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#Opinion: The longest walk to freedom: from the perspective of the homeless

26 April 2023 | Story Kelebogile Boleu and Jean-Paul Pophaim | Photo Supplied

Jean-Paul Pophiam and Kelebogile Oliver — Kelebogile Boleu and Jean-Paul Pophaim, lecturers at the Department of Criminology, University of the Free State and Governing board members at Kidz Care Trust

Opinion article by Kelebogile Boleu and Jean-Paul Pophaim, Lecturers at the Department of Criminology, University of the Free State and Governing board members at Kidz Care Trust.

Freedom Day commemorates the first democratic elections held in post-apartheid South Africa on 27 April 1994. This day reminds us of the immeasurable sacrifices made by individuals and groups to help break the chains of unjust segregation and bring about the promotion of equality, fairness and basic human rights for all South Africans. This day not only marks our emancipation as South Africans, but reminds us of the constitutional promise of peace, hope and a brighter tomorrow for everyone. Over the past few years, many South Africans have begun to question this monumental rise to freedom, with all of the challenges we have been facing as a country – having one of the highest youth unemployment rates globally, social challenges associated with housing, education and the lack of access to basic needs such as food, electricity and water. We are 28 years into democracy and some individuals have yet to experience freedom and enjoy their basic human rights to the fullest. A prime example of this would be our country’s homeless population. Forced to exist in the most marginal and rundown conditions, the homeless are often treated as second-class citizens, criminalised, ostracised and deprived of their most basic human rights on a daily basis.

The fallacy of freedom for the homeless

At the dawn of democracy, it was assumed that freedom and human rights for all would be an automatic process. However, this remains untrue in the lives of the marginalised and destitute. The homeless face many barriers in society regarding access to their basic human rights and services to acknowledge and support a life of dignity, equality and respect. Based on a devalued social status and the stigma attached to life on the street, many homeless people are forced to exist in spaces devoid of their innate right to freedom as alluded to in a previous publication . The homeless face immense challenges when seeking assistance from SA Police Service officials when they attempt to make use of healthcare services and other social service sectors. The discomfort they create for other members of society is inhumanely vocalised and enforced in various ‘public spaces’ – where their unwelcome presence is solidified by the treatment they are subjected to. Street-living youth are deprived of their childhoods, bearing the challenges of a broken society – unable to enjoy their youth, attend school, play with friends and realise their potential to be the leaders of tomorrow.

When we see children begging on the street, we often ask ourselves – where are their parents and why are they not in school? Or we simply assume they are naughty or deviant and probably do not know the value and importance of education. The majority of the broader society are quick to judge and hardly ever go a step further to consider the ‘bigger picture’. The reality is that most of these children have no adult figure or support system in place and as a result often turn to unconventional survival strategies which include various petty crimes and sex work just to secure a meal. The last thing on their minds is going to school and even if they find a school that is willing to accept them, many do not have the necessary documentation required at admission (birth certificates amongst others). Although we do have a few good policies in place for children, the situation for street-living youth remains bleak – as many of them do not fit the narrative of a school-going child and as a result face severe cases of marginalisation, discrimination, bullying and unfair treatment by peers and educators alike. Despite these challenges, organisations such as Kidz Care Trust (KCT) remain committed to continue advocating for the rights of the child.

Efforts by Civil Organisations

Civil organisations in South Africa have always played an instrumental role in righting the wrongs of our unequal society. Many organisations continue to pick up the slack and assist in creating a more dignified life, one that is aligned with the premise of our democratic Constitution. To draw focus to our involvement and affiliation with KCT, since its establishment, the trust has been responsible for rendering life-changing services to children living and working on the street with the purpose of reuniting them with their families and communities. Due to the ongoing violation of children’s rights and freedom, KCT focuses on restoring hope where there is hopelessness, distrust and disrespect by a sometimes, unforgiving society confronted with children living and surviving on the street.

To raise awareness and promote the fight for equal rights and absolute freedom for all street-living youth and adults, we thought it would be fitting to share some of the most heart-warming success stories achieved by the trust to date. Currently one of the boys at KCT is completing his matric, another has been placed in a high school and several others are enrolled at a nearby primary school – with one grade 7 pupil achieving perfect and high scores for his assessments – proving once again that anything is possible with a bit of support. For the purposes of the next story, an alias has been used to protect the identity of the individual involved:

A young man fighting for his right to be a responsible and contributing citizen

Tristan’s story is one filled with hardships and challenges that stretch far beyond the imagination of the average South African citizen. Through hard work, sheer willpower and the determination to succeed – Tristan managed to overcome the adversity that started at the age of just three, when he was abandoned by his family.

Tristan was placed into foster care, only for his foster parent to pass away and he ended up in the tentative care of an elderly neighbour. Tristan knew that he did not have much time to live with the neighbour and decided to move to the street at the age of 10. This is where he crossed paths with KCT. Tristan was part of a group of street children who begged at the traffic lights near Mimosa Mall in Bloemfontein during peak times. While he found refuge with this group of children, he started sniffing glue and smoking cannabis (dagga). He battled the cold, faced starvation and violent attacks while on the street. Tristan moved into the KCT Child and Youth Care Centre when he was 12 years old, initially struggling to adapt to the rules and routines of the centre. As a result, he got into a lot of altercations with other boys at the centre. His issues with substances (glue and cannabis) and claiming that he felt like a failure due to his challenges at school, led to him running away from the centre a number of times. The children’s court then ordered Tristan to attend Jimmie Roos School. As things started to improve, he turned 18 and the system no longer had room for him. He couldn’t find employment and decided to move in with a friend in a township which was when he was revisited by his previous challenges with substance abuse. Eventually, unable to cope, he contacted KCT and they decided to include him in their youth programme – where he was taught cooking, gardening, cleaning and work etiquette skills. After acquiring his identity document, Tristan was enrolled for an in-service training programme at Kopano Nokeng Conference Centre. The person who assisted him was so impressed by his performance and ambition to succeed that Tristan was later offered part-time employment as a waiter and to assist with organising events. Today, Tristan has full-time employment as a caretaker and also takes care of his 93-year-old grandfather.

This is one of many stories KCT can share with pride – showing that a rough start does not always mean a rough ending. On days such as this it is important to reflect on the struggles that led to the celebration of Freedom Day and to remember what freedom truly means and that it should be a reality for all.

“Be kind, for everyone you meet is fighting a battle you know nothing about” ~ Wendy Mass.

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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