Africa (MENA) region. It is here where patriarchy first developed between 3100 B.C and 600 B.C. It is also the region which has experienced the least gender progress in the world. The figures are incontrovertible. Given the widely held view that women belong in the domestic sphere focusing on keeping house and child-rearing, there are low rates of participation of women in the labour force. Only 24 percent of women in the MENA region are employed, whilst the figure for their male counterparts is 77 percent.  Moreover, according to a report of the International Labour Organization, young women with higher education have a slim chance of entering employment than their less-educated male counterparts. This has negative consequences for the household economy and the economy at large, and it perpetuates greater dependence male family members (husbands, fathers, brothers) -patriarchy, built as it is on vertical power relations, is further entrenched.

The absence of women in positions of power is glaring in the MENA region, as is their absence in governance which is made possible by patriarchal attitudes.  According to the Arab Barometer the majority of respondents believe in limiting the role of women in society. Within the home, 60 percent believe that the husband should be the final decision maker in matters impacting the family. Moreover, only a third of the Arab public believe that women are as effective as men in public leadership roles.

Resisting marginalisation

Whilst the marginalization and oppression of women is a sad truism of MENA countries, this should not be the norm. Patriarchy was constructed and can be deconstructed. The challenge for feminists then is to actively resist their marginalization in conjunction with other progressive players and to utilize the tectonic changes underway in the Middle East – from the penetration of the internet, to making common cause with progressive forces in society to open up the democratic space. Democratic space in this sense does not only mean the fight for the ballot but also emancipation in every sense – including freedom from patriarchy. There is reason to believe that some of this is beginning to happen in the region.  Consider, for instance, how Morocco’s rural women in an effort to access land from conservative tribal authorities, formed action committees called Sulaliyyates. These challenged tribal authorities and women’s subordination in the family and the work place.

There is reason to believe that women’s experiences in mobilizing against authoritarian regimes in the region have resulted in a new consciousness on their part. They see the connection between their own oppression and the need for emancipation of the broader society. When women took to the streets against Al-Bashir in Sudan it was their awareness of how fuel shortages and inflation brought on by corrupt and inefficient governance were increasing household food security. Following the July 2019 agreement between the military junta and the alliance of opposition parties, there was an effort to force women back into the home to play their “traditional” roles. However, women have remained politically engaged and mobilised – decrying everything from the persistence of sexual harassment to demanding the prosecutions of those involved in wrong-doing from the Bashir era.

Social justice and gender equality

Women activists are also pushing back on the streets of Tehran, Ankara and Algiers. In Tehran, women’s’ grassroot movements are calling on Islamic Republic to fulfil their promises of social justice and gender equality. Their resistance to patriarchy has taken the form of disobedience, refusal, and subversion. Initially their activism sought to reform the rule of the mullahs within the prevailing system spurred on by a reformist president – President Khatami - who demonstrated greater receptivity to gender equality. In the past two years women’s groups in Iran increasingly called for the end of Iran’s post-1979 system of governance as they view such theocracy as antithetical to the cause of gender emancipation. In Ankara, feminists have taken on domestic violence by forming the Purple Roof Women’s Shelter Foundation in an effort to collectively fight abuse in the family.

Meanwhile, in Algiers, women have been at the forefront of the protest movement against the establishment or what Algerians term a “Le Pouvoir” – the cabal of generals, businessmen and politicians of the ruling party which govern this North African country. For 19-year old Miriam Saoud, it was seeing the back of this political elite that impoverished ordinary Algerians through their corrupt practices. For 22-year old political science student Amina Djouadi, it was about real political representation for male and female citizens. Whilst the presence of this younger generation of women makes sense given the fact that half of Algeria’s population is below thirty years of age, who bear the brunt of unemployment - older women have also been on the Algerian streets. Elderly Nissa Imad was also on the streets protesting. All five of her children are unemployed. Explaining her presence against the barricades she defiantly states, “I am here for the young, for our kids. There’s nothing for the young generations. No jobs and no houses. They can’t get married. We want this whole system to go”. It is clear from the narratives of these women that they see the connection between their daily lived experiences of disempowerment and marginalization, and the broader structural causes, and therefore are actively seeking the end of the patriarchal and oppressive political and economic order.

Changing attitudes

Despite the MENA region having the largest gender gap of all regions in the world, there is hope too. Attitudes are changing and becoming less patriarchal - the Arab Barometer starkly demonstrates this, where 75 percent in the MENA region support women’s access to tertiary education, 84 percent believe that women should be allowed to work in the labour force, whilst 62 percent believe that women should be allowed into political office. What accounts for these progressive attitudes? First, there seems to be a generational divide with younger people (which comprise the majority in the MENA region) holding less patriarchal views. Second, with access to tertiary education, those holding post-secondary qualifications are less discriminatory in their attitudes than those without post-school qualifications. The momentum for a post-patriarchal MENA region is therefore increasing.

This article was written by Prof Hussein Solomon, Senior Professor: Political Studies and Goverance 

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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