Since December 2019, the world population has been battling with the SARS-CoV-2 disease (COVID-2019) pandemic. The pandemic has continued to impact negatively on people’s livelihoods and also on student’s education. This qualitative study established from students in a previously disadvantaged university, their challenges and needs pursuant to the COVID-19 nationwide lockdown in South Africa. A total of 312 (male = 141; female = 171) registered students were conveniently sampled and completed an online survey questionnaire. Thematically analysed data revealed that student education and health have been impacted since the COVID-19 nationwide lockdown. Participants went on to recommend several measures which, if implemented, could improve their well-being and access to education. Study findings imply that students from previously disadvantaged universities, who in their majority are from impoverished rural communities, have been struggling to access remote learning due to amongst others, the lack of information and communication technology (ICT) devices and network connectivity problems. It, therefore, requires rural-based universities to work together with the government and the private sector and join hands in addressing student challenges and needs during the on-going lockdown in the country. This would be one way of ensuring that in spite of students’ socioeconomic status, cultural location or background, their right to education is protected.
The African notion of botho appears to have attracted a lot of attention and research efforts in various fields of study. It is presented as a positive concept that is associated with the good side of human beings. In this article, we have adopted an Afrocentric position to analyse the philosophical construct of ‘botho’ as lived and practised in communities that we grew up in. We acknowledge our historical and cultural locatedness in these communities and recognise that this positionality has influenced the way we have engaged with our subject matter. We have interrogated the concept of botho and have identified what we consider as its four key elements. These are African spirituality, botho as personhood, botho and interconnectedness, and botho and communalism. Through a critical discussion of these key elements, we have tried to demonstrate that botho is essentially a valid human experience that forms the bedrock of African psychology. We conclude by suggesting that botho and other themes that constitute the field of African psychology need to be acknowledged, embraced, and mobilised as foundational building blocks in the production of knowledge that is centred on and in Africa.
The burden of hypertension is reported to be on the rise in developing countries, such as South Africa, despite increased efforts to address it. Using a cross-sectional study design, we assessed and compared the prevalence of and risk factors associated with hypertension amongst adults aged ≥18 years in semi-urban and rural communities (1187 semi-urban and 1106 rural). Trained community health workers administered the INTERHEART Risk Score tool and performed blood pressure assessments using the MEDIC Pharmacists Choice Blood Pressure Monitor. Hypertension was defined to be a systolic blood pressure (BP) ≥ 140 mmHg and diastolic BP ≥ 90 mmHg. A multivariate logistic regression model was used to identify factors and determine their relationship with hypertension. The prevalence of hypertension amongst semi-urban and rural communities was 21% with no gender difference. In the semi-urban area, physical activity, family history, fruit intake, salty food, and eating meat were significantly associated with the odds of hypertension among women, whereas only the waist-to-hip ratio (WHR), diabetic status, and salty food were the predictors for rural women. Factors such as fried food and low fruit intake were significantly associated with the odds of hypertension among men in the semi-urban area, whereas only the WHR was significant among men in the rural area. Hypertension was found to be prevalent among semi-urban and rural adults in Limpopo Province, South Africa.
Purpose In bereavement, memories of the loss, especially traumatic ones, can be distressful and complicate the grieving process. Although some conventional therapies have proven beneficial in lessening complicated bereavement, African indigenous methods used for the same purpose have not been well-documented. This study explored Northern Sotho traditional healers’ lived experiences regarding the medicinal benefits of Bolebatša when used in mental health-care. Design/methodology/approach Using interpretative phenomenological analysis, this study explored traditional healers’ (n = 19; 5 = males; females = 14; mean age = 65 years, SD: 11.6) experiences and their insights regarding the management of traumatic memories in bereavement. Participating healers were sampled using convenience and snowball strategies while data was collected using face-to-face dialogues, observations and a digital camera. Qualitatively derived data was transcribed and translated from the local language to English before it was analysed phenomenologically. Findings Data analysis resulted in four major themes: characterisation of Bolebatša as a herb used to manage mental and spiritual conditions; descriptions of the herb’s administration, dosage and related user health risk; perceived therapeutic benefits of the herb; and observed link between herbal medicine and African spirituality. The study findings suggest that the Bolebatša herb, derived from the tree scientifically called Lannea schweinfurthii is primarily used to induce forgetfulness of bereavement and trauma-related memories to enhance coping. Research limitations/implications Whilst this study illustrates the perceived healing benefits of Bolebatša in mental health care, it is noted that the findings may not necessarily be extrapolated to other contexts. Therefore, more studies are needed with the participation of traditional healers from different ethnic backgrounds to lend support to the present findings. Data from service users’ experience of traditional healing in conjunction with traditional healers would have further benefited this study. Practical implications The findings are important for mental health professions as they open avenues for other forms of treatment for mental conditions that also need attention. Equally, there is a need for western trained mental health-care practitioners and researchers to study indigenous knowledge systems of healing for reverse knowledge transfer purposes. Social implications The findings also call on governments, and in this context, the South African government, to recognise, support and empower traditional healers as important role players in primary mental health care. Collaboration between western mental health practitioners and traditional healers could indeed be one important strategy towards the relief of the overwhelmed mental health-care systems in low-and-middle-income countries such as is the case in South Africa. Originality/value The findings open new avenues to scientific explorations of the significance of traditional medicines in bereavement care and coping. More importantly, on the Bolebatša herb’s anti-depressive and memory altering effects in mental health care.
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