Browsing by Subject "Eastern Cape"
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Igumbor, Ehimario U.; Puoane, Thandi; Gansky, Stuart A.; Plesh, Octavia (Medpharm Publications, 2011)[more][less]
Abstract: Background: Comprehensive information is needed on the epidemiology and burden of chronic pain in the population for the development of appropriate health interventions. This study aimed to determine the prevalence, severity, risk indicators and responses of chronic pain among adults in Ngangelizwe, Mthatha, South Africa. Method: A cross-sectional survey utilising structured interviews of a sample of adult residents was used. Interviews elicited information on socio-demographic characteristics, general health status, and the prevalence, duration, frequency, severity, activity limitation and impact of chronic pain. Results: More than 95% (n = 473) of the sampled adults participated in the study. Of these, 182 [38.5%, 95% confidence interval (CI): 36.3-42.5%] reported chronic pain in at least one anatomical site. The most common pain sites were the back and head. The median pain score was 5 on a scale of 0 to 10 [interquartile range (IQR) = 4-7] and the median number of sites of pain was 1 (IQR = 1-2). Female gender [odds ratio (OR) = 2.6, 95% CI: 1.7-3.9] and being older than 50 years of age (OR = 3.5, 95% CI: 2.6-4.1) were identified as risk indicators for chronic pain in the sample. Over 65% of respondents reported that they self-treated; 92.1% had consulted with a doctor or nurse, 13.6% consulted a traditional healer, and 34.5% consulted a pharmacist because of their pain. Despite this, over 50% reported that relief of their pain was transient. Conclusion: Chronic pain is a common general complaint in this community, but there is a need for focused attention on women and the elderly. URI: http://hdl.handle.net/10566/432 Files in this item: 1
IgumborChronicPainMthatha2011.pdf (228.2Kb) -
Wotshela, Luvoyo (Univ. of Fort Hare) (Published by History Dept, University of the Western Cape, 2009)[more][less]
Abstract: Since its initiation, South Africaʼs post-apartheid land reform programme has generated extensive analysis and critique that in turn has yielded a body of scholarship. Discussion revolves around the official policy of the programme, the challenges associated with its implementation and its reception at local levels. It cannot be overstated that much of the discourse on the formulation of the programme itself commenced in the dying years of apartheid, through a series of workshops, policy conferences, research projects and publications. Prompted by glaring disparities in the countryʼs social and living conditions and primarily by entrenched imbalanced landownership, contemporary land reform dialogue has a well-built backdrop. What, however, is our understanding of local community politics that played perceptible roles in triggering land redistribution and facilitating patterns of settlement? This article gives some insight into a veiled history of interplay between community mobilisation politics, governance and official land reform policy in the Lukhanji municipality of the Eastern Cape during South Africaʼs transitional years of 1995 to 2006. After outlining how land redistribution was initially driven by forces operating outside government action, the article proceeds to illustrate the frailty of the government land redistribution accomplishment. Moreover, it demonstrates the complex nature of a rural setting that has arisen from community-facilitated and incipient government land redistribution achievements in the area. URI: http://hdl.handle.net/10566/103 Files in this item: 1
WotshelaLand2009.pdf (520.8Kb)
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