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10 August 2023 | Story Prof Brownhilder Neneh | Photo Supplied
Prof Brownhilder Neneh
Prof Brownhilder Neneh is Head of the Department of Business Management at the University of the Free State (UFS).

Opinion article by Prof Brownhilder Neneh, Head of Department: Business Management, University of the Free State.

In an era characterised by many challenges and opportunities, the theme ‘Accelerating Socio-Economic Opportunities for Women’s Empowerment’ for this year's Women's Month resonates deeply. Women's socio-economic rights include the right to access economic opportunities, health care, education, and freedom from abuse and discrimination. As South Africa has committed to the globally agreed sustainable development goals, which include the furtherance of gender equality by 2030, it is crucial to prioritise the empowerment of women, recognising that their growth is the cornerstone of societal advancement. The quest for women’s empowerment is not just a mere campaign, but rather a transformative movement that has the power to reshape the world into a more equitable and inclusive place. The theme of this year's Women's Month celebration provides an opportunity to reflect on the imminent challenges facing women and find potential solutions to boost their resilience and position them to take advantage of available socio-economic opportunities.

Historically, South Africa has experienced significant challenges in achieving gender equality. Although commendable strides have been made by the increasing number of women who hold seats at the national, provincial, and local levels of government and the private sector (women hold 26,5% of the top positions and 37,2% of senior management positions, respectively), the gender gap is far from being bridged. Also, the reality of unemployment among women – estimated at 80,6% – paints a stark picture of untapped potential and unrealised aspirations in values of inclusivity and striving for progress, particularly among women in vulnerable communities grappling with limited employment opportunities. Women have consistently had a higher long-term unemployment rate than the national average. This is important, because it is not only the women who are impacted by unemployment; it reverberates across families, communities, and the country’s growth trajectory is also affected.

Bias against women

Moreso, the COVID-19 pandemic has exposed the already-present inequalities South African women confront, aggravating socio-economic challenges and jeopardising progress made towards gender equality. Industries with a significant female representation, such as hospitality, retail, and domestic service, are frequently the first to feel the effects of economic downturns, leaving women economically disempowered and economically marginalised. Rebuilding the economy with a strong emphasis on accelerating socio-economic opportunities for women is more important than ever.

Several factors stemming from a combination of unconscious bias, socio-cultural norms, gender-based violence and discrimination, systemic inequalities, work-life balance, gender pay gap, and inadequate access to education and skills development contribute to this unsettling reality. The 2023 Gender Social Norms Index from the United Nations, covering 85 countries, revealed that 9 out of 10 people of all genders have a bias against women. The report also pointed out that half of the people in 80 different countries believe that men are better political leaders, 40% believe that men are better corporate CEOs, and 25% believe that it is acceptable and justifiable to beat their wives. Data specific to South Africa indicates that 97,3% of people in the country have fundamental biases against women, especially on issues of intimate partner violence, political power, and economic power. These findings paint a picture of a lack of change and ingrained social and cultural norms that curtail women’s chances in the workforce, politics, business, and family settings. With this reality, we run the risk of delaying women’s socio-economic empowerment if the psychology of a male-dominated society is not dismantled. 

Women often struggle to strike a balance between their work and family responsibilities, which can hinder their career advancement. This is particularly worse for women in South Africa, where more than 40% of South African homes are headed by a single female breadwinner and 41,7% of children live with single mothers, which further increases and imposes the burden of childcare responsibilities. These women are stepping into roles traditionally dominated by men, breaking down barriers and proving that they are capable leaders, providers, and nurturers. Nationwide, the amount of unpaid care and domestic work performed by women continues to be three times greater than that of men. This is a harsh reality where women are the ones who suffer the most from extreme stress and exhaustion, hiding behind the façade of resilience and tenacity. This brunt of overwhelming stress and exhaustion is evident in the Deloitte report of May 2022, which revealed that 40% of South African women feel burned out, 51% stated that their stress levels were higher than a year ago, 43% reported poor or extremely poor mental health, while 40% anticipate leaving their current positions within the next two years, with 31% citing burnout. Worse still, the pervasive issue of gender-based violence (GBV) also contributes to burnout among women. The constant fear and anxiety that accompany the threat of violence impact their mental well-being and exacerbate stress levels.

Way forward

The UN report also highlighted a 39% pay difference between men and women, although women are more educated and skilled than ever before. In South Africa, the United Association of SA (UASA) reports that South Africa's median gender pay gap has remained stable between 23% and 35%. Women in South Africa make up to 35% less money than their male counterparts for doing work of equivalent worth, yet almost 38% of households rely on a woman's salary for survival. Even highly educated and qualified middle-class women, particularly those employed in the private sector, still experience the gender pay gap since the old boys' network continue to favour men.

In paving the way for women's empowerment, access to quality education and vocational training must prioritise women so that they have the relevant skills to secure long-term employment and financial independence. Education is a building block for accelerating socio-economic opportunities for women to navigate obstacles and pursue their goals. By actively encouraging girls and women to pursue careers in the fields of science, technology, engineering, and matFhematics (STEM), we can eliminate barriers and build a more inclusive and innovative workforce. Also, evidence suggests that promoting women's entrepreneurship can play a vital role in women’s empowerment, sustainable development, and the betterment of society. To achieve this, there must be deliberate efforts to break down barriers impeding women's entrepreneurship, such as access to finance, access to markets, and lack of support. Furthermore, the South African government should expand the zero-rating of VAT on goods and services that benefit households. Similarly, elements of affirmative action such as tax breaks for women-owned businesses, lower tax rates on property owned by women, higher tax thresholds for women, and tax discounts for childcare costs. 

Fight for women’s empowerment not women’s alone

In addition, the burden on working mothers can also be greatly reduced by investing in social support systems, such as affordable childcare and parental leave, allowing them to engage more fully in the labour market. Encouraging shared parental responsibilities is vital to creating a balanced and supportive environment for working parents. By acknowledging and addressing the unique challenges women face, they can build resilience by using the challenges they encounter as stepping-stones for personal growth. This will level the playing field and create a society where opportunities are accessible to all, regardless of gender. In addition, the public and private sectors can promote gender diversity at all levels and prioritise gender pay equity to create an equitable work environment.

Most importantly, the fight for women’s empowerment should not be left to women alone. Both men and women need to collaborate on this journey, as it can be instrumental in finding adequate solutions to bridge the gender equality gap, reduce GBV, and develop gender-sensitive policies. It is also important that those in positions of power should invest in evidence-based solutions for addressing gender issues using cutting-edge research techniques. 

Finally, reflecting on women's socio-economic challenges, here are some questions to ponder: (1) are we ready for generational equality; (2) what is our collective definition of gender equality, especially in the South African context; (3) are we crafting inclusive systems to foster women’s empowerment; and (4) how conscious are we of the gender-specific problems that limit women’s exploitation of socio-economic opportunities? As South Africa commits to accelerating women's empowerment, we must adopt a transformative mindset, viewing women’s empowerment as a shared responsibility and collective action. With the right supportive structures, women’s access to economic opportunities will improve and better position them to take the bold actions needed to foster the attainment of socio-economic goals. Now is the time to leave no one behind. We need to live in a society where every woman's dreams and aspirations can be realised. Together, let us pave the way towards a more equitable and prosperous South Africa for all.

News Archive

Heart diseases a time bomb in Africa, says UFS expert
2010-05-17

 Prof. Francis Smit

There are a lot of cardiac problems in Africa. Sub-Saharan Africa is home to the largest population of rheumatic heart disease patients in the world and therefore hosts the largest rheumatic heart valve population in the world. They are more than one million, compared to 33 000 in the whole of the industrialised world, says Prof. Francis Smit, Head of the Department of Cardiothoracic Surgery at the Faculty of Health Sciences at the University of the Free State (UFS).

He delivered an inaugural lecture on the topic Cardiothoracic Surgery: Complex simplicity, or simple complexity?

“We are also sitting on a time bomb of ischemic heart disease with the WHO (World Health Organisation) estimating that CAD (coronary artery disease) will become the number-one killer in our region by 2020. HIV/Aids is expected to go down to number 7.”

Very little is done about it. There is neither a clear nor coordinated programme to address this expected epidemic and CAD is regarded as an expensive disease, confined to Caucasians in the industrialised world. “We are ignoring alarming statistics about incidences of adult obesity, diabetes and endemic hypertension in our black population and a rising incidence of coronary artery interventions and incidents in our indigenous population,” Prof. Smit says.

Outside South Africa – with 44 units – very few units (about seven) perform low volumes of basic cardiac surgery. The South African units at all academic institutions are under severe threat and about 70% of cardiac procedures are performed in the private sector.

He says the main challenge in Africa has become sustainability, which needs to be addressed through education. Cardiothoracic surgery must become part of everyday surgery in Africa through alternative education programmes. That will make this specialty relevant at all levels of healthcare and it must be involved in resource allocation to medicine in general and cardiothoracic surgery specifically.

The African surgeon should make the maximum impact at the lowest possible cost to as many people in a society as possible. “Our training in fields like intensive care and insight into pulmonology, gastroenterology and cardiology give us the possibility of expanding our roles in African medicine. We must also remember that we are trained physicians as well.

“Should people die or suffer tremendously while we can train a group of surgical specialists or retraining general surgeons to expand our impact on cardiothoracic disease in Africa using available technology maybe more creatively? We have made great progress in establishing an African School for Cardiothoracic Surgery.”

Prof. Smit also highlighted the role of the annual Hannes Meyer National Registrar Symposium that culminated in having an eight-strong international panel sponsored by the ICC of EACTS to present a scientific course as well as advanced surgical techniques in conjunction with the Hannes Meyer Symposium in 2010.

Prof. Smit says South Africa is fast becoming the driving force in cardiothoracic surgery in Africa. South Africa is the only country that has the knowledge, technology and skills base to act as the springboard for the development of cardiothoracic surgery in Africa.

South Africa, however, is experiencing its own problems. Mortality has doubled in the years from 1997 to 2005 and half the population in the Free State dies between 40 to 44 years of age.

“If we do not need health professionals to determine the quality and quantity of service delivery to the population and do not want to involve them in this process, we can get rid of them, but then the political leaders making that decision must accept responsibility for the clinical outcomes and life expectancies of their fellow citizens.

“We surely cannot expect to impose the same medical legal principles on professionals working in unsafe hospitals and who have complained and made authorities aware of these conditions than upon those working in functional institutions. Either fixes the institutions or indemnifies medical personnel working in these conditions and defends the decision publicly.

“Why do I have to choose the three out of four patients that cannot have a lifesaving operation and will have to die on their own while the system pretends to deliver treatment to all?”

Prof. Smit says developing a service package with guidelines in the public domain will go a long way towards addressing this issue. It is also about time that we have to admit that things are simply not the same. Standards are deteriorating and training outcomes are or will be affected.

The people who make decisions that affect healthcare service delivery and outcomes, the quality of training platforms and research, in a word, the future of South African medicine, firstly need rules and boundaries. He also suggested that maybe the government should develop health policy in the public domain and then outsource healthcare delivery to people who can actually deliver including thousands of experts employed but ignored by the State at present.

“It is time that we all have to accept our responsibilities at all levels… and act decisively on matters that will determine the quality and quantity of medical care for this and future generations in South Africa and Africa. Time is running out,” Prof. Smit says.
 

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