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23 November 2021 | Story Gcina Mtengwane | Photo Supplied
Gcina Mtengwane is a lecturer in the community development programme at the University of the Free State, QwaQwa Campus. He believes democracy is more than just voting. It is the expansion of self-determination opportunities.

Opinion article by Mr Gcina Mtengwane, Lecturer: Community Development Programme, University of the Free State.


Voter apathy has been diagnosed as part of the reason for the low voter turnout in the 2021 local government elections. The turnout was the lowest since democracy the dawn of democracy, with only about 12 million (46%) of about 26 million registered voters casting ballots. Apathy among voters in representative democracies is defined as a lack of interest in voting. Some choose to view this apathy as a threat to South Africa’s democracy. But it may not be the case, as some would like to put it. Instead, it may reflect the evolution of South Africa’s democracy and the expansion of choices available to South Africans outside of the voting principle commonly used to define democracy.

While I am inclined to agree with the view that this voter apathy has some messaging on the state of South Africa’s democracy, I argue that it is only a small part of the big picture. Democracy is, among many other things, the freedom to make choices. One of the permissible choices is the right not to vote. Defining the success or failure of democracy by voting is quite restricting and problematic   at least for me.

Local government is about addressing challenges in daily live

Local government is mainly about addressing issues and challenges in our daily lives. It does not require much of an overly ideological stance. Put simply, a community member at an informal settlement or village does not need to know the works of Marx, Fanon, and Biko to know that she or he does not have a road, potable water, or ablution facilities. It takes building materials, not political slogans or party ideology to build a house for those without houses or to provide food for the hungry.

What is more interesting has been the activism of young people outside the banner of political parties. Young people are engaged in issues that affect them in their daily lives. They are also engaged in lending a helping hand to others. They are doing this outside of formal party politics. The writings of Adam Prezowski (2003) identify ‘autonomy’ as the ability to participate in the making of collective decisions, which is a paltry notion of freedom. Prezowski asks whether democrats should value the freedom to choose. He further asks whether people value facing distinct choices when they make collective decisions. In the absence of concrete answers to these questions, Prezowski comments that “true” democrats must be prepared that their preferences might not be realised as the outcome of the collective choice. When many people cannot vote for what they most desire, democracy suffers. The low voter turnout may indicate that none of the political parties offered what most South Africans desire, hence they see no impetus to vote. 

Democracy is more than just voting

Democracy is about the expansion of opportunities and choices. Choosing not to vote does not necessarily reflect badly on our democracy. Instead, it speaks positively on the freedom of citizens to choose other arenas through which to have their issues heard. It is the freedom to decide on the relevance or lack thereof of the formal party-political system. The choice not to part take in party politics has allowed young people such as Lonalinamandla Bawuti, who responded to the plight of a young boy from the Eastern Cape living with his grandmother who needed support to go to initiation school. Bawuti appealed for assistance from South Africans to get the youngster to initiation school. 

It is the freedom of a group of businesspeople putting money together to create boreholes for a community without access to potable water. It is Nasizo Mndende,  a young social work graduate in the Eastern Cape seeing the plight of young rural girls and starting an NGO to educate on sexual and reproductive health rights. It is young people creating crowdfunding for students in need of university registration fees and for students wanting to go to university.

It is many others doing what they can with what they have and their influence contributing to change in communities.
The point I am making is that democracy is more than just voting. It is the expansion of self-determination opportunities. Low voter turnout may not be such a disastrous thing after all. This is because a lot of young people are contributing to making a better South Africa outside of the confines of political party membership.

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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