Introduction and objective: Food insecurity (FI) is an emerging and alarming problem among university students. The problem particularly affects students from poor households. The University of KwaZulu-Natal (UKZN), South Africa is likely to be no exception to experiencing student FI as more than 50% of the students are poor. In 2012, UKZN implemented a Food Security Programme (FSP) to help address this emergent challenge. Until now, there is little literature exploring the prevalence and perceptions of the FI and interventions at UKZN. The study aimed to determine students' vulnerability to FI in terms of food access and meal frequencies, students' perceptions of FI and its effect on academic performance. The study also aimed to determine the students' awareness and utilisation of the FSP. Methods: A total of 500 students registered at UKZN were invited to participate using a questionnaire survey and 91.2% (n = 456) questionnaires were completed and returned. Vulnerability to FI was explored through a nine-item measure, i.e. related to the Household Food Insecurity Access Scale (HFIAS); and a one-item measure of the self-reported eating habits by the students 'in normal circumstances'. Results and conclusion: The findings suggest that FI remains a serious challenge among university students. Using the one-item measure, vulnerability to FI was evident in 53.1% of the students, of whom 44% experienced moderate levels of vulnerability; 9.2% were highly vulnerable. There was a significant correlation between the students' source of funding and being FI due to lack of resources (r = 0.119, p = 0.012). FI has a high potential to negatively affect students' academic outcomes. About 64.3% of the students indicated that hunger reduced their concentration and vigour such that 27.7% had missed classes. Social stigma was attached to FI; 30% of the students preferred anonymity regarding their FI status; 37.7% showed reluctance to utilise/ recommend the FSP to anyone. Recommendations are made for institutional and national responses.
The diagnosis of AIDS in 1982 in South Africa was followed by a rapid rise in the number of people living with the virus and dying from AIDS-related illnesses. The 2016 report by the Statistics South Africa indicated that about 7.03 million South Africans were infected with HIV/AIDS - the highest rate in the world. Despite the emergence of effective drugs in the mid-1990s, medical treatment remained unavailable in South Africa, particularly in public hospitals. This prompted civil society groups to establish platforms to discuss health policy change in South Africa. Prominent among these was the Treatment Action Campaign (TAC), formed in 1998, which aimed to advocate for improved HIV/AIDS health service delivery. The efforts succeeded in shaping the current HIV/AIDS policy through various initiatives such as the use of constitutional law in legal action against profiteering drug companies. This paper examines the role of civil society, and particularly the TAC engagement with the state in health policy making, and the subsequent implementation of health policy on HIV/AIDS in post-apartheid South Africa.
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