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19 June 2024 | Story André Damons | Photo Suplied
Quality of Life and Wellbeing Book Launch 2024
Prof Vasu Reddy, Deputy Vice-Chancellor: Research and Internationalisation (second from the left), was the lead editor with Profs Narnia Bohler-Muller and Prof Zitha Mokomane (left). With them is Dr Derek Davids (right), research director in the HSRC's Developmental, Capable and Ethical State research division and an advisory member at the Department of Applied Legal Studies at Cape Peninsula University of Technology.

The Human Sciences Research Council Press (HSRC Press) launched its latest book in the flagship publication State of the Nation series, titled Quality of Life and Wellbeing at the University of the Free State (UFS).

The launch took place on Thursday, 13 June in the Equitas Auditorium on the Bloemfontein Campus. Prof Vasu Reddy, Deputy Vice-Chancellor: Research and Internationalisation of the UFS, was the lead editor, with Profs Narnia Bohler-Muller, divisional executive in the HSRC’s Developmental, Capable and Ethical State research division; and acting Group Executive; Zitha Mokomane, a professor in the Department of Sociology at the University of Pretoria; and Prof Crain Soudien, Chief Executive Officer of the HSRC. Prof Soudien was not at the launch.

The discussion was facilitated by Dr Molapo Qhobela, Deputy Vice-Chancellor: Institutional Change, Strategic Partnerships and Societal Impact.

Celebrating its 20th year of existence, the State of the Nation volume, one of the HSRC’s flagship publications, serves as an invaluable, independent scholarly resource offering insights into the current state of South Africa. The 2024 edition explores themes such as the environment, quality of life and wellbeing, an open economy, mental health, the arts, human security, gender and wellbeing, vaccinations, wellbeing and happiness, and inequality in South Africa.

The state in which the nation finds itself 

In his welcome remarks, the Vice-Chancellor and Principal, Prof Francis Petersen, said two decades ago when the State of the Nation series began, South Africa was attempting to come to terms with the complex legacies of colonialism and apartheid and was contending with the post-apartheid reconstruction, development and reconciliation.

“I think there was a sense of optimism during that time for the future and a collective sense that the country’s challenges, however deep and multifaceted, those challenges were and are, could be overcome in time.

“Two decades later South Africa finds itself at a political watershed and having to deal with many of the same challenges as from 2004, such as economic inequality, social justice and effective government,” said Prof Petersen.

According to him, it is welcome to note that this volume brings to the fore new, fresh and relevant directions that address issues relating to quality of life and notions of wellbeing. Key questions that are inferred and that underpin much of the scholarship on offer, said Prof Petersen, is what is the state? Where is the state? Where does the state begin and where does it end?

“The editors offer compelling analyses that it is in the complex act of making lives of individuals acting in their own interest and the government articulating an agenda for the nation that we are able to discern the outlines of the state in which the nation finds itself.”

The scope and drivers

Prof Reddy, in his short introductory remarks, provided descriptive comments and focused on the background, the concept, the process, and some of the scope and drivers informing the text and context shaping the volume.

The latest book which took two-and-half years to produce, has two predecessor volumes published in the 2019 and 2021 respectively, with poverty and inequality and an ethics of care being a strong thematic.

“What is the importance of the scope of the volume and what makes the book unique. With this volume, thematising quality of life and wellbeing, we have seen some very interesting work being developed in the country. This particular volume is the first fully dedicated edition in the State of the Nation series dealing with this issue. We felt it was timely, we felt that this issue of Quality of Life and Wellbeing that were kind of completely interrelated,” said Prof Reddy.

According to him, some of the drivers that shaped this volume included the spectre of poverty and inequality which is an underlying implicit theme. Their implication for human wellbeing and human conditions in several different ways remains key.

Prof Reddy said the book is divided into four parts that deal with quality of life, politics and the state; economics; society, culture, identity and the public good; and looking at South Africa and beyond, including issues such as human security, gender and peace.

“The big issue with the volume’s theorical and conceptual framework is about building theory as well as much as it is also about dealing with the empirical and material realities facing citizens. The volume is predicated on quality of life and wellbeing, asking whether standards of living and styles of living lead us to a good life. And the questions we pose include: What is a good life? What are the attributes and elements of such a life? What are the conditions that need to be met to meaningfully improve quality of life and wellbeing?”

Environmental wellbeing

Talking about her chapter which addresses environmental and human health, Prof Narnia Bohler-Muller stated that the constitution was the starting point as what is embedded in the constitution is the recognition of the importance of wellbeing although the word is seldom used in the constitution.

“The first time ‘wellbeing’ is used is in Section 24 which deals with environmental rights. We thought this is a complex intersection – law, human rights, constitutionalism, health and wellbeing, and quality of life, so let’s explore it.

“We all know that the environment is extremely important. We cannot live without it. We are in a massive crisis in the world when it comes to the environment and climate change. There is an intersectionality between environment, climate, health, and wellbeing. Other issues also include clean water and the risk of extreme weather events as a result of climate change.”

Dissatisfied by the status quo in Soutth Africa

Prof Mokomane said two questions drove her co-authored chapter titled Quality of Life and political support in SA – resilient nation. The first question is: Do peoples’ perception of quality of governance influence their quality of life? And the second question was: Which aspects of government quality signify as important contributors to quality of life?

“This chapter reaffirms the notion that was held by many that the general public has become increasing dissatisfied by the status quo in South Africa over the past decade. We concluded that the political and economic crises of the past decade have perhaps begun to create a scenario in which personal fear is gaining traction over the hope that South Africans are known for.

“The overall conclusion is that for many South Africans resilience has been displaced by resignation which has introduced the risk of further disability and fragility in the country in the future.”

Profs Hussein Solomon from the Centre for Gender and African Studies and Philippe Burger, Dean of the Faculty of Economic and Management Sciences, were respondents to the text. 

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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