Philosophiae Doctor - PhD (Anthropology/Sociology)

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Social navigation among Rwandan army deserters in South Africa
(University of the Western Cape, 2022) Ncube, Florence; Gibson, Diana M.
In this thesis, I explore the post military lives of Rwandan army deserters who served in, deserted from the post-conflict Rwandan Defence Force (RDF), and went into self-imposed exile. I sought to understand the transition from military to post military life in a context of exile. I argue that being a Rwandan army deserter in self-imposed exile conjures a complex form of post military life and being �on the run� is the best way to navigate Rwandan state surveillance in South Africa. An ethnography conducted in Cape Town and Johannesburg over a period of eighteen months revealed that the military to post military transition of Rwandan army deserters is complicated because these former soldiers believe that they are being �hunted� by their government.
Knowledge Interfaces: Kruiekenners, plants and healing in Genadendal
(University of Western Cape, 2021) Davids, Denver; Gibson, Diana
This thesis was informed by what I perceived to be a tense relationship between Western biomedical science and, for example, �traditional� or �indigenous� ways of producing knowledge about medicinal plants used to manage a pervasive condition like Tuberculosis (TB) in South Africa. Hoping to reimagine this relationship and its possibilities, I follow medicinal plants collected from Genadendal through three research spaces with disparate but intertwined knowledge heritages to investigate these tensions but also to tease out how knowledge about locally used medicinal plants is generated and �done� in practice. The first space was at the South African Herbal Science and Medicines Institute (SAHMI) as part of an experiential science project led by scientists who were interested in studying medicinal plants which could potentially provide new sources of safe, affordable, and sustainable medicine for communicable conditions such as TB.
Respectable Mothers, Tough Men and Good Daughters Producing Persons in Manenberg Township South Africa.
(University of the Western Cape, 2004) Salo, Elaine Rosa; Kratz, Corinne A.
This ethno a h explores the mean in s of personhood and agency in Maneberg a township located on the Cape Flats, in Cape Town South Africa. The township was a site of relocation for people who were classified coloured during the apartheid era and who were forcibly removed from newly declared white areas in the city in the 1960s I argue that despite the old apartheid state's attempts to reify the meaning of colouredness through racial legislation,\the residents of Manenberg created their own meanings of personhood, agency and community within the bureaucratic, social and economic interstices of the apartheid systems Yet at the same time they also reinstated the very structural processes at the heart of their racial and gendered subjugation. I indicate how the cohesiveness of the Rio Street community in Manenberg, the survival of its residents and their validation as respectable mothers, tough men and good daughters hinged on and effloresced from a moral economy that articulated with the structural location of coloured women in the apartheid economy and racial bureaucracy. I draw upon the writings of Fortes (1969), Giddens (1984) and Karp (1995) to elaborate upon the concept personhood in Manenberg. I show how the local understandings of personhood provide residents with agency, whilst connecting the latter to township history and apartheid social structure, thereby illustrating its limits. The concept personhood captures the duality of existence of Manenberg residents and maps out their negotiation and contestation about personhood and agency. I use Hobart (1990) and Kratz (2000) to indicate that lagency in Manenberg is complex and is situationally determined~Finally I utilise the theoretical insights of Donham (1999) to indicate that Manenberg's social, economic and historical location in the South African context allows for several notions of personhood to prevail in the township. These notions are grounded in the multiple, interconnected, hierarchically ordered, competing cultural and economic systems of production at the local, national and global levels. This complex location of Manenberg residents generates multiple constructs of inequality, power and agency that impinge upon each other and that are reflected in the contestations about personhood in diverse township spaces.
The politics of UMOYA: Variation in the interpretation and management of diarrheal illnesses among mothers, professional nurses, and indigenous health practitioners in Khayelitsha, South Africa
(University of the Western Cape, 1997) Guma, Mthobeli Phillip; Farquhar, Judy
This study deals with the social interpretation of childhood diarrhea among the Xhosa speaking people of the Western Cape in South Africa. It highlights how in the Western Cape political consciousness and moralist discourses strongly influence relationships between different health care systems and the production of continuing conflicts around problems of health care delivery. It is argued that if meaningful relationships could be found between socially based health-seeking strategies and biomedical classifications of enteric and other diseases of women and children, they could facilitate the provision of more equitable, effective and widely acceptable health care. Furthermore, it compares the etiological explanations of childhood illness signs and symptoms of mothers and health practitioners of two kinds, i.e., professional nurses trained in biomedicine and indigenous African health practitioners (IHPs). The comparison focuses particularly on the interpretation of stool quality and associated symptoms. For stool quality the study refers to the color and texture of children's feces that mothers and health practitioners identify and associate with distinctive conditions of affliction. The study found these descriptive categories do not exhaust the variety of interpretations known to Nguni people in the area. There is variation, even ambiguity, in the interpretation of commonly understood illness categories and with respect to diarrheal illnesses, knowledge remains contested between mothers and professional nurses. Moreover, the availability of a wide range of therapeutic options m Khayelitsha diversifies the mother's causal explanations. It was found this diversity in causality and management of illnesses is manifested in the quality of children's stools, "green" feces in particular. Here too, different hues are not separable from the media in which they appear. Their interpretations draw on senses of value, ideas, social histories, different forms of power, systematic knowledge, and a great variety of other forms of significance that are embedded in the concrete domains of everyday life. In addition to the notion of isuntu,(that is humaneness) the study more importantly reveals that among Nguni of the Western Cape a tripartite relationship of umoya,(vital force) inyongo,(gallbladder) and ithongo (ancetral dream) is the dynamic philosophical component that describes Nguni experiences of health and illness. vi https://etd.
The body in hospitalization. a study of doctors, nurses and patients in a Cape Town teaching hospital
(University of the Western Cape, 1999) Gibson, Diana Mari; Humphreys, A.J. B
South Africa's health transformation blueprint is designed to replace apartheid's inequities and instill instead a new utilitarian approach by the health care sector. This study gives attention to the medical gaze and the body in hospitalisation. At macropolitical level the study focuses on the ways in which the new health policy impacted on power relations and multi-levelled subject positions of medical and nursing staff, as well as on patients in a hierarchy of spaces such as in the wards, in the institution and at a national level, in terms of policy implementation and the reconstruction of the health care services. It shows that policy and institutional discourses and arrangements were embedded in a regime of visuality which discursively homogenised people from different cultural realities. Yet, at the same time biases related to constructions of bodies in relation to class, age, gender and 'value' continued to exist. At the level of hospital protocols and structure the thesis examines the social, political and conceptual frameworks that conveyed, allowed or disallowed particular meaning to the institution. It describes the formal, dominant discourses and processes in the wards and show how these impacted on everyday interaction and relations of power, autonomy, authority, conflict and resistance. The study shows that for patients there often was a disjuncture between policy and practice, as biomedical practitioners and policy makers struggled to define the scope and implementation of health care services in response to pressures for change and concomitant fluctuation. By problematising the notion of the medical gaze and by giving attention to discourses and practices, which were not legitimated by it, the study draws attention to realities that were deemed largely irrelevant by western medical epistemology, such as subjective experiences and knowledge, which, though lacking the same legitimation as the gaze, did not disappear but only become less visible. In this way the study widens the social context in which medical practice can be perceived and understood within a transforming South African health care system.
Respectable mothers, tough men and good daughters. producing persons in Manenberg township South Africa.
(University of Western Cape, 2004) Salo, Elaine Rosa; Kratz, Corinne A.
This ethnography explores the meanings ofpersonhood and agency in Manen�berg, a township located on the Cape Flats, in Cape Town South Africa. The township was a site of relocation for people who were classified coloured during the apartheid era and who were forcibly removed from newly declared white areas in the city in the 1960s. I argue that despite the old apartheid state's attempts to reify the meaning of colouredness through racial legislation, the residents ofManenberg created their own meanings of personhood, agency and community within the bureaucratic, social and economic interstices of the apartheid system. Yet at the same time they also reinstated the very structural processes at the heart of their racial and gendered subjugation. I indicate how the cohesiveness of the Rio Street community in Manenberg, the survival of its residents and their validation as respectable mothers, tough men and good daughters hinged on and effioresced from a moral economy that articulated with the structural location of coloured women in the apartheid economy and racial bureaucracy.
The Bamasaaba people's response to the safe medical male circumcision policy in Uganda
(University of the Western Cape, 2021) Omukunyi, Bernard; Nadasen, Krishnavelli Kathleen
The Joint United Nations Programme on HIV (UNAIDS) strongly recommends that developing countries regard medical male circumcision as a biomedical intervention. This recommendation has caused developing countries seeking a radical solution to the prevailing and persistent social problem of HIV to reform their health policies. Most now discourage traditional male circumcision and promote safe medical male circumcision (SMMC) as a strong contributor to reductions in HIV transmission. This has introduced conflicts in traditional African societies such as the Bugisu, where male circumcision is culturally motivated, symbolising a rite of passage from boyhood to manhood. In the Bugisu sub-region, the local Bamasaaba regard their cultural practice of traditional male circumcision (TMC) as prestigious.
Liminality, Papers and Belonging amongst Zimbabwean Immigrants in South Africa
(University of the Western Cape, 2020) Nyakabawu, Shingirai; Pillay, Suren
Introduced in 2010, the Dispensation Zimbabwe Program (DZP) regularised undocumented Zimbabwean immigrants in South Africa. When DZP was closed, the Zimbabwe Special Permit was introduced, which was also replaced by the Zimbabwe Exemption Permit. This thesis examines the lived experiences of Zimbabwean migrants from the time they arrived in South Africa without papers, visas, or permits. It then examines the processes of acquiring DZP papers, processes of replacing it, and how conditions on the permits reinforce a particular notion of belonging for Zimbabwean immigrants. I draw on work inspired by the anthropologist Victor Turner�s (1967) concept of liminality to show that Zimbabwean migrants had been going through various phases of uncertain legal statuses which are all liminal. Through accounts of lived experiences and biographical narratives of migrants who see themselves as �entrepreneurs� in Cape Town, I consider how migrant�s experience the structural effects of documentation and having or not having �papers�. It starts with a state of �illegality� because of being an undocumented migrant in South Africa. It proceeds to �amnesty� from deportation following the announcement of DZP. It then proceeds to the filling of application forms for legalisation at Home Affairs. The DZP permits make them �liminal citizens� in that they got political citizenship by virtue of being documented, but at the same time, the migrants do not enjoy full citizenship status economically. There is also �legal suspension� as in the period between applications for replacement of the permit with another for example from Zimbabwe Special Permit (ZSP) to Zimbabwe Exemption Permit (ZEP). The imposition of conditions in permits that it will not be renewed or extended throws them into a condition of �temporary conditional legality�. As a result, the liminality experienced is both existential and juridical. Juridical liminality results from uncertain legal status whether the migrant is documented or not. Juridical liminality is inherent in law and immigration policy. Existential liminality is because the uncertain legal status permeates all aspects of Zimbabwean immigrants� lives and delimits their range of action in different spheres. This includes jobs, transnational capabilities, business, family, housing, and schooling for their children. Most studies on migration do not extend their arguments beyond that permits matter as they see them as giving immediate access to social and economic rights. In this thesis, I do not only examine how a condition of being an undocumented immigrant shapes aspects of immigrants� lives but I further examine the experiences of living with temporary visas and their impact on their lives and family. Whereas in a rite of passage, the liminal stage is temporary, Zimbabweans in South Africa are living in chronic liminality. In all phases of liminal legality, the thesis demonstrates state power through documents/visas in shaping migrant lives deepening our understanding of immigrant incorporation, exclusion, citizenship and belonging.
Liminality, papers and belonging amongst Zimbabwean immigrants in South Africa
(University of the Western Cape, 2020) Nyakabawu, Shingirai; Pillay, Suren; Ellis, William
Introduced in 2010, the Dispensation Zimbabwe Program (DZP) regularised undocumented Zimbabwean immigrants in South Africa. When DZP was closed, the Zimbabwe Special Permit was introduced, which was also replaced by the Zimbabwe Exemption Permit. This thesis examines the lived experiences of Zimbabwean migrants from the time they arrived in South Africa without papers, visas, or permits. It then examines the processes of acquiring DZP papers, processes of replacing it, and how conditions on the permits reinforce a particular notion of belonging for Zimbabwean immigrants. I draw on work inspired by the anthropologist Victor Turner�s (1967) concept of liminality to show that Zimbabwean migrants had been going through various phases of uncertain legal statuses which are all liminal.
�Performing Diversity�: Everyday social interaction among migrants from the Great Lakes Region and South Africans in Cape Town
(University of Western Cape, 2020) Murara, Odette; Becker, Heike
This dissertation is an exploration of everyday social interactions among and between migrants from the Great Lakes Region and South Africans, who live together as neighbours in a post-apartheid South African community. It focuses on the ways through which migrants who are diverse among themselves forge social relations with one another and with the South Africans in an urban township of lower middle class setting. It is an ethnography that interrogates the understandings of belonging and difference in concrete arenas of interaction in these two groups, and how they both mediate their diversity encounters in everyday life.
Aid to Lesotho: dilemmas of state survival and development
(University of the Western Cape, 1995) MATLOSA, KHABELE TEBOHO; VALE, PETER
This thesis discusses the triangular relationship of aid, state and development since Lesotho's independence. It builds on three key hypotheses. First, during the preadj ustment period aid entrenched bureaucratic state power, but this changed with the adoption of the adjustment programme which only facilitates state survival. Secondly, hemmed in by external developemts and internal political and economic crisis, the state is caught between survival and shrinking resources. Thirdly, given the above, development has remained elusive inspite of the infusion of aid at highly preferential terms. Since the Cold War, aid issues have undergone three phases. Until the 1960s, donor concerns focussed primarily on economic growth. Growth with redistribution or the basic needs approach dominated aid disbursement up to the late 1970s. Since the 1980s, aid has been influenced predominantly by the IMF/World Bank orthodoxy of adjustment. Much of the debate on aid to Africa generally and to Lesotho specifically has revolved around whether aid develops or underdevelops recipient countries. The view that aid bolsters state power is not new. This study argues, however, that this may not be the case under adjustment conditions. Aid facilitates state survival in the context whereby donors mount a systematic offensive agianst dirigisme and economic nationalism. As they do that, the locus of economic production and interaction is shifted to private agents and autonomous social movements and the role of the state is cut back. Donor confidence, therefore; shifts from states to markets. The implications of these processes for the Lesotho state and prospects for development form the central thrust of this study. Non-probability purposive sampling was used for data collection. This approach rests on qualitative research methodology. Respondents were chosen on the basis of their position and influence on decion-making processes that impinge on the interface amongst aid, state and development. Primary data sources are clustered into three categories: Government; Donor agencies and embassies; and Non-governmental Organisations.
'n Psigo-Sosiale Studie van Tienerswangerskappe in die Noordelike Stadsgebiede van die Kaapse Skiereiland
(University of Western Cape, 1990) Todt, Aletta Elizabeth; du Toit, J.B.
Die verskynsel van tienerswangerskap kom in alle samelewingsvorme voor en toon 'n steeds stygende toename in alle w�relddele sodat dit deur sommige outeurs as epidemies beskou word (Chelala, 1988: 22). Dit vorm deel van die toename in bevolkingsgetalle en die sogenaamde bevolkingsontploffing. Gevolglik word die demografiese tendense be�nvloed en so vorm tienergeboortes 'n belangrike bydrae tot bevol_kingsgroei Die studie van tienerswangerskappe kan egter nie in isolasie benader word nie. Dit vorm deel van 'n kringloop van verwante samelewingsverskynsels wat oorsaaklik of gevolglik mag wees, byvoorbeeld bevolkingstoename en ander demografiese tendense, armoede, swak behuisingstoestande, drankmisbruik en dwelmverslawing, gebrekkige voeding en onderwys, om maar net 'n paar te noem. In hierdie studie sal daar gepoog word om aan te dui dat tienerswangerskap in verband gebring moet word met die interaksie van 'n verskeidenheid van dinamies interafhanklike psigo-sosiale verskynsels. Verder sal daar ondersoek ingestel word om te bepaal watter psigo-sosiale faktore spesifiek by die voorkoms van tienerswangerskap betrokke is.
A study of the Socio-Economic Integration of Highly-Skilled Nigerian Migrants in Cape Town
(University of the Western Cape, 2019) Igbokwe, Gordon
Migration is an important topic, not only for researchers in South Africa, but also for policymakers and the media. It is an issue at the top of the national and international agenda. In the debate on migration and the literature, voices of migrants themselves remain mostly unheard. The public perceptions and policy-making are often based on fear, stereotypes and common myths rather than reality. In this study, the researcher aimed to examine the socio-economic integration challenges of highly-skilled Nigerian migrants and how they may help contribute their skills towards the socioeconomic development of South Africa to potentially inform the national migration policy, as well as future research. Methodologically, the researcher conducted a mixed-method study using an interpretive paradigm. Data were derived from 22 semi-structured interviews and six in-depth interviews. The study used a combination of purposive and snowballing sampling techniques, where semi-structured and in-depth interviews, as well as observations, were also carried out. Data gathered were analysed using thematic analysis.
The invention of moffie life in Cape Town, South Africa
(University of the Western Cape, 2018) Cloete, Allanise; Becker, Heike
This dissertation is an ethnography of the figure of the moffie as a performance of same sex desire amongst gender non-conforming men, as it is celebrated in the 'coloured' ('coloured' is a constructed racial category, similar to 'white' and 'black' designated onto South Africans during the system of legislated racial segregation) townships of Cape Town. In this dissertation I demonstrate that the moffie is central to the lives of gender non-conforming men living in the 'coloured' townships of Cape Town. Through historical and contemporary ethnography, I show how moffie life is a representation of same sex desire amongst men that is highly visible. I reveal how moffie life is socially sanctioned through feminine self-styling, embodied through that of the gay hairdresser, annual gay beauty pageant competitions and Gay Pride events.
The social act of exchange in power relations: A study of Nichekeleko phenomenon at the Weighbridges in Zambia
(University of the Western Cape, 2017) Phiri, Chidongo; Oloyede, Olajide
This study examined the widely practiced phenomenon of Nichekeleko at the Weighbridges (WBs) in Zambia. The commonly held understanding of Nichekeleko by the Zambian people is that; it is corruption, ranging from bribery, theft, embezzlement, money laundering, and gratification to favouritism. Sociologically, this phenomenon can be referred to as the Social act of exchange perpetuated in the context of power relations by the actors who engage in the phenomenon. The study used a local concept to examine the reasons for its persistence. The focus of the study was based on cultural-specific words implied in Nichekeleko reflecting the actor"s experiences of doing and thinking about things in a certain way perpetuating the phenomenon. The subject was approached through an observation of how public discourses of corruption are reported in a negative sense in print and electronic media ignoring the localization of the phenomenon. This is because; when a culture linguistic analysis is used at the WB to examine the reasons for its persistence; it has revealed psychological dimensions of self-esteem to helping one another by drivers and operators in the form of gifts and other favours distinct from monetary value. This reflects a Chewa cultural practice for sharing material gifts and offering moral support to one another.
Performances of Muslim-ness in post-apartheid Cape Town: Authenticating cultural difference, belonging and citizenship
(University of the Western Cape, 2017) Alhourani, Ala; Becker, Heike
This thesis presents an ethnographic study of the resurgence of public performances of Muslim-ness and an exploration of the Muslim politics of cultural difference in the democratic, post-colonial, and liberal context of the post-apartheid South African nation-state. The central argument that underpins my approach throughout this thesis is that the post-apartheid cultural politics of 'rainbowism' has led to an enhanced and remarkable resurgence of public performance of Muslim-ness in Cape Town. This thesis posits that this resurgence has mediated a sense of belonging that is defined by the multiple allegiances of Muslims to their local cultural particularity, to the South African nation-state, and to the transnational Muslim Ummah.
The use of medicinal plants to treat mental illness in Kavango East and West regions, Namibia
(University of the Western Cape, 2016) Shirungu, Michael M.J.; Gibson, Diana; Cheikhyoussef, Ahmad
The thesis examines mental illness as it is understood and treated by traditional healers in Kavango, based on ethnographic data collected over twelve (12) months in three (3) different phases from 2014 to 2016. The thesis offers ethnographic material and theoretical insight on the socio-cultural construction of three common mental disorders (CMD) which were identified and treated by traditional healers: Nyambi, Kasenge and Ndjangura. I employed the �cultural models� of Dahlberg et al (2010, p. 282) as a framework to understand mental illness and its treatment by traditional healers - who deal with sick persons on a daily basis. The three common mentally related illnesses appear to be specific to the Kavango people, based on their cultural settings. I argue that these mental illness categories are not fixed or objective, but rather reflect the expertise of the Vanganga (Traditional healers) who identify them, and ultimately treat the afflicted. While traditional healers themselves assume that these local notions of mental illness are static, in reality they are not. Rather, these are active concepts constituted by culturally and socially relative categories whose precise boundaries and meanings vary and are highly contested. It was evident that the conceptualization (expression of belief patterns, thoughts and ideas) by the Vanganga (Traditional healers) of the three local mentally related illnesses differed, in the ways they perceived and treated similar conditions. The manner in which these perceived signs and symptoms informed their diagnoses differed, but also overlapped: in terms of basic assumptions that underlay explanations and treatment, and the ways in which the conditions became manifest. The thesis postulates that Traditional healers form part of the local health care system, historically unregulated. There have been calls for the recognition and regulation of traditional healers and their medicines, but to date such recognition and regulation has, if anything, been sporadic, insufficient and controversial. In response to this I provide a new way of classifying traditional healers in Kavango and propose the use of three categories: Kangangwena (assistant traditional healer), Nganga (general traditional healer) and Nkurunganga (expert traditional healer). The thesis discusses the cultural epistemology of traditional healing concerning the use of medicinal plants as treatment for mental illness. Plant knowledge and its application by traditional healers is explored, with the emphasis on the medicinal plants used to treat various mentally related illnesses. In addition, administration methods and the medicinal plants used in the treatment of mental illness are examined. I argue that medicinal plants are believed to possess powers that need to be "enticed or seduced" by healers, in order to produce a therapeutic effect on the muveri (sick person). I contend that medicinal plants are perceived to have an agentivity which is embedded in the community and people who utilize them. Thus, I intend to show that medicinal plants have power that work at different levels via ritual healing ceremonies and communication to the ancestors, as a way of "seducing" them to bring forth their therapeutic effect on the sick person. The plants in question were "seduced" inter alia by boiling, powdering, crushing and soaking, to increase their rate of reaction and generate more therapeutic power. A total of 37 medicinal plant species belonging to 24 families were reported to be used traditionally in Kavango regions in Namibia, to treat the five different categories of mental disorders. The most reported use of plants was of Albizia tanganyicensis, Ancylanthos rubiginosus, Bobgunnia madagascariensis, Dialium engleranum Diospyros virgata, Elaeodendron transvaalense and Guibourtia coleosperma. Roots and leaves were most frequently used in treatment. Remedies were prepared by boiling, while oral intake and steaming were most commonly used by healers to administer them.
The Nigerian healthcare system: A study of access to affordable essential medicines and healthcare
(University of the Western Cape, 2015) Obuaku-Igwe, Chinwe Christopher; Oloyede, Olajide
The concepts of availability, affordability, accessibility and acceptability otherwise known as the 4As of ATM are key factors that influence access to essential medicines in any given health system. However, the exact scale and extent to which these 4As affect various populations in Nigeria remains unknown. This study investigates the Nigerian healthcare system with special focus on access to quality and affordable essential medicines in three Nigerian States; Abuja, Kaduna and Nassarawa, by drawing upon primary data, using qualitative and quantitative research methods.
Creativity in spaces of learning: experimentations in two schools
(University of the Western Cape, 2012) Sauls, Roderick K; Oloyede, Olajide
The questions concerning how creativity can enhance the culture of learning in schools, especially amongst the previously marginalized groups, are not simple and straightforward. In South Africa, the general questions often posed are: �What form of creative activities exists in schools?� and �How do learners� develop creativity that improves life skills?� This study provides empirical findings that suggest answers to these questions. It focuses on how creativity can enhance the culture of learning and why it is significant in nation building. In particular, the results of the study show, through experimental exercises with learners and observational data, that the arts may be regarded as a mechanism to enhance creativity in spaces of learning for the vast majority of people in South Africa. The analysis revealed that in-school-time participation in the arts transformed the conditions for and structure of participation in different phases during schooling. The experimentation showed the learners making choices and participating in all forms of activities. As the in-school-time learners developed experience, self-esteem, and competence in the arts, their life and labour skills developed. The results also revealed that primary experiences provide learners with a head start in learning � from commitment (motivation) to enhancement (learning how to learn) to competency (skills). Thus, the basis for the enhancement of creativity is how learners participate as this affects the intensity with which they learn how to learn. The study concludes with suggestions for the implementation of various educational endeavors in the application of creativity as an enhancement for a substantial education that can play a major part in social, political, and economic development and prosperity in South Africa.
The role of men in promoting women�s reproductive and maternal health in a matrilineal marriage system in Malawi: the case of Ntchisi District
(University of the Western Cape, 2015) Kapulula, Phillip Klemens; Gibson, Diana Mari
This research explored the role of men in efforts by the Malawi Ministry of Health to promote women�s reproductive and maternal health in accordance with Millennium Development Goal (MDG) number five, i.e. to reduce the maternal mortality ratio by three quarters between 1990 and 2015. The study was conceptualised in 2011 in an effort to contribute to the national strategy to reduce maternal mortality in Malawi, and it was done in the particular cultural context of a matrilineal marriage and kinship system in Ntchisi district, Malawi. At the inception of this study, the highest prevalence of maternal deaths in the country was reported in seven districts, including Ntchisi. A common understanding in public health circles worldwide is that male involvement in reproductive and maternal health activities is an important factor in achieving the above MDG goal. But historically, research on maternal health in Malawi has focused mostly on women and children. Consequently there are only a small number of relevant previous studies or extant literature to draw on for the current investigation. Malawi�s reproductive and maternal health policies largely lack locally-informed research on men and masculinities. My study aimed to explore the relationship between local constructions of masculinity, fatherhood and reproductive health in Malawi among Chichewa speakers who live in Ntchisi. It was guided by the social constructionist theory which recognises the role of the impersonal features of the social world like cultural, personal and group influences in the construction of ideas, knowledge and facts. In this study I adopted an inductive approach to learning in which the participants were the main players in describing and explaining social phenomena as they are constructed and experienced in the research site. I conducted multiple in-depth interviews and focus group discussions with 53 married men, key informant interviews with eight local leaders and traditional birth attendants, as well as focus group discussions with 12 married women who had given birth multiple times. Data analysis involved intensive scrutiny of transcripts to determine prevailing themes. Listening to the tapes and re-reading these transcripts enabled me to detect patterns and categorise different practices and constructions, to find associations between these practices and constructions of concepts. Malawi�s men are considered to be the traditional gatekeepers of maternal and social ideals. Therefore, as elders in a clan or as husbands, their prompt decisions can facilitate the access of their spouses to maternal and reproductive health services. Men as heads of households and decision makers can also support and enable their wives to follow the recommended maternal health counsel. However, men�s �lack of involvement� is not the principal reason why there is increasing maternal challenges among child-bearing women in Ntchisi. Although men are not entirely free of the blame for contributing to the status quo, they already work hard towards ensuring positive pregnancy outcomes for their spouses. The study found that husbands in Ntchisi have long been involved in pregnancy and child care. The study shows that pregnancy is regarded as a liminal state or as a kind of �sickness�. Male involvement in pregnancy means the man should take over the routine household chores of drawing water, fetching firewood and cooking, among other things. However, men construct their involvement in reproductive and maternal health matters in the framework of masculinity and femininity as dictated by the commonly held beliefs of a matrilineal Chewa grouping. The study showed that masculinities are constructed within the context of a matrilineal system, which has nonetheless been changing largely due to the colonial impact of the United Kingdom, the related influences of Christian and westernised social ideals and an education system based on the British model. Men�s gendered practices in reproduction and parenting have foundations in the initiation rites of the secret Nyau societies where the masculine ideals of sexuality and secrecy are inculcated. This research cannot be generally extrapolated to the wider population in Malawi but it is a starting point for understanding the responses of matrilineal Chichewa speaking men to reproductive and maternal health matters. Further and broader research on the construction of fatherhood and masculinity is needed in Malawi to make it possible for public health policy on reproductive and maternal health to be more culturally informed.

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