Artigos de revistas sobre o tema "South Africa. Advocate-General"

This chapter evaluates how South Africa approaches and applies certain aspects of the Hague Convention on the Civil Aspects of International Child Abduction, the challenges it faces, and how it submits proposals to improve its application. The SA courts are the upper guardians of children in terms of the common law and uphold the best interests of the child as a paramount principle. The Chief Family Advocate (“FA”) has been appointed as the Central Authority (“CA”) and falls under the Department of Justice and Correctional Services. The Chief Liaison Judge is based in the Appeal Court and has appointed Liaison Judges in the Provincial Divisions. How SA approaches international child abduction, and applies the HC, is explored. SA has a rich jurisprudence around the practical application of the HC. The procedure in these matters; the general rules and exceptions; the voice, representation and participation of the child; and the approach to children’s best interests and measures to protect their interests are evaluated. SA’s approach in regard to HC matters could be improved. How the challenges of an independent best-interests factor, outcomes veering away from the return principles, the FA’s compromised role as the CA, and the delays in outcomes prejudice the HC’s philosophy and the application thereof are considered. Recommendations are made for the acceleration of proceedings, more certainty in the consideration of Article 13 defences incorporating protective measures in return orders, further clarity from courts or the implementation of practice directives in these matters, the use of mediation, and further guidelines/directives to be provided. Given the importance of the HC in international child abduction matters, hopefully the aims and purposes of the HC can be fully realised in SA’s future.

In most developing countries, people with disabilities, particularly women, are ignored and neglected in terms of service delivery, policy inclusion, and gender mainstreaming in public and private sectors and society in general, and South Africa is not immune to this pandemic. In spite of the South Africa government’s attempts to improve the rights of women with disabilities, there has been a gap in the local implementation of these programmes and regulations. Thus, the difficulties faced by women with disabilities endure and are more apparent in rural regions than in urban ones. This article evaluates the well-being of women with disabilities in Nkandla Local Municipality using qualitative analysis in accordance with relevant policies. The study is anchored on the Feminist Disability Theory, policy implementation, and Stakeholder Theory, which are meant to support and shape the objectives of this study. The research findings reveal that most women with a disability experience various challenges related to health care, education, transport and infrastructure, inclusion, participation, and abuse. These obstacles further diminish their ability to exercise their rights. Consequently, the study suggests that the government should demonstrate political will and that resources for organisations that execute disability policies should be enhanced. The resourcing of these institutions will allow them to execute their mandate effectively and ensure the progressive realization of disabled women’s rights. In addition, the researchers advocate for additional empirical study to improve awareness of the concerns and obstacles affecting women with disabilities and disability rights.

Since the early 1960s, the mandates of agricultural researchers have been rooted in a "neo-Malthusian" theory of "demographic transition". Population increase in rural South Asia, in particular, had by 1960--63 reached the point where food supply per person could no longer be maintained simply by increases in cultivated area. Food supply was therefore to be raised through higher-yielding varieties of staples. Such HWs were to increase food availability enough to keep ahead of population increase. Extra food availability per person was supposed to reduce population-induced risks of undernutrition and famine, creating a "breathing space" while general socioeconomic development brought about lower fertility. HYV s have raised food output substantially in many parts of Asia and Latin America, and many advocate HYVs as the main approach to agricultural development in Africa. Surely, many poor people's lives have been saved by the extra employment income, and perhaps by the cheaper food, generated by HYVs. Yet the incidence of poverty in South Asia has probably not changed much since 1960, and the underpinnings of the original HYV strategy have been largely discredited.

Background Human migration is a worldwide phenomenon that receives considerable attention from the media and healthcare authorities alike. A significant proportion of children seen at public sector health facilities in South Africa (SA) are immigrants, and gaps have previously been noted in their healthcare provision. The objective of the study was to describe the characteristics and differences between the immigrant and SA children admitted to Kalafong Provincial Tertiary Hospital (KPTH), a large public sector hospital in the urban Gauteng Province of SA. Methods and findings A cross-sectional study was conducted over a 4-month period during 2016 to 2017. Information was obtained through a structured questionnaire and health record review. The enrolled study participants included 508 children divided into 2 groups, namely 271 general paediatric patients and 237 neonates. Twenty-five percent of children in the neonatal group and 22.5% in the general paediatric group were immigrants. The parents/caregivers of the immigrant group had a lower educational level (p < 0.0001 neonatal and paediatric), lower income (neonatal p < 0.001; paediatric p = 0.024), difficulty communicating in English (p < 0.001 neonatal and paediatric), and were more likely residing in informal settlements (neonatal p = 0.001; paediatric p = 0.007) compared to the SA group. In the neonatal group, there was no difference in the number of antenatal care (ANC) visits, type of delivery, gestational age, and birth weight. In the general paediatric group, there was no difference in immunisation and vitamin A supplementation coverage, but when comparing growth, the immigrant group had more malnutrition compared to the SA group (p = 0.029 for wasting). There was no difference in the prevalence of maternal human immunodeficiency virus (HIV) infection, with equally good prevention of mother-to-child transmission (PMTCT) coverage. There was also no difference in reported difficulties by immigrants in terms of access to healthcare (neonatal p = 0.379; paediatric p = 0.246), although a large proportion (10%) of the neonates of immigrant mothers were born outside a medical facility. Conclusions Although there were health-related differences between immigrant and SA children accessing in-hospital care, these were fewer than expected. Differences were found in parental educational level and socioeconomic factors, but these did not significantly affect ANC attendance, delivery outcomes, immunisation coverage, HIV prevalence, or PMTCT coverage. The immigrant population should be viewed as a high-risk group, with potential problems including suboptimal child growth. Health workers should advocate for all children in the community they are serving and promote tolerance, respect, and equal healthcare access.

The paper presents the existence of a conflict between local ownership and the introduction of gender equality in situations of post-conflict peace-building under the control of international actors, mostly UN peacekeeping forces. The authors present the essential meanings of the term ?local ownership? and understanding of its importance for the success of peacekeeping missions and reforms of the security sector in post-conflict societies in achieveing lasting peace. Local civil or military leaders can actually consider that gender equality is not needed in their culture, and that the participation of women in the security sector is not socio-culturally acceptable. That is why various international actors may be reluctant to advocate for gender equality, considering it as an imposition of foreign cultural values that could potentially destabilize the security sector reform process. The paper presents examples of Sahel region, South Sudan, South Africa, East Timor and Sri Lanka, ilustrating that women and men have different experiences of conflict, and that women in conflict and post-conflict situations are especially vulnerable to sexual and other forms of gender-based violence. Therefore, women?s active participation in peace-building and ending violence and conflicts is essential for peace, security and general cessation of further victimization of women. Supporting the existing power relations characterized by structural gender inequality and violence diminish the value of security sector reform. Moreover, the process of peace-building is destabilized by maintaining permanent sources of victimization of women, discrimination and easy outbreak of armed conflict. This might result in the poorly reformed security sector, which only fits the needs of male local dominant groups and protects their interests, leaving majority of women still in a situation of high risk from various forms of victimization.

The international recognition of the critical importance of the early childhood phase has been firmly established through decades of rigorous research, evidence-based practices, and undeniable evidence of the returns on investment made during this formative period. Consequently, early childhood development has emerged as a top priority on both national and international agendas. This momentum reached a pinnacle in 2015 with the unanimous adoption of the 17 Sustainable Development Goals (SDGs) by the United Nations, which placed a particular emphasis on children under the age of five within the education-focused SDG 4, notably target 4.2, centered on ensuring that all girls and boys are ready for primary education through the provision of accessible “quality early childhood development, care and pre-primary education”. However, the Global South reflects the glaring omission of addressing the needs of children at risk of poor development due to disabilities. This paper underscores the imperative for specialized early childhood intervention tailored to young children with disabilities and their families, commencing as early as possible following birth. It advocates for Early Childhood Intervention (ECI) as a service distinct from general Early Childhood Development (ECD), emphasizing the crucial role of families as active partners from the outset. Furthermore, the paper strengthens the case for Family-Centered Early Childhood Intervention (Fc-ECI) through the integration of evidence-based practices and an in-depth description of one such program in South Africa with specific reference to deaf and hard-of-hearing infants and their families. This model will be guided by core concepts outlined in WHO and UNICEF Early Childhood Intervention frameworks. Through this exploration, the paper aims to shed light on the urgent need for inclusive approaches to early childhood development, particularly for children with disabilities, and to advocate for the adoption of Family-Centered Early Childhood Intervention as a cornerstone of global efforts to ensure the holistic well-being and development of all children.

This issue contains various contributions on the themes of traditional African culture, the law relating to children and juveniles, the state's social responsibilities, labour law and one on legal education.In August 2011 Advocate Joyce Maluleke, Director in the Gender Directorate of the South African Department of Justice and Constitutional Development addressed the Annual General Conference of the South African Chapter of the International Association of Women Judges held in Potchefstroom on the dangers of harmful traditional practices such as early and forced marriages, virginity testing, widow's rituals, levirate and sororate unions, female genital mutilation, breast sweeping/ironing, the primogeniture rule, practices such as 'cleansing' after male circumcision, and witch-hunting. Although she considers respect for tradition, culture and customs to be part of the South African identity, she argues that cultural practices should be rooted in respect for human rights, democracy and equality. We publish her paper here as an oratio.

Disseminated Acanthamoeba species infection is likely an underrecognized and underdiagnosed opportunistic infection in patients with advanced human immunodeficiency virus (HIV) disease in South Africa. It presents a unique clinical challenge in that the diagnosis can be difficult to establish and management options are limited in low-resource settings. To our knowledge, there is a paucity of literature to date on the successful use of combination treatment options for patients in low-resource settings without access to miltefosine. We present a case describing the clinical improvement of disseminated Acanthamoeba infection in a patient with advanced HIV using a non-miltefosine-based treatment regimen. The case serves to highlight that Acanthamoeba sp. infection should be considered as a differential diagnosis for nodular and ulcerative cutaneous lesions in patients with advanced HIV in South Africa, and that although there are alternative options for combination treatment in countries without access to miltefosine, efforts should be made to advocate for better access to miltefosine for the treatment of acanthamoebiasis in South Africa.

Background: Occupational Therapy is among the top interventions for autistic children, hence the need for equitable and effective services in the public and private health and education sectors. Ongoing research into the therapies for autism spectrum disorders in different contexts is also required. Objectives: To explore and describe occupational therapists’ assessment and intervention for autistic children in South Africa. Methods: A descriptive qualitative research design using semi-structured interviews to gather data from purposively recruited OTs (n=20). Data were audio-recorded, transcribed and analysed thematically, and compared across three sectors public health, special needs schools and private practice. Results: South African practice across all three sectors was similar to international patterns of informal play-based assessment, sensory processing and Ayres Sensory Integration (ASI®) treatment. Developmental frameworks guided specific approaches. Strong team collaboration was present across sectors, with some transdisciplinary teamwork and co-treatment. Undergraduate and postgraduate training opportunities were, however limited. Conclusions: Occupational therapy assessments had diagnostic value. Informal tools such as developmental checklists were found to have clinical utility, whilst standardised tools were most commonly used to assess sensory processing and visual perception. Recommendations included incorporating ASI® into undergraduate curricula and postgraduate training opportunities with multidisciplinary input to develop ASD professionals in South Africa. It is imperative to advocate for services in under-resourced rural areas and marginalised communities that lack financial and social resources. Occupational therapists need to find new ways of working collaboratively across sectors to ensure effective and comprehensive services in public health and special schools. Keywords: Occupational therapy; occupational therapy assessment; occupational therapy intervention; autism spectrum disorder; autistic children; South African practice.

This study investigated strategies for people with intellectual disabilities to self-advocate for inclusion of their priorities in social policy processes in South Africa. Method: Self advocacy strategies were identified through a scoping literature review, a review of self advocacy toolkits and semi structured interviews with people with intellectual disabilities and other stakeholders working at non-governmental and disabled people’s organisations. These data sources were triangulated to identify strategies to upskill and support young adults with intellectual disabilities to share their opinions and perspectives to deepen the diversity of voices engaged in social policy advocacy. Results: Data triangulation identified three core strategies for self advocacy, in person, written strategies and engagement through social media. Discussion: Inclusion of people with intellectual disabilities in civic and political life is crucial, and will only be achieved if self advocates are accepted into the policy-making arena. The cycle of perpetuating exclusion needs to be disrupted, to give people with an intellectual disabilities a say in policy decisions that have an impact on their lives. Conclusion: Adopting strategies which enable the inclusion of the voices of people with intellectual disabilities in civic activities holds potential for diversifying perspectives brought to public participation in policy development and implementation, which is currently primarily the domain of non-disabled citizens.

The COVID-19 pandemic and the shift to emergency remote teaching (ERT) and online learning highlighted issues of social justice, pedagogical inclusion and epistemic access in higher education. The research underlying this article analyses the complexities of access to learning and the effects of the shift to ERT and online learning on the social justice agenda in South Africa, using the case study of the University of Johannesburg. The article uses the conceptual frameworks of epistemic access, equity and inclusive pedagogy from the theories of Fraser (2008), Mbembe (2016) and Mgqwashu (2016). Pedagogic continuity and inclusion (Motala and Menon 2020; Menon and Motala 2021), hard-won by many institutions during the pandemic, will need to be sustained and secured as the world adapts to a “new normal” in higher education and other spheres of life. Czerniewicz et al. (2020, 957) refer to the maxim “Anytime, anyplace, anywhere” characterising ERT as a “brutal underestimation of the complexities and entanglement of different inequalities and structural arrangements”. Fataar (2020), Czerniewicz et al. (2020) and Hodges et al. (2020) advocate an alternative pedagogy that is “trauma-informed” and offers parity with the pedagogies that prevailed pre-pandemic. The article concludes that the pre-existing conditions of deep inequality and inequities, and a highly differentiated higher education system with uneven pedagogical practices, were exacerbated by the pandemic. While we acknowledge the achievement of avoiding the loss of the academic year during the pandemic, we argue that it is important to learn lessons from the initial implementation of ERT and the fractures that it highlights in higher education. Heading into an uncertain future, the sector needs explicit equity-driven approaches to ensure pedagogical inclusion beyond physical and epistemic access.

In South Africa, the status of being an unrehabilitated insolvent has many effects and one of them is the disqualification from being a member of parliament (MP). This article considers the constitutional disqualification of unrehabilitated insolvents to serve as MPs within the context of statutory restrictions that apply to such insolvents. It further discusses the rationale for the constitutional disqualification of unrehabilitated insolvents to serve as MPs in light of international guidelines that advocate for the protection of the income of the debtor that is necessary for the insolvent and his dependents to live decent lives taking into account possible changing living standards. The pertinent question is whether such reasons are still justifiable considering international policy considerations

Purpose: The aim of the study was to investigate the green procurement adoption and environmental sustainability: a study of public sector organizations in South Africa. Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries. Findings: The study on green procurement adoption in South Africa's public sector indicates a growing awareness and implementation of environmentally sustainable practices. While progress is evident, challenges such as resource constraints persist. Nevertheless, embracing green procurement holds promise for substantial environmental benefits and cost savings. Efforts should focus on further promoting and supporting the adoption of these practices to enhance sustainability in the public sector. Unique Contribution to Theory, Practice and Policy: Institutional theory, diffusion of innovations theory & resource dependence theory may be used to anchor future studies on the green procurement adoption and environmental sustainability: a study of public sector organizations in South Africa. Public sector organizations should invest in capacity-building initiatives to enhance the knowledge and skills of procurement professionals in green procurement practices. Advocate for the development and enforcement of mandatory green procurement regulations and standards by government authorities.

Since the advent of the democratic government in 1994, there has been a serious contestation over the meaning and implications of local economic development in South Africa. Central to the debates has been on whether local economic development initiatives should take pro-market or pro-poor approach in the local government. To this end, the critical divide has been between those who believe that the local government should provide a direct solution by supporting projects for job creation and those who advocate for an indirect solution in terms of creating an enabling environment for local economic development. The article therefore argues that the pro-market local economic development approach often limit the local control of economic activities and resources, instead it is seen to perpetuate an exclusive economy. Against this background, the article applies the Economic Base and the Location Theories to explain, from a theoretical perspective, why the pro-market approach for local economic development planning in the democratic South Africa is preferable in the expense of the pro-poor approach. The article concludes that the pro-market local economic development approach is incapable of creating the inclusive local economies and lacks the determination for the realisation of real potential and competitive advantages for addressing local needs of the poor people.

In 1935 the Dutch Reformed Church (DRC) accepted its federal mission policy which had racial segregation enshrined in it as a core and divinely sanctioned principle. As the foremost missiologist within South African church circles during the middle half of the 20th Century, Gustav Bernhard Augustus Gerdener was the chief formulator and disseminator of this policy. Convinced that the future fate of South Africa’s multi-racial society rested squarely on evangelisation, white guardianship, and mission work, Gerdener lobbied for secular racial theory to be based on the formula of the DRC mission church. By 1946 this racial theory espoused by Gerdener, as well as the majority DRC, was internationally questioned by the post-World War Two onset of general human rights and rapid decolonialisation spearheaded by the newly constituted United Nations Organisation. This paper sets out to track the influence Gerdener had on the formulation of the DRC mission policy. It will make the case that as advocate of this policy and through his position as chairman of the DRC Federal Mission Council Gerdener played a critical role during the incubation years of the apartheid ideology leading up to the nationalist’s political victory in 1948. Finally, it will aim to elucidate the justification for apartheid which Gerdener’s racial theory afforded to a religious nation. A justification which formed the moral bedrock of South Africa’s opposition to the broader international context of decolonialisation and advocation of a domestic social system guised as one geared toward equal, albeit separate, development but which ultimately proved to be a new strain of colonialism.

This paper explores the complex landscape of sexual orientation and gender identity (SOGI) politics in Brazil, and the country’s promotion of these human rights norms internationally. Despite Brazil’s image as a trailblazer in LGBTQ+ rights and inclusion, activists are challenged domestically by legislative hurdles and conservative movements. Brazil’s challenging domestic situation stands in stark contrast with the country’s role as a prominent advocate for SOGI norms internationally. This paper unpacks these contradictions and compares Brazil’s trajectory with those of Argentina and South Africa. A closer look at SOGI human rights norms in the Brazilian context reveals diverse pathways to human rights norm promotion. Despite setbacks, Brazil’s experience offers insights into the resilience of human rights advocacy and the potential for transformative change, advocating for a nuanced understanding of SOGI politics amidst diverse actors and contexts.

The South African government recognizes the significance of youth entrepreneurship amidst a backdrop of a burgeoning youth population, escalating unemployment, and evolving labour market dynamics spurred by technological advancements. Embracing this reality, the government has proactively integrated policies and legislative measures into its developmental agenda to foster youth entrepreneurship. Given that higher education institutions (HEIs) are hubs of young people, their pivotal role in nurturing entrepreneurial capacity among the youth warrants examination. This paper employed a case study approach and qualitative methodology to explore university entrepreneurship programs (UEPs) as tools in advancing youth entrepreneurship and sustainable development. Additionally, the study delved into the development policy and legislative frameworks underpinning youth development and empowerment. Focusing on two HEIs in KwaZulu Natal Province, South Africa, the research utilized inductive content analysis of strategic documents and archival materials. Key findings underscore HEIs' commitment to youth entrepreneurship evidenced by the establishment of dedicated bureaus overseeing various UEPs. The study's practical implications advocate for HEIs to enhance student awareness of UEPs, integrate design thinking into the curriculum, and broaden partnership networks to fortify UEPs' impact.

INTRODUCTION: Resource constraints in primary health care settings in South Africa give rise to challenges for occupational therapists. This study aimed to determine the physical activity resource needs (including objects used and space demands) of occupational therapists in the primary health care context of Gauteng, South Africa METHOD: A qualitative, descriptive research design was used. The participants were occupational therapists working in primary health care settings in Gauteng. Convenience and snowball sampling were used. Data were collected through two online asynchronised focus groups, conducted over three days each. Thematic analysis was used to analyse the data FINDINGS: Findings included the resource constraints experienced by occupational therapists and how the occupational therapists' adaptability helped them overcome these constraints. Space, resources for basic and instrumental activities of daily living, assistive devices, Bobath plinths and recyclable and low-cost materials were identified as being particularly useful physical activity resource needs CONCLUSION: Although limited physical activity resources were available in the settings, therapists' skills in adaptability proved useful in using unconventional resources instead. This study's results identify physical resources deemed as most useful to provide occupational therapy services in primary health care. Furthermore, the results provide information to the education faculty in order to adapt the undergraduate curriculum to better prepare occupational therapy students for practice in primary health care Implications for practice • The findings can be communicated to management of primary health care facilities in order to procure or advocate for the procurement of resources deemed as essential in primary health care practice contexts. • Innovation, problem-solving and adaptability can be valuable characteristics used in professional reasoning that may enable occupational therapists to overcome physical resource barriers. • Faculty at tertiary educational institutions may utilise the findings in order to adapt curriculums to better prepare occupational therapists for work in the South African primary health care context. • Occupational therapy students should gain experience in developing and adapting activities using recyclable and reusable materials for diverse clients, including children and adults.

Introduction. The South African government introduced a reengineered primary healthcare approach to promote universal health coverage. The approach was to ensure equitable, efficient, and quality health services for consumers in private and public healthcare sectors. The transition toward a more comprehensive primary healthcare approach to intervention requires occupational therapists who predominantly worked in private and hospital settings to extend their services to clients who previously would have had little access to such services. This study was conducted to identify the key competencies required by occupational therapists to deliver appropriate primary healthcare services to communities from previously disadvantaged periurban and rural areas. Methods. An exploratory, qualitative study design was used. Through the use of policy documents and data from key informants ( n = 5 ), established therapists ( n = 14 ), and novice occupational therapy graduates ( n = 39 ), the study identified and mapped the stakeholders’ perspectives of the competencies required by graduates to practice in periurban and rural settings in KwaZulu-Natal in South Africa. Data was collected using semistructured interviews, a focus group discussion, a document review of the university’s curriculum, and the local and global regulatory documents. A framework based on the seven roles of the university’s competency framework informed the data analysis process. The seven roles are health practitioner, communicator, collaborator, health advocate, leader and management, scholar, and professional. Findings. Participants highlighted the need for graduates to have adequate knowledge and understanding of the impact of the Department of Health policies and social determinants of health on occupation and the client’s health. They also needed to be suitably skilled in culturally sensitive communication, negotiating shared goals with the stakeholders, and managing a department. Graduates needed to be socially accountable and develop services to advocate for their clients. Conclusion. The study offered insights into the essential graduate competencies identified by the stakeholders and recommended measures to prepare rehabilitation graduates for service delivery in primary healthcare contexts.

As a consequence of recent human activities. populations of approximately 75% of the world’s primates are in decline, and more than 60% of species (n = 512) are threatened with extinction. Major anthropogenic pressures on primate persistence include the widespread loss and degradation of natural habitats caused by the expansion of industrial agriculture, pastureland for cattle, logging, mining, and fossil fuel extraction. This is the result of growing global market demands for agricultural and nonagricultural commodities. Here, we profile the effects of international trade of forest-risk agricultural and nonagricultural commodities, namely soybean, oil palm, natural rubber, beef, forestry products, fossil fuels, metals, minerals, and gemstones on habitat conversion in the Neotropics, Africa, and South and Southeast Asia. Total estimated forest loss for these regions between 2001 and 2017 was ca 179 million ha. The average percent of commodity-driven permanent deforestation for the period 2001–2015 was highest in Southeast Asia (47%) followed by the Neotropics (26%), South Asia (26%), and Africa (7%). Commodities exports increased significantly between 2000 and 2016 in all primate range regions leading to the widespread conversion of forested land to agricultural fields and an increase in natural resource extraction. In 2016, US $1.1 trillion of natural-resource commodities were traded by countries in primate range regions. The Neotropics accounted for 41% of the total value of these exports, Southeast Asia for 27%, Africa 21%, and South Asia 11%. Major commodity exporters in 2016 were Brazil, India, Indonesia, Malaysia and South Africa, countries of high primate diversity and endemism. Among the top 10 importers were China, the US, Japan, and Switzerland. Primate range countries lag far behind importer nations in food security and gross domestic product per capita, suggesting that trade and commodity-driven land-use have done little to generate wealth and well-being in primate habitat countries. Modeling of land-use and projected extinction of primate species by 2050 and 2100 under a business as usual scenario for 61 primate range countries indicate that each country is expected to see a significant increase in the number of species threatened with extinction. To mitigate this impending crisis, we advocate the “greening” of trade, a global shift toward a low-meat diet, reduced consumption of oil seed, diminished use of tropical timber, fossil fuels, metals, minerals, and gemstones from the tropics, accompanied by a stronger and sustained global resolve to regulate and reverse the negative impacts of growing unsustainable global demands and commodity trade on income inequality, and the destruction of primates and their habitats.

Against the backdrop of the silence by apartheid-era judges who refused to speak out against the inhumanity of apartheid, resulting in egregious human rights violations, this article explores what it means to be a “fit and proper” judge as envisaged by section 174(1) of the Constitution of the Republic of South Africa, 1996 read with the Judicial Service Commission Act 9 of 1994 and the Code of Judicial Conduct GN R 865 in GG 35802 of 18-10-2012 (“the Code”). The argument is that, in this context, the meaning of “fit and proper” has far greater depth and breadth than the same normative standard contemplated by the Legal Practice Act 28 of 2014 for lawyers as officers of the court. A “fit and proper” judge is a person with more than just absolute integrity, impeccable honesty, a high degree of professionalism, and unflinching incorruptibility. A judge is also a person who, at all times, scrupulously obeys the Constitution and its dictates, strictly respects the law and abides by the rule of law, always advances human rights and constitutional values, and faithfully discharges all duties embraced by the oath of judicial office and does so with courage. This article argues that South Africa can only take its rightful place in the family of nations if its judges, through their extra-judicial words and deeds, help shape South African society, and others where needed. The Constitution and the oath of judicial office oblige judges to, inter alia, denounce apartheid in any of its current-day incarnations, and advocate for legal orders moulded by democratic values, human rights, freedom, equality, rule of law, and justice for all. A culture of judicial silence in the face of injustice and human rights violations, whether perpetrated on foreign or domestic soil, is an abdication of judicial responsibility and antithetical to the ethos underpinning the transformative notion of a “fit and proper” judge under the Constitution. This article reminds judges that while duties arising from the Constitution and their oath of office rank supreme over any in the Code, they are to be delicately balanced. Extra-curial speech must respect the separation of powers and not undermine the judiciary’s standing, integrity and independence.

Purpose of the study: The current study was aimed at exploring men’s non-disclosure of intimate partner violence at Sekhukhune District in Limpopo Province, South Africa. Methodology: Qualitative research methodology and exploratory research design were applied to successfully explore heterosexual men’s non-disclosure of intimate partner violence. A non-probability sampling of blended convenience sampling and snowball sampling was employed. Data was collected using a semi-structured interview guide with open-ended questions and was analysed through thematic analysis of qualitative data. Main findings: This study found that male victims of partner violence hide their situations. Determinants of non-disclosure were found to include men’s personal feelings of fear to disclose, masculinity factors, societal expectations, and cultural norms, which negatively affect men’s decisions to disclose. Avoidance of possible harm and judgement from others appeared to influence non-disclosure. Novelty/originality of the study: The findings of the study raise concern for lack of knowledge on violence against men. Social services professionals can use the findings to advocate for male victims’ rights and use the same resources aimed at helping female victims to provide protection and psychosocial assistance to male victims. The public needs to be made aware that women are not the only victims of IPV and as such be educated about the vulnerability of male victims.

The Deputy Judge President of the Gauteng Local Division of the High Court recently commented on the functional interrelationship between judicial and legal professional ethics (Sutherland "The Dependence of Judges on Ethical Conduct by Legal Practitioners: The Ethical Duties of Disclosure and Non-Disclosure" 2021 SAJEJ Vol 4, Issue 1 47-64). Sutherland appropriately states that a culture of ethical conduct by legal practitioners is critical to ensure expeditious litigation and just outcomes (Sutherland 2021 SAJEJ 48). Many others also stress the general importance of professional ethics in legal education, practical legal training, and practice. Nonetheless, unprofessional, dishonourable, and unworthy conduct occurs with sufficient regularity to evoke widespread criticism of the legal profession. The Legal Practice Council listed the names of 123 legal practitioners who were either struck off the roll or suspended in 2022 for unethical conduct. The majority of reported violations were variations on well-known themes. Here some legal practitioners neglected to carry out legal work in a competent and timely manner, while others practiced and appeared in court without obtaining a practice management certificate or a Fidelity Fund Certificate. An advocate accepted instructions and payments directly from clients without a brief from an attorney and later used the details of attorneys without their consent. Some reported judgments, however, describe less common or novel examples of unethical conduct, such as defeating or obstructing the course of justice, misleading the court and forgery. In one instance, a legal practitioner placed a matter on an unopposed roll to secure a default judgment by intentionally removing the notice to oppose and the answering affidavit from the court file. This same legal practitioner assaulted and intimidated members of the South African Police Service ("SAPS") and was later interdicted from intimidating, threatening, victimising and harassing members of the SAPS and State attorney's offices.

Background. Diabetes mellitus (DM) is a complex chronic condition and remains a public health concern worldwide. In South Africa (SA), many patients with DM access public sector primary healthcare clinics, and those who are considered to be stable are referred to the club system, which is managed by a multidisciplinary team. Patients who have DM are often diagnosed with concurrent medical conditions, resulting in multiple medication therapies that lead to medication therapy problems (MTPs). Prescriber adherence to standard treatment guidelines (STGs) is aimed at improving glycaemic control to minimise complications and decrease healthcare costs. The pharmacist’s role in medication therapy management (MTM) for DM is underutilised in public sector healthcare facilities. Objectives. To evaluate the implementation of a pharmacist-led MTM intervention to optimise the management of stable patients with type 2 DM attending a diabetes club at a Cape Town community day centre. Methods. An evaluation study design using a case study approach was conducted over 8 months from November 2016 to June 2017. A retrospective and prospective audit was conducted from patient folders of stable patients who attended the club. Quantitative data were extracted from the folders. A trained pharmacist audited baseline (pre-intervention) data. Prescribing staff were notified of therapeutic discrepancies through written pharmacist’s pharmacotherapeutic recommendations (intervention). Pharmacist-led interventions audited prescriber adherence to SA STGs and the Essential Medicines List, and prescriber responses to the pharmacist’s recommendations (post-intervention) were recorded as accepted, partially accepted or rejected. Estimated costs were calculated for rational and irrational prescribing of aspirin during the MTM process. Results. Of 104 patient folders audited, most were for females (n=70; 67.3%). A total of 453 MTPs were identified, averaging four interventions per folder reviewed. The most common MTPs identified were the absence of basic clinical data: body mass index not documented (22.5%) in the folder, no medical indication noted (19.2%), and laboratory tests not requested (18.3%) by clinicians. Prescriber acceptance of the pharmacist’s recommendations was found to be low (26.8%), suggestive of clinical inertia. Aspirin was found to be irrationally prescribed to patients with DM (15.4%). Conclusion. Pharmacists can identify, resolve and prevent MTPs and rationalise appropriate medication therapy in patients with DM. Prescriber uptake of pharmacists’ pharmacotherapeutic recommendations seems overlooked. Pharmacist-led workshops to advocate for rational prescribing are needed to mitigate MTPs among stable patients with type 2 DM at public sector healthcare facilities.

The paper reveals the role and problems of determining the peculiarities of solving the problems of legal support of the activity of the bar in administrative proceedings, taking into account foreign experience as one of the conditions for the development of a modern democratic society. It is determined that an important direction of the state's activity is the obligation to support and ensure the protection of the rights and legitimate interests of a person and a citizen in every possible way, which is partially achieved due to the activities of the legal profession. The Law of Ukraine "On Advocacy and Advocacy" and the Code of Administrative Procedure of Ukraine are the main legal acts that determine the status of a lawyer in an administrative process. In our country, the legal profession acts as a kind of "balance", which tries to balance the interests of civil society with the needs and capabilities of the state on the basis of current legislation. In order to achieve the set goal, the bar, as a non-state self-governing institution, which provides protection, representation and the provision of other types of legal assistance on a professional basis, as well as independently resolves issues of the organization and activity of the bar in the manner determined by current legislation, ensures the right to protection against accusation and providing legal assistance to the client in his legal competition with state structures. The key basis for the emergence of legal relations with the participation of a lawyer as a representative should be the voluntary legal action of the lawyer, his active procedural activity, which simultaneously determines the content of legal relations. Attention is focused on the multifaceted activity of the bar in the Republic of South Africa, which provides us with an example of effective protection of the rights and freedoms of a person and a citizen in this country for almost a whole century. It has been proven that the bar, not having any relation to the state apparatus or local self-government bodies, has the legal authority to oppose the interests of public entities and their administrative resources.

Bats have been shown to serve as reservoir host of various viral agents including coronaviruses. They have also been associated with the novel coronavirus SARS-CoV-2. This has made them an all important agent for CoV evolution and transmission. Our objective in this study was to investigate the dispersal, phylogenomics and evolution of betacoronavirus (βCoV) among African bats. We retrieved sequence data from established databases such as GenBank and Virus Pathogen Resource, covering the partial RNA dependent RNA polymerase (RdRP) gene of bat coronaviruses from eight African, three Asian, five European, two South American countries and Australia. We analyzed for phylogeographic information relating to genetic diversity and evolutionary dynamics. Our study revealed that majority of the African strains fell within Norbecovirus subgenera, with an evolutionary rate of 1.301 × 10−3, HPD (1.064 × 10−3–1.434 × 10−3) subs/site/year. The African strains diversified into three main subgenera, Norbecovirus, Hibecovirus and Merbecovirus. The time to most common recent ancestor for Norbecovirus strains was 1973, and 2007, for the African Merbecovirus strains. There was evidence of inter species transmission of Norbecovirus among bats in Cameroun and DRC. Phlylogeography showed that there were inter-continental spread of Bt-CoV from Europe, China and Hong Kong into Central and Southern Africa, highlighting the possibility of long distance transmission. Our study has elucidated the possible evolutionary origins of βCoV among African bats; we therefore advocate for broader studies of whole genome sequences of BtCoV to further understand the drivers for their emergence and zoonotic spillovers into human population.

This article presents the context and some of the results of ten years of collaboration in the field of African urban history between researchers from Ghent University (UGent), and mainly its Department of Architecture and Urban Planning, and scholars of the Université de Kinshasa (UNIKIN), which, in part, has benefited from the forum created by the Ghent African Platform (GAP). What ties together this collaborative work, is the conviction that ‘History matters’ when thinking not only about the past, but also about the present and the future of cities in today’s DR Congo. Moreover, we argue, it is the combination of our complementary expertise in socio-demographic history and architectural/ urban planning history that has enabled us to develop new narratives on space and society in these urban environments. These, we believe, hold a relevance for the historiography of Congo’s colonial past as well as for current discussions on colonial heritage and urban development. By demonstrating that we have gained much through stimulating a cross-disciplinary and inter-generational conversation that brings together (the expertise from) scholars working on Congo/Africa and coming from different backgrounds, academic cultures and age, we explicitly want to advocate setting up forms of relationship between the ‘North’ and ‘South’ that go beyond the common trope of ‘Capacity Building’. A number of specific pieces of work related to the cities of Kinshasa and Matadi will be discussed, illustrating how we have also deliberately sought to target different audiences by producing different kinds of output, from academic publications to exhibitions, reports for policy makers to outreach activities in the cultural arena. As such, we believe that this ten years of collaboration on African Urban History is fully in tune with GAP’s main agenda of creating a cross-disciplinary forum where scholars from North and South, and from different generations can meet and exchange ideas, and we hope to embed our future collaboration in an even broader community, both at UGent and UNIKIN.

Sisonke is a multicentre, open-label, single-arm phase 3B vaccine implementation study of healthcare workers (HCWs) in South Africa, with prospective surveillance for 2 years. The primary endpoint is the rate of severe COVID‑19, including hospitalisations and deaths. The Sisonke study enrolled and vaccinated participants nationally at potential vaccination roll-out sites between 17 February and 26 May 2021. After May 2021, additional HCWs were vaccinated as part of a sub-study at selected clinical research sites. We discuss 10 lessons learnt to strengthen national and global vaccination strategies:(i) consistently advocate for vaccination to reduce public hesitancy; (ii) an electronic vaccination data system (EVDS) is critical; (iii) facilitate access to a choice of vaccination sites, such as religious and community centres, schools, shopping malls and drive-through centres; (iv) let digitally literate people help elderly and marginalised people to register for vaccination; (v) develop clear ‘how to’ guides for vaccine storage, pharmacy staff and vaccinators; (vi) leverage instant messaging platforms, such as WhatsApp, for quick communication among staff at vaccination centres; (vii) safety is paramount – rapid health assessments are needed at vaccination centres to identify people at high risk of serious adverse events, including anaphylaxis or thrombosis with thrombocytopenia syndrome. Be transparent about adverse events and contextualise vaccination benefits, while acknowledging the small risks; (viii) provide real-time, responsive support to vaccinees post vaccination and implement an accessible national vaccine adverse events surveillance system; (ix) develop efficient systems to monitor and investigate COVID‑19 breakthrough infections; and (x) flexibility and teamwork are essential in vaccination centres across national, provincial and district levels and between public and private sectors.

Background: Globally, health understanding and beliefs vary across sub-cultural groups, depending on geographical location. Increasingly, various parts of the world recognize these perspectives to offer culturally sensitive healthcare services at primary level. Understanding the indigenous perspectives of dysmenorrhea meaning from the custodians of knowledge holders may add to the value of literature that may be used to advocate humanized culturally sensitive healthcare. This article aimed to explore and describe the perspectives regarding the meaning of indigenous dysmenorrhea among Batlokwa traditional health practitioners (THPs) and indigenous knowledge holders (IKHs). Methods: A qualitative, explorative study with a modified photovoice design, which included photographs, interviews and lekgotla discussion was employed to engage THPs and IKHs residing in Botlokwa Limpopo province, South Africa. Initially, a purposive sampling technique was used to select the participants, followed by snowball sampling. The participants themselves analyzed the photographs and described their meaning during individual interview using the acronym “PHOTO”. The researchers employed thematic analysis of interviews and Lekgotla discussion, in which themes were identified, formulated and analyzed from the codified data set. Results: In total, eight women participated in the photovoice study. The findings showed that indigenous understanding of dysmenorrhea stems from the African belief about health and illness with special emphasis on importance of holistic meaning. To the THPs and IKHs dysmenorrhea was a broad and integrated trend of a normal or abnormal process of illness that occurs periodically during menstruation. Conclusions: The THP’s and IKH’s indigenous meaning of dysmenorrhea reflects physical, mental, emotional, social, environmental, political and economic dimensions. Therefore, dysmenorrhea should be understood from a holistic approach. With appropriate partnerships and processes in place, this knowledge may be well represented in dominant healthcare systems and health research.

Background: Globally, health understanding and beliefs vary across sub-cultural groups, depending on geographical location. Increasingly, various parts of the world recognize these perspectives to offer culturally sensitive healthcare services at primary level. Understanding the indigenous perspectives of dysmenorrhea meaning from the custodians of knowledge holders may add to the value of literature that may be used to advocate humanized culturally sensitive healthcare. This article aimed to explore and describe the perspectives regarding the meaning of indigenous dysmenorrhea among Batlokwa traditional health practitioners (THPs) and indigenous knowledge holders (IKHs). Methods: A qualitative, explorative study with a modified photovoice design, which included photographs, interviews and lekgotla discussion was employed to engage THPs and IKHs residing in Botlokwa Limpopo province, South Africa. Initially, a purposive sampling technique was used to select the participants, followed by snowball sampling. The participants themselves analyzed the photographs and described their meaning during individual interview using the acronym “PHOTO”. The researchers employed thematic analysis of interviews and Lekgotla discussion, in which themes were identified, formulated and analyzed from the codified data set. Results: In total, eight women participated in the photovoice study. The findings showed that indigenous understanding of dysmenorrhea stems from the African belief about health and illness with special emphasis on importance of holistic meaning. To the THPs and IKHs dysmenorrhea was a broad and integrated trend of a normal or abnormal process of illness that occurs periodically during menstruation. Conclusions: The THP’s and IKH’s indigenous meaning of dysmenorrhea reflects physical, mental, emotional, social, environmental, political and economic dimensions. Therefore, dysmenorrhea should be understood from a holistic approach. With appropriate partnerships and processes in place, this knowledge may be well represented in dominant healthcare systems and health research.

Covid-19 continues to teach the global community important lessons about preparedness for research and effective action to respond to emerging health threats. We share the COVID-19 experiences of a pre-existing cross-site ethics network-the Global Health Bioethics Network-which brings together researchers and practitioners from Africa, Europe, and South east Asia. We describe the network and its members and activities, and the work-related opportunities and challenges we faced over a one-year period during the pandemic. We highlight the value of having strong and long-term empirical ethics networks embedded across diverse research institutions to be able to: 1) identify and share relevant ethics challenges and research questions and ways of ’doing research’; 2) work with key stakeholders to identify appropriate ways to contribute to the emerging health issue response – e.g. through ethics oversight, community engagement, and advisory roles at different levels; and 3) learn from each other and from diverse contexts to advocate for positive change at multiple levels. It is our view that being both embedded and long term offers particular opportunities in terms of deep institutional and contextual knowledge and relationships with and access to a wide range of stakeholders in place. Being networked offers opportunities to draw upon a wide range of expertise and perspectives operating at multiple levels, and to bring together internal and external perspectives (i.e. different positionalities). Long term funding means that the people and resources are in place and ready to respond in a timely way. However, many tensions and challenges remain, including difficulties in negotiating power and politics regarding roles that researchers and research institutions play in an emergency, and the position of empirical ethics activities in programmes of research more specifically. We discuss some of these tensions and challenges, and consider the implications for our own and similar networks in future.

OBJECTIVEThe recognition that neurosurgeons harbor great potential to advocate for the care of individuals with neural tube defects (NTDs) globally has sounded as a clear call to action; however, neurosurgical care and training in low- and middle-income countries (LMICs) present unique challenges that must be considered. The objective of this study was to systematically review publications that describe the challenges and benefits of participating in neurosurgery-related training programs in LMICs in the service of individuals with NTDs.METHODSUsing MEDLINE (PubMed), the authors conducted a systematic review of English- and Spanish-language articles published from 1974 to 2019 that describe the experiences of in-country neurosurgery-related training programs in LMICs. The inclusion criteria were as follows—1) population/exposure: US residents, US neurosurgeons, and local in-country medical staff participating in neurosurgical training programs aimed at improving healthcare for individuals with NTDs; 2) comparison: qualitative studies; and 3) outcome: description of the challenges and benefits of neurosurgical training programs. Articles meeting these criteria were assessed within a global health education conceptual framework.RESULTSNine articles met the inclusion criteria, with the majority of the in-country neurosurgical training programs being seen in subregions of Africa (8/9 [89%]) and one in South/Central America. US-based residents and neurosurgeons who participated in global health neurosurgical training had increased exposure to rare diseases not common in the US, were given the opportunity to work with a collaborative team to educate local healthcare professionals, and had increased exposure to neurosurgical procedures involved in treating NTDs. US neurosurgeons agreed that participating in international training improved their own clinical practices but also recognized that identifying international partners, travel expenses, and interference with their current practice are major barriers to participating in global health education. In contrast, the local medical personnel learned surgical techniques from visiting neurosurgeons, had increased exposure to intraoperative decision-making, and were given guidance to improve postoperative care. The most significant challenges identified were difficulties in local long-term retention of trained fellows and staff, deficient infrastructure, and lower compensation offered for pediatric neurosurgery in comparison to adult care.CONCLUSIONSThe challenges and benefits of international neurosurgical training programs need to be considered to effectively promote the development of neurosurgical care for individuals with NTDs in LMICs. In this global health paradigm, future work needs to investigate further the in-country professionals’ perspective, as well as the related outcomes.

BackgroundRheumatic and musculoskeletal diseases (RMDs) are a burden for individuals and a challenge to healthcare systems.Comparing the current and the future number of rheumatologists and the frequency of RMDs, studies state a huge gap. Another key issue is the uneven distribution of rheumatologists in most countries. These deficits are glaring in low and middle income countries in particular. In sub-Saharan Africa e.g. just in the past 20 years more attention has been drawn to non-communicable diseases. Great challenges exist in Latin America.Patient organisations (POs) offer information and assistance, are competence networks, represent and advocate for patients’ interests and needs and play a pivotal role in healthcare systems.ObjectivesOverarching:With its activities IPARE aims at contributing to a world, where RMDs are recognized, prevented and cured, and patient-centredness is an integral part of health care delivery.Thespecificaims are.To connect and exchange with national patient organisations and continental networks/organisations of patient organisations from other continents than Europe.To develop, step by step, a network of globally active national POs, national umbrella POs and continental POs.To initiate collaborative projects in the field of education, research, quality of care, congress and advocacy.To share best practices aiming at developing and supporting POs and pan-continental POs.To promote the access to and the exchange at conferences and congresses for RMDs.MethodsIPARE is a PARE project group embedded in the PARE Sub-Committee „Community Relations“, meaning all EULAR regulations will apply.A small project group consisting of representatives from South and Central America, North America, Africa and Europe has been established. We are aiming at enlarging the group (e.g. by having a representative from Asia), but the total number should not exceed 10 in order to work efficiently.After an introductory in-person meeting at the PARE Conference in October the members decided to meet virtually every 6-8 weeks. Webinars are offered every 2-3 months.Aspects of membership, objectives, mode of working were defined.ResultsThe project group members identified - in spite of different health care systems, economic statuses and the extent of the deficits - certain commonalities like lack of rheumatologists (in particular lack of paediatric rheumatologists), shortage of health professionals (e.g. nurses, physiotherapists trained for the treatment of RMDs), delayed diagnosis, access to medical treatment according to internationally accepted treatment recommendations, insufficient non-pharmacological treatment, needs to educate the public and create awareness for RMDs and the situation of people with an RMD, research and patient involvement in research.The group developed a first list of items how these deficits could be tackled, how we can collaborate being aware of the fact that national peculiarities and features and language items have to be taken into account if any material will be produced. To avoid duplication and to check what already exists, an inventory list of informative and educational material is being established.A first webinar open to all representatives of international patient organisations is determined for February.ConclusionThe project group members work with great enthusiasm, are eager to share knowledge and want to learn what can be implemented in their organisations and countries. In addition the group members focus on supranational issues.The project group members share, learn and convey to support implementation.Reference[1]Objectives have to be approved by the PARE Council.Acknowledgements:NIL.Disclosure of InterestsNone Declared.

Background: Comprehensive care means ensuring quality services, protecting rights, promoting available social services and using protocols and standards that emphasise quality assurance for all mental healthcare users (MHCUs). It also involves advocacy, early detection and rehabilitation, as well as encouraging appropriate patient-centred care to ensure adequate psychiatric care. However, according to research, there is a vacuum in the provision of comprehensive mental healthcare to MHCUs. As a result, there is an immediate need to consult healthcare providers on providing comprehensive community-based care to MHCUs.Objectives: The purpose of this study was to explore and describe the views of healthcare practitioners on the aspects that hinder providing comprehensive care for MHCUs, the role players needed to execute comprehensive care and what can be done to improve comprehensive care for MHCUs in the community setting in one of the subdistricts of the North West province (NWP), South Africa (SA).Method: A qualitative research design that was exploratory, descriptive and contextual was adopted. The healthcare practitioners that took part in the study were chosen through purposive sampling. The sample size was established through data saturation, and 19 telephonic semistructured individual interviews were held with registered nurses and one medical doctor. Tesch’s eight steps were used to analyse the data.Results: The four main themes identified were: (1) healthcare practitioners’ understanding of comprehensive care to MHCUs, (2) factors hindering comprehensive care to MHCUs, (3) stakeholders needed for providing comprehensive care to MHCUs and (4) suggestions for improving comprehensive care to MHCUs.Conclusion: Healthcare practitioners in the community advocate for the need for comprehensive psychiatric treatment. They are of the view that greater coordination of psychiatric services will improve mental treatment and minimise relapse in MHCUs. To sustain integrated psychiatry, stakeholders and other psychiatric programmes must be included.Contribution: The findings and conclusions of this study indicated that improvement is needed in mental healthcare in general, and all relevant aspects to improve comprehensive care among MHCUs in a community setting should be given full attention.

We describe the appropriateness and potential for effectiveness of three strategic approaches for improving HIV care in South Africa: community-based primary healthcare, local/community-based stakeholder engagement, and community-engaged research. At their core, these approaches are related to overcoming health inequity and inequality resulting from coloniality of power's heterogenous structural processes impacting health care in many low- and middle-income countries (LMIC). We turn to South Africa, a middle-income country, as an example. There the HIV epidemic began in the 1980s and its ending is as elusive as achieving universal healthcare. Despite impressive achievements such as the antiretroviral treatment program (the largest in the world) and the country's outstanding cadre of HIV experts, healthcare workers and leaders, disadvantaged South Africans continue to experience disproportionate rates of HIV transmission. Innovation in global public health must prioritize overcoming the coloniality of power in LMIC, effected through the imposition of development and healthcare models conceived in high-income countries (HIC) and insufficient investment to address social determinants of health. We advocate for a paradigm shift in global health structures and financing to effectively respond to the HIV pandemic in LMIC. We propose ethically responsive, local/community-based stakeholder engagement as a key conceptual approach and strategy to improve HIV care in South Africa and elsewhere. We join in solidarity with local/community-based stakeholders' longstanding efforts and call upon others to change the current status quo characterized by global public health power concentrated in HIC.

This case note engages in a critical examination of two recent cases concerning the issue of race-based appointments, or rather the lack thereof, in the judiciary. The crux of this case note concerns the appointment of judicial officers as regulated by section 174 of the Constitution of the Republic of South Africa, 1996 (Constitution). In particular, the case note is driven by subsection 2 of section 174, which provides:“The need for the judiciary to reflect broadly the racial and gender composition of South Africa must be considered when judicial officers are appointed.”In essence, this case note is an advocate for the argument that the South African judiciary must reflect the demographics of the country. That is to say, racial considerations are a prerequisite in judicial appointments, and not an afterthought. The case note starts with a discussion of the matter that was before the Gauteng High Court, sitting as the Equality Court, in Kroukamp v The Minister of Justice and Constitutional Development ([2021] ZAGPPHC 526). The case note then discusses the later decision of the Supreme Court of Appeal in Magistrates Commission v Lawrence (2022 1 All SA 321 (SCA)).

Background: A mechanism-based approach to post-injury knee magnetic resonance imaging (MRI) interpretation, following acute complex knee injury, is cited by several authors to provide increased reporting accuracy and efficiency, by allowing accurate prediction of injury to at-risk structures. This remains to our knowledge untested in a developing world setting and is of interest to us as South African general radiologists. Objective: To assess the reliability of a mechanism-based approach to complex post-trauma knee MRI interpretation when implemented by general radiologists in a South African setting, and compare our results with the findings of North American authors who compiled and assessed the same classification. To measure the agreement between the observers. Methods: A quantitative, observational, investigative, retrospective study was performed using a sample of 50 post-trauma knee MRI studies conducted at Grey’s Hospital, Pietermaritzburg. Two investigators independently applied the consolidated mechanism-based approach compiled by Hayes et al. as a research tool to interpret the knee MRI studies, blinded to each other’s findings. Results: Injury mechanism was assigned in 32% of cases by the principle investigator and in 20% of cases by the supervisor, with fair agreement between the observers (k = 0.39). The investigators agreed that 62% of cases were not classifiable by mechanism, 26% because of highly complex injury and 26% because of non-specific findings. Conclusion: Our findings indicate that the Hayes et al. classification is a non-ideal tool when used by general radiologists in our setting, as the pure injury mechanisms described in the classification were rare in our study group. Patient epidemiology and investigator experience are highlighted as potential limiting factors in this study. Despite this, we advocate that the concept of a mechanism-based approach for the interpretation of acute post-trauma knee MRI holds value for general radiologists, particularly in patients imaged before resolution of bone bruising (within 12–16 weeks of injury), and those injured in sporting and similar athletic activities.

Background: A mechanism-based approach to post-injury knee magnetic resonance imaging (MRI) interpretation, following acute complex knee injury, is cited by several authors to provide increased reporting accuracy and efficiency, by allowing accurate prediction of injury to at-risk structures. This remains to our knowledge untested in a developing world setting and is of interest to us as South African general radiologists. Objective: To assess the reliability of a mechanism-based approach to complex post-trauma knee MRI interpretation when implemented by general radiologists in a South African setting, and compare our results with the findings of North American authors who compiled and assessed the same classification. To measure the agreement between the observers. Methods: A quantitative, observational, investigative, retrospective study was performed using a sample of 50 post-trauma knee MRI studies conducted at Grey’s Hospital, Pietermaritzburg. Two investigators independently applied the consolidated mechanism-based approach compiled by Hayes et al. as a research tool to interpret the knee MRI studies, blinded to each other’s findings. Results: Injury mechanism was assigned in 32% of cases by the principle investigator and in 20% of cases by the supervisor, with fair agreement between the observers (k = 0.39). The investigators agreed that 62% of cases were not classifiable by mechanism, 26% because of highly complex injury and 26% because of non-specific findings. Conclusion: Our findings indicate that the Hayes et al. classification is a non-ideal tool when used by general radiologists in our setting, as the pure injury mechanisms described in the classification were rare in our study group. Patient epidemiology and investigator experience are highlighted as potential limiting factors in this study. Despite this, we advocate that the concept of a mechanism-based approach for the interpretation of acute post-trauma knee MRI holds value for general radiologists, particularly in patients imaged before resolution of bone bruising (within 12–16 weeks of injury), and those injured in sporting and similar athletic activities.

Townships and rural areas endure difficult circumstances such as poverty, unemployment, low educational levels, unstable income sources, socioeconomic deprivation and the lack of transportation. Furthermore, psychosocial issues such as crime, violence and substance abuse are additional contextual factors prevalent within South African townships. There has been a paucity of research focussing on the impact of contextual and socioeconomic conditions on the dementia family caregiver experience. This qualitative study aimed to address this gap. Semi-structured interviews were conducted with 30 family caregivers via purposeful sampling methods. Data analysis using Reflexive Thematic Analysis (RTA) generated four broad themes, namely – ( 1). Poverty, (2). Crime, Violence and Substance Abuse, (3). Practical Challenges and (4). A Sense of Normalcy. The findings of this study depict the socioeconomic conditions of family caregivers living in Soweto and its impact on dementia caregiving. The majority of the family caregivers in this study were unemployed and identified the financial aspects of caregiving as a significant strain. Beyond financial aspects, practical challenges that some family caregivers reported included spatial constraints and insufficient material resources. Caregivers raised safety concerns due to the dangers that this socioeconomic context posed. However, there was an implied sense of normalcy and a reluctance to identify challenges that caregivers endured. Recommendations for further research and its implications for public health policies and important initiatives to advocate for dementia caregivers and their family members are outlined.

Background: The measures imposed to curb the spread of the coronavirus disease 2019 (COVID-19) pandemic in early 2020 meant that many higher education institutions (HEIs) had to shift rapidly to remote teaching and learning (RTL). Given the unique demands of teacher education programmes, the question of the extent to which RTL and similar modes of teaching and learning are suited to the preparation of primary school teachers to teach in South African schools is an important one.Aim: The aim of the study was to explore the experiences and perceptions of teacher educators (TEs) towards this rapid shift to RTL.Setting: The study took place in one department in a faculty of education in an urban South African university.Methods: This study took the form of a qualitative case study. Data was gathered by means semistructured individual interviews and focus group discussions.Results: Firstly, it was found that mixed responses to the change to RTL at the outset gave way to a general consensus about the long-term value of blended learning. Secondly, it was found that the change to RTL had a positive effect on TEs’ teaching, given increased familiarity with, and integration of, technology, as well as the accompanying revisions to both pedagogy and curricula. Thirdly, the data showed that TEs perceived RTL as limiting because of two main factors, namely students’ lack of information and communication technology (ICT) resources and because, in their estimation, teacher education uniquely requires contact teaching. Finally, it was found that the change to RTL created additional psychological stressors for both students and staff.Conclusion: Based on this study’s findings, the authors advocate for more recognition and support for the emotional work performed by TEs during times of transition. They also argue that TEs should be given more responsibility in moulding blended teaching and learning practices according to their experiences of the successes and challenges of RTL.

A debate that has dominated American competition law jurisprudence relates to whether indirect purchasers should be prevented from claiming damages in private enforcement cases or whether both direct and indirect purchasers should be given the opportunity to claim civil damages. While there may be practical considerations impacting the extent to which those who have been indirectly harmed by cartels can reasonably expect to claim damages, an overly restrictive approach that would only consider direct purchasers may mean that some who might have a valid claim are effectively denied access to justice. None of the courts in the bread price-fixing cases or other subsequent competition law damages cases in the South African courts dealt with the essential question, which is whether or not all participants in the supply chain, regardless of their role as end consumers (indirect purchasers) or purchasers of inputs (direct purchasers), should be allowed to sue an upstream cartel for damages? In this article I analyse the seminal cases which prompted this debate in the United States and, I argue that in South Africa, the implications of not allowing an indirect purchaser to claim damages has a negative impact on the end consumers’ case. I advocate for allowing both indirect and direct purchasers to claim damages, and for the defendant to raise a passing-on of the overcharge defence in response.

AbstractExtractive activities in the countries of the Global South, particularly in various regions of Africa, serve as evidence of the pervasive and reinforcing nature of accumulative and commodifying practices, which are deeply rooted in and perpetuate the structural imbalances that have existed since the onset of colonization and the proliferation of colonial capitalism. The historical trajectory of resource and oil exploitation in Africa has been characterized by the occurrence of violent capitolocenes on the continent, eventually resulting in instances of environmental injustice, racial discrimination, socio‐economic deprivation and communal discord. In this context, the article analyses the persistent issues and consequences of environmental injustices in Africa, focusing specifically on the Niger Delta region of Nigeria. This region has been characterized by extensive oil extraction, environmental hazards and subsequent adverse effects. The article posits that the communities in the Niger Delta are subject to a threefold reality, which is characterized by a pattern of slow violence, slow observation and epistemic injustice. Furthermore, this article argues that the amelioration of ongoing environmental injustices on a rampant scale is contingent upon the adoption of a decolonial framework that seeks to advocate for the knowledge of indigenous populations, impoverished masses and marginalized communities in the Niger Delta.

Is it possible to decolonize the field of physical activity and health? Decoloniality presupposes a body-geopolitical location, such as in the Brazilian and Latin American context, where it is crucial to use social identity lenses related to race, gender, sexuality, and other social markers that affect the body. Understanding health and physical activity from a decolonial perspective would bring the oppressions that connect capitalism, patriarchy, and racism to the center of the discussion. For a “physical activity other,” we challenged the general recommendation of physical activity in the 4 domains. Physical activity should be understood as an end in itself, as a right, and as human development. Approaches that advocate physical activity at work, at home, and while commuting use other human activities to relate these domains to health without considering the inequalities and oppressions that constitute them in most parts of the world. Is it fair to apply “global recommendations” for physical activity to scenarios such as Brazil and Latin America, using models that are inappropriate to the context and history of these places, people, and cultures? Perhaps it is time to socially reorient and reposition physical activity from a decolonial perspective. We need Black, Indigenous, Latino, African, and other people from the Global South to move the research agenda, recommendations, and policies on physical activity from “any” health to a fair health.

Health advocacy is a core competency identified by Health Professions Council of South Africa to be acquired by health professional graduates. There is a lack of information on how health advocacy (HA) is taught and assessed in health science programmes. The aim of the study was to explore the teaching, learning and assessment of HA in undergraduate health science programmes at a South African university. Methods: Curriculum mapping of eight programmes and a Focus Group Discussion (FGD) with eleven key informants were conducted using a sequential mixed methods approach. Content analysis was used to analyse Curriculum Mapping data. Thematic analysis was used to analyse the FGD data. Results from both data sets were triangulated. Results: Six themes emerged: Perceived importance of HA role for health practitioners; Implicit HA content in curricula; HA as an implicit learning outcome; Teaching HA in a spiral curriculum approach; Authentic Assessment of HA, and Perceived barriers to incorporation of HA into curricula. Conclusion and Recommendations: HA is perceived as an important role for health professionals but it is not explicitly taught and assessed in undergraduate health sciences programmes. Barriers to its teaching and assessment can be addressed through capacity development of academics. Keywords: advocacy, authentic assessment, core competencies, curriculum, health advocacy, health advocate, health professions education, health sciences, teaching and learning

Introduction The genealogy of Feminist Standpoint Theory in the 1970s prioritised “locationality”, particularly the recognition of social and historical locations as valuable contribution to knowledge production. Pioneering figures such as Sandra Harding, Dorothy Smith, Patricia Hill Collins, Alison Jaggar, and Donna Haraway have argued that the oppressed must have some means (such as language, cultural practices) to enter the world of the oppressor in order to access some understanding of how the world works from the privileged perspective. In the essay “Meeting at the Edge of Fear: Theory on a World Scale”, the Australian social scientist Raewyn Connell explains that the production of feminist theory almost always comes from the global North. Connell critiques the hegemony of mainstream Northern feminism in her pyramidal model (59), showing how theory/knowledge is produced at the apex (global North) of a pyramid structure and “trickles down” (59) to the global South. Connell refers to a second model called mosaic epistemology which shows that multiple feminist ideologies across global North/South are juxtaposed against each other like tiles, with each specific culture making its own claims to validity.However, Nigerian feminist Bibi Bakare-Yusuf’s reflection on the fluidity of culture in her essay “Fabricating Identities” (5) suggests that fixing knowledge as Northern and Southern—disparate, discrete, and rigidly structured tiles—is also problematic. Connell proposes a third model called solidarity-based epistemology which involves mutual learning and critiquing with a focus on solidarity across differences. However, this is impractical in implementation especially given that feminist nomenclature relies on problematic terms such as “international”, “global North/South”, “transnational”, and “planetary” to categorise difference, spatiality, and temporality, often creating more distance than reciprocal exchange. Geographical specificity can be too limiting, but we also need to acknowledge that it is geographical locationality which becomes disadvantageous to overcome racial, cultural, and gender biases — and here are few examples.Nomenclatures: Global-North and Global South ParadigmThe global North/South terminology differentiating the two regions according to means of trade and relative wealth emerged from the Brandt Report’s delineation of the North as wealthy and South as impoverished in 1980s. Initially, these terms were a welcome repudiation of the hierarchical nomenclature of “developed” and “developing” nations. Nevertheless, the categories of North and South are problematic because of increased socio-economic heterogeneity causing erasure of local specificities without reflecting microscopic conflicts among feminists within the global North and the global South. Some feminist terms such as “Third World feminism” (Narayan), “global feminism” (Morgan), or “local feminisms” (Basu) aim to centre women's movements originating outside the West or in the postcolonial context, other labels attempt to making feminism more inclusive or reflective of cross-border linkages. These include “transnational feminism” (Grewal and Kaplan) and “feminism without borders” (Mohanty). In the 1980s, Kimberlé Williams Crenshaw’s concept of intersectionality garnered attention in the US along with Gloria Anzaldúa’s Borderlands/La Frontera: The New Mestiza (1987), which raised feminists’ awareness of educational, healthcare, and financial disparities among women and the experiences of marginalised people across the globe, leading to an interrogation of the aims and purposes of mainstream feminism. In general, global North feminism refers to white middle class feminist movements further expanded by concerns about civil rights and contemporary queer theory while global South feminism focusses on decolonisation, economic justice, and disarmament. However, the history of colonialism demonstrates that this paradigm is inadequate because the oppression and marginalisation of Black, Indigenous, and Queer activists have been avoided purposely in the homogenous models of women’s oppression depicted by white radical and liberal feminists. A poignant example is from Audre Lorde’s personal account:I wheeled my two-year-old daughter in a shopping cart through a supermarket in Eastchester in 1967, and a little white girl riding past in her mother’s cart calls out excitedly, ‘oh look, Mommy, a baby maid!’ And your mother shushes you, but does not correct you, and so fifteen years later, at a conference on racism, you can still find that story humorous. But I hear your laughter is full of terror and disease. (Lorde)This exemplifies how the terminology global North/South is a problem because there are inequities within the North that are parallel to the division of power and resources between North and South. Additionally, Susan Friedman in Planetary Modernisms observes that although the terms “Global North” and “Global South” are “rhetorically spatial” they are “as geographically imprecise and ideologically weighted as East/West” because “Global North” signifies “modern global hegemony” and “Global South” signifies the “subaltern, … —a binary construction that continues to place the West at the controlling centre of the plot” (Friedman, 123).Focussing on research-activism debate among US feminists, Sondra Hale takes another tack, emphasising that feminism in the global South is more pragmatic than the theory-oriented feminist discourse of the North (Hale). Just as the research-scholarship binary implies myopic assumption that scholarship is a privileged activity, Hale’s observations reveal a reductive assumption in the global North and global South nomenclature that feminism at the margins is theoretically inadequate. In other words, recognising the “North” as the site of theoretical processing is a euphemism for Northern feminists’ intellectual supremacy and the inferiority of Southern feminist praxis. To wit, theories emanating from the South are often overlooked or rejected outright for not aligning with Eurocentric framings of knowledge production, thereby limiting the scope of feminist theories to those that originate in the North. For example, while discussing Indigenous women’s craft-autobiography, the standard feminist approach is to apply Susan Sontag’s theory of gender and photography to these artefacts even though it may not be applicable given the different cultural, social, and class contexts in which they are produced. Consequently, Moroccan feminist Fatima Mernissi’s Islamic methodology (Mernissi), the discourse of land rights, gender equality, kinship, and rituals found in Bina Agarwal’s A Field of One’s Own, Marcia Langton’s “Grandmothers’ Law”, and the reflection on military intervention are missing from Northern feminist theoretical discussions. Moreover, “outsiders within” feminist scholars fit into Western feminist canonical requirements by publishing their works in leading Western journals or seeking higher degrees from Western institutions. In the process, Northern feminists’ intellectual hegemony is normalised and regularised. An example of the wealth of the materials outside of mainstream Western feminist theories may be found in the work of Girindrasekhar Bose, a contemporary of Sigmund Freud, founder of the Indian Psychoanalytic Society and author of the book Concept of Repression (1921). Bose developed the “vagina envy theory” long before the neo-Freudian psychiatrist Karen Horney proposed it, but it is largely unknown in the West. Bose’s article “The Genesis and Adjustment of the Oedipus Wish” discarded Freud’s theory of castration and explained how in the Indian cultural context, men can cherish an unconscious desire to bear a child and to be castrated, implicitly overturning Freud’s correlative theory of “penis envy.” Indeed, the case of India shows that the birth of theory can be traced back to as early as eighth century when study of verbal ornamentation and literary semantics based on the notion of dbvani or suggestion, and the aesthetic theory of rasa or "sentiment" is developed. If theory means systematic reasoning and conceptualising the structure of thought, methods, and epistemology, it exists in all cultures but unfortunately non-Western theory is largely invisible in classroom courses.In the recent book Queer Activism in India, Naisargi Dev shows that the theory is rooted in activism. Similarly, in her essay “Seed and Earth”, Leela Dube reveals how Eastern theories are distorted as they are Westernised. For instance, the “Purusha-Prakriti” concept in Hinduism where Purusha stands for pure consciousness and Prakriti stands for the entire phenomenal world is almost universally misinterpreted in terms of Western binary oppositions as masculine consciousness and feminine creative principle which has led to disastrous consequences including the legitimisation of male control over female sexuality. Dube argues how heteropatriarchy has twisted the Purusha-Prakriti philosophy to frame the reproductive metaphor of the male seed germinating in the female field for the advantage of patrilineal agrarian economies and to influence a homology between reproductive metaphors and cultural and institutional sexism (Dube 22-24). Attempting to reverse such distortions, ecofeminist Vandana Shiva rejects dualistic and exploitative “contemporary Western views of nature” (37) and employs the original Prakriti-Purusha cosmology to construct feminist vision and environmental ethics. Shiva argues that unlike Cartesian binaries where nature or Prakriti is inert and passive, in Hindu Philosophy, Purusha and Prakriti are inseparable and inviolable (Shiva 37-39). She refers to Kalika Purana where it is explained how rivers and mountains have a dual nature. “A river is a form of water, yet is has a distinct body … . We cannot know, when looking at a lifeless shell, that it contains a living being. Similarly, within the apparently inanimate rivers and mountains there dwells a hidden consciousness. Rivers and mountains take the forms they wish” (38).Scholars on the periphery who never migrated to the North find it difficult to achieve international audiences unless they colonise themselves, steeping their work in concepts and methods recognised by Western institutions and mimicking the style and format that western feminist journals follow. The best remedy for this would be to interpret border relations and economic flow between countries and across time through the prism of gender and race, an idea similar to what Sarah Radcliffe, Nina Laurie and Robert Andolina have called the “transnationalization of gender” (160).Migration between Global North and Global SouthReformulation of feminist epistemology might reasonably begin with a focus on migration and gender politics because international and interregional migration have played a crucial role in the production of feminist theories. While some white mainstream feminists acknowledge the long history of feminist imperialism, they need to be more assertive in centralising non-Western theories, scholarship, and institutions in order to resist economic inequalities and racist, patriarchal global hierarchies of military and organisational power. But these possibilities are stymied by migrants’ “de-skilling”, which maintains unequal power dynamics: when migrants move from the global South to global North, many end up in jobs for which they are overqualified because of their cultural, educational, racial, or religious alterity.In the face of a global trend of movement from South to North in search of a “better life”, visual artist Naiza Khan chose to return to Pakistan after spending her childhood in Lebanon before being trained at the University of Oxford. Living in Karachi over twenty years, Khan travels globally, researching, delivering lectures, and holding exhibitions on her art work. Auj Khan’s essay “Peripheries of Thought and Practise in Naiza Khan’s Work” argues: “Khan seems to be going through a perpetual diaspora within an ownership of her hybridity, without having really left any of her abodes. This agitated space of modern hybrid existence is a rich and ripe ground for resolution and understanding. This multiple consciousness is an edge for anyone in that space, which could be effectively made use of to establish new ground”. Naiza Khan’s works embrace loss or nostalgia and a sense of choice and autonomy within the context of unrestricted liminal geographical boundaries.Early work such as “Chastity Belt,” “Heavenly Ornaments”, “Dream”, and “The Skin She Wears” deal with the female body though Khan resists the “feminist artist” category, essentially because of limited Western associations and on account of her paradoxical, diasporic subjectivity: of “the self and the non-self, the doable and the undoable and the anxiety of possibility and choice” (Khan Webpage). Instead, Khan theorises “gender” as “personal sexuality”. The symbolic elements in her work such as corsets, skirts, and slips, though apparently Western, are purposely destabilised as she engages in re-constructing the cartography of the body in search of personal space. In “The Wardrobe”, Khan establishes a path for expressing women’s power that Western feminism barely acknowledges. Responding to the 2007 Islamabad Lal Masjid siege by militants, Khan reveals the power of the burqa to protect Muslim men by disguising their gender and sexuality; women escape the Orientalist gaze. For Khan, home is where her art is—beyond the global North and South dichotomy.In another example of de-centring Western feminist theory, the Indian-British sitar player Anoushka Shankar, who identifies as a radical pro-feminist, in her recent musical album “Land of Gold” produces what Chilla Bulbeck calls “braiding at the borderlands”. As a humanitarian response to the trauma of displacement and the plight of refugees, Shankar focusses on women giving birth during migration and the trauma of being unable to provide stability and security to their children. Grounded in maternal humility, Shankar’s album, composed by artists of diverse background as Akram Khan, singer Alev Lenz, and poet Pavana Reddy, attempts to dissolve boundaries in the midst of chaos—the dislocation, vulnerability and uncertainty experienced by migrants. The album is “a bit of this, and a bit of that” (borrowing Salman Rushdie’s definition of migration in Satanic Verses), both in terms of musical genre and cultural identities, which evokes emotion and subjective fluidity. An encouraging example of truly transnational feminist ethics, Shankar’s album reveals the chasm between global North and global South represented in the tension of a nascent friendship between a white, Western little girl and a migrant refugee child. Unlike mainstream feminism, where migration is often sympathetically feminised and exotified—or, to paraphrase bell hooks, difference is commodified (hooks 373) — Shankar’s album simultaneously exhibits regional, national, and transnational elements. The album inhabits multiple borderlands through musical genres, literature and politics, orality and text, and ethnographic and intercultural encounters. The message is: “the body is a continent / But may your heart always remain the sea" (Shankar). The human rights advocate and lawyer Randa Abdel-Fattah, in her autobiographical novel Does My Head Look Big in This?, depicts herself as “colourful adjectives” (such as “darkies”, “towel-heads”, or the “salami eaters”), painful identities imposed on her for being a Muslim woman of colour. These ultimately empower her to embrace her identity as a Palestinian-Egyptian-Australian Muslim writer (Abdel-Fattah 359). In the process, Abdel-Fattah reveals how mainstream feminism participates in her marginalisation: “You’re constantly made to feel as you’re commenting as a Muslim, and somehow your views are a little bit inferior or you’re somehow a little bit more brainwashed” (Abdel-Fattah, interviewed in 2015).With her parental roots in the global South (Egyptian mother and Palestinian father), Abdel-Fattah was born and brought up in the global North, Australia (although geographically located in global South, Australia is categorised as global North for being above the world average GDP per capita) where she embraced her faith and religious identity apparently because of Islamophobia:I refuse to be an apologist, to minimise this appalling state of affairs… While I'm sick to death, as a Muslim woman, of the hypocrisy and nonsensical fatwas, I confess that I'm also tired of white women who think the answer is flashing a bit of breast so that those "poor," "infantilised" Muslim women can be "rescued" by the "enlightened" West - as if freedom was the sole preserve of secular feminists. (Abdel-Fattah, "Ending Oppression")Abdel-Fattah’s residency in the global North while advocating for justice and equality for Muslim women in both the global North and South is a classic example of the mutual dependency between the feminists in global North and global South, and the need to recognise and resist neoliberal policies applied in by the North to the South. In her novel, sixteen-year-old Amal Mohamed chooses to become a “full-time” hijab wearer in an elite school in Melbourne just after the 9/11 tragedy, the Bali bombings which killed 88 Australians, and the threat by Algerian-born Abdel Nacer Benbrika, who planned to attack popular places in Sydney and Melbourne. In such turmoil, Amal’s decision to wear the hijab amounts to more than resistance to Islamophobia: it is a passionate search for the true meaning of Islam, an attempt to embrace her hybridity as an Australian Muslim girl and above all a step towards seeking spiritual self-fulfilment. As the novel depicts Amal’s challenging journey amidst discouraging and painful, humiliating experiences, the socially constructed “bloody confusing identity hyphens” collapse (5). What remains is the beautiful veil that stands for Amal’s multi-valence subjectivity. The different shades of her hijab reflect different moods and multiple “selves” which are variously tentative, rebellious, romantic, argumentative, spiritual, and ambitious: “I am experiencing a new identity, a new expression of who I am on the inside” (25).In Griffith Review, Randa-Abdel Fattah strongly criticises the book Nine Parts of Desire by Geraldine Brooks, a Wall-Street Journal reporter who travelled from global North to the South to cover Muslim women in the Middle East. Recognising the liberal feminist’s desire to explore the Orient, Randa-Abdel calls the book an example of feminist Orientalism because of the author’s inability to understand the nuanced diversity in the Muslim world, Muslim women’s purposeful downplay of agency, and, most importantly, Brooks’s inevitable veil fetishism in her trip to Gaza and lack of interest in human rights violations of Palestinian women or their lack of access to education and health services. Though Brooks travelled from Australia to the Middle East, she failed to develop partnerships with the women she met and distanced herself from them. This underscores the veracity of Amal’s observation in Abdel Fattah’s novel: “It’s mainly the migrants in my life who have inspired me to understand what it means to be an Aussie” (340). It also suggests that the transnational feminist ethic lies not in the global North and global South paradigm but in the fluidity of migration between and among cultures rather than geographical boundaries and military borders. All this argues that across the imperial cartography of discrimination and oppression, women’s solidarity is only possible through intercultural and syncretistic negotiation that respects the individual and the community.ReferencesAbdel-Fattah, Randa. Does My Head Look Big in This? Sydney: Pan MacMillan Australia, 2005.———. “Ending Oppression in the Middle East: A Muslim Feminist Call to Arms.” ABC Religion and Ethics, 29 April 2013. <http://www.abc.net.au/religion/articles/2013/04/29/3747543.htm>.———. “On ‘Nine Parts Of Desire’, by Geraldine Brooks.” Griffith Review. <https://griffithreview.com/on-nine-parts-of-desire-by-geraldine-brooks/>.Agarwal, Bina. A Field of One’s Own: Gender and Land Rights in South Asia. 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Background: Globally, the prevalence of metabolic syndrome (MS) is rising because of increased levels of physical inactivity and obesity. In South Africa, information about teachers’ physical activity (PA), body fatness and MS is limited.Aim: To assess the relationship between PA, body fatness and MS in urban South African teachers.Setting: The study setting was in Dr Kenneth Kaunda District in the North West province of South Africa.Methods: A cross-sectional study was conducted using secondary data drawn from the sympathetic activity and ambulatory blood pressure in Africans (SABPA) study of 216 teachers (aged 25–65 years). Variables included anthropometry, biochemical measurements, objectively measured PA and lifestyle behaviours.Results: Twenty-nine percent of the total participants were classified with MS, with 46% in men compared to 13% in women; 33% were sedentary and 67% participated in light activity. A weak significant negative relationship was found between the mean 7-day awake metabolic equivalent of tasks (METs) and triglycerides (r = −0.29; p = 0.02) and gamma-glutamyl transferase (r = −0.25; p = 0.06), activity energy expenditure (r = −0.24; p = 0.06) and PA level (r = −0.23; p = 0.07). After adjusting for age, self-reported smoking and alcohol use or consumption, a weak significant negative relationship between mean 7-day awake METs and triglycerides (r = −0.28; p 0.01) was observed.Conclusion: In the teachers with MS, only one MS marker (triglycerides) showed a negative association with PA. Physical activity could therefore be beneficial in the regulation of triglycerides. Participation in regular PA could be beneficial in the regulation of triglycerides. Focused PA interventions in school teachers that advocate the benefits of PA and healthy lifestyle choices to reduce dietary fat intake (and alcohol) are recommended.

Background: Ghana has developed two significant programs for modern naturopathic education in Africa. This success story makes Ghana one of the first countries in the West African sub-region to promote and advocate for the standardized structured naturopathic practice. This also makes Ghana join the likes of countries with a well-defined Naturopathic education such as South Africa, India, North America, and the like. In the case of South Africa, the Naturopathic program is offered at the School of Natural Medicine at the University of the Western Cape, a public institution. However, in the case of Ghana, there is a dedicated university for the promotion of naturopathy and Holistic Health programs. This, therefore, makes Ghana the first on the African continent to have a dedicated university to teach Naturopathy and Holistic Medicine. With a team of Naturopathic and Biomedical Science professionals in both clinical and academic practice, the Nyarkotey University College of Holistic Medicine & Technology (NUCHMT) provided a roadmap in this area. National Occupational Standard was further developed at the Higher National Diploma (HND) and Bachelor in Naturopathy and Holistic Medicine approved by the Commission for Technical and Vocational Education and Training (CTVET) for training two different cadres of Naturopathic Professionals. The HND aims to train Naturopaths and Bachelors to train Naturopathic Physicians. As part of training professionals to meet international standards, the curricula were benchmarked as part of approval requirements. This research paper examines the Ghanaian naturopathic curriculum to assess if it meets the Indian model for training Naturopathic Physicians. Objective: To critically review the Ghanaian naturopathy curriculum approved by the Commission for Technical and Vocational Education and Training (CTVET). Methods: This is qualitative research that used a document analysis. In this stage, we undertook an in-depth curricula evaluation and comparison with the Ghanaian Bachelor of Naturopathy and Holistic Medicine and the Indian Bachelor of Naturopathy and Yogic Sciences (BNYS). Results: We found that the Ghanaian and Indian Naturopathy curricula have some similarities and differences. The difference between the Indian and Ghanaian programs is that the first year is extended in the Indian BYNS for additional 6 months. Conclusion. The subjects offered in the Ghanaian naturopathic curriculum are on the same level as the Indian standards. However, the Indian curriculum has yogic sciences as an important aspect of naturopathic education which cannot be said in the Ghanaian curriculum.

Reflective writing is unarguably an essential component in experiential learning. For this reason, its usefulness as a communicative tool in nurturing students’ inclusivity, agency and sense of belonging needs further academic engagement. Additionally, the surrounding access, participation and success of students in higher education and the importance of reflective writing require adequate exploration within the South African space, thereby necessitating this study. This article is an inferential experiential discourse on the use of reflective writing as an important skillset acquired by students through the flagship Cornerstone module offered by the Centre for General Education, Durban University of Technology. This article explores using reflective writing for students to freely express themselves, thereby cultivating a deeper sense of inclusiveness and belonging and encouraging active involvement in socialisation and transformative education. The study’s setting was premised within the Durban University of Technology university-wide Cornerstone module for first-year students (enrolled in the course for the second semester, 2021 session). The authors employed a self-reflective practice owing to the authors’ inferential experiences as facilitators of the module (between 2018 and 2021) in utilising reflective writing in the classroom, along with a triangulation of secondary data from the literature. The study revealed that reflective writing aids a practice of inclusivity that underpins transformative learning. It forms the basis for a participatory methodological approach in educational encounters. It can be leveraged to tackle identity and belonging crises and exclusions by giving a voice to students to express themselves freely and creatively. The authors advocate for more relevant, inclusive and creative educational approaches to tackle societal issues. This can be effective for identity building, a sense of community and belongingness and individual motivation to communicate, creating a space for participation and valued involvement for students.Contribution: This article contributes to advancing divergent teaching practices such as more dialogic learner-centred techniques available through reflective writing methodologies compared to univocal delivery methods to encourage a more inclusive pedagogy and sense of placement and belonging for students.

ABSTRACT INTRODUCTION: Caregivers play an integral role in their child's development. Many caregivers from low resource communities within sub-Saharan countries face challenges in providing early childhood development (ECD) and stimulation. In South Africa, there are policies in place that aim to provide caregivers with child-care support and services; however, systemic factors often negatively impact the service delivery of early childhood development at a community level. This integrative review aimed to analyse, appraise, and synthesise the literature concerning the published evidence of caregivers' perception on their role in early childhood development and stimulation programmes for children within the ECD phase METHOD: The integrative review followed the five steps highlighted by Whittemore & Knafl. The literature search was conducted by electronic searching through ScienceDirect, Taylor & Francis, PubMed, JSTOR, Lancet, Google Scholar and Research Gate. Literature was included from 01 January 2010 to 31 December 2020, which was published in sub-Saharan Africa, on early childhood development and stimulation. A total of 22 records were included in the review. The data were qualitatively analysed through thematic analysis. The findings are presented according to the Bronfenbrenner's Ecological Systems Theory FINDINGS: Findings highlight that caregivers' facilitation of early childhood development in their children is influenced by daily practices of child-care and rearing. Caregivers perceived their role as nurturing and disciplining their children. The educational aspect of child development was the role of the school/ECD facility. Among these influences are contextual factors, culture, and poverty, which impact the practices that caregivers implement during early childhood development. There are policies and stimulation programmes in place to support and assist caregivers/parents in facilitating early childhood development CONCLUSION: Caregivers' form an integral component in a child's early childhood development and stimulation. The caregiver role is impacted by several factors which include context, culture, awareness of services, knowledge on child development, stimulation and resources. There is poor implementation and knowledge of support structures, policies, and stimulation programmes at a community level. This, therefore, suggests that government departments need to advocate and promote for easier access to facilities to assist caregivers/parents further Keywords: Early childhood development, family support, policies, stimulation programmes, low resource contexts, stimulation.