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Varsprodukte in Suid-Afrika :inkomste- en kostestrukture van markagentskappe op die nasionale varsproduktemarke in die Republiek van Suid-Afrika: 'n RGN bemarkingsondersoek
The ‘silent witness’: understanding the reluctance to report corruption in South Africa
HSRC Policy Brief, AugustSeveral reports from anti-corruption organisations, widespread media coverage on the struggles faced by whistleblowers and evidence from the Zondo Commission suggest that there is broad reluctance among South African citizens to report corruption. This phenomenon of the ‘silent witness’ is examined in relation to the National Anti-Corruption Strategy (NACS) 2020–2030, which aims to foster transparency and public accountability in the country. A strategic objective of the NACS is to “cultivate and foster a culture of reporting in which citizens understand the negative impact of corruption and where individuals are empowered to report any devious or corrupt activities they become aware of.”1 Data from the 2023 round of the Human Sciences Research Council’s (HSRC) South African Social Attitudes Survey (SASAS) was used to analyze public willingness to report corruption. It shows that only about half the adult population expressed an intention to alert
authorities if they encountered corrupt practices. What accounts for this reluctance? The aim of this policy brief is to examine the barriers to corruption reporting, and to provide actionable suggestions that can help encourage people to report corruption.N/
Democracy@30: “We are not seen” – experiences of Langa residents living with disabilities
As South Africa celebrates 30 years of postapartheid democracy in 2024, individuals with disabilities remain among the most discriminated against and marginalised groups in society. Dane Isaacs and Diana Sanchez Betancourt share insights from the first phase of the HSRC’s Democracy@30 Project, conducted in the township of Langa, Cape Town.N/
The hidden struggle: mental health during the COVID-19 pandemic in South Africa
The COVID-19 pandemic and associated lockdown had a profound impact on mental health in South Africa, particularly among marginalised groups. The University of Johannesburg / Human Sciences Research Council (UJ/HSRC) COVID-19 Democracy survey was a cross-sectional online survey conducted in five rounds covering a 20-month period from mid-April 2020 to November 2021 and involving nearly 45,000 participants. Our findings show that stress, depression, and loneliness were prevalent, especially during the strictest lockdown periods. Women, young adults, and poorer individuals were disproportionately affected, with hunger and unemployment emerging as significant drivers of distress. Psychological distress lessened as lockdown restrictions eased, but feelings of isolation persisted for many. Interestingly, COVID denialists reported lower levels of distress, while those more accepting of vaccines exhibited less psychological distress. The findings emphasise the importance of addressing both socio- economic and mental health vulnerabilities through social protection and targeted interventions during future crises. It further underlines the treatment gaps in South Africa’s mental health services, with system strengthening being vital to address present and future need.
Public health nutrition in the context of global public health: capacity development for health education and public health through virtual exchange between Sweden and South Africa
Poster presented virtually between March 2023 and October 2024This SASUF-funded collaboration built on previous research collaborations in public health nutrition and life course epidemiology and further expanded our networks and activities through teaching collaborations. Between March 2023 and October 2024, the project connected universities in South Africa (UFS, UWC) and Sweden (SU, KI, UmU) through virtual teaching, mentoring, and research exchange - enhancing capacity in public health nutrition, public health ethics and global health across all levels of higher education.N/
Why & how science diplomacy & engaged research matter
Paper presented at Engaging Futures: Bridging Research, Policy & Diplomacy, Science Diplomacy Summer School, Pretoria, 26 Augus
Trapped by debt: an ethnographic study of medical indebtedness and hospital detention in the Fundong Health District, Cameroon
Background: This study investigates the structural and socio-cultural drivers of medical indebtedness and hospital detention due to unpaid healthcare bills in the Fundong Health District, Cameroon. It explores how poverty, institutional shortcomings, and cultural beliefs converge to exacerbate patients’ financial vulnerability and delay access to care. Methods: A qualitative anthropological approach was employed between February and November 2022, combining 34 in-depth interviews with extended ethnographic observation in hospital wards, billing offices, and family waiting areas. Data were analyzed using iterative grounded theory methods, including open, axial, and selective coding of interview transcripts, focus group discussions, and field
notes. This methodology allowed for a nuanced understanding of how debt and detention are experienced and perpetuated. All data were transcribed, manually coded, and analyzed using NVivo 14 software to identify recurring themes related to hospital detention. Results: The findings show that medical indebtedness is driven by poverty, lack of health insurance, and limited social support. Institutional factors—including underfunded healthcare infrastructure and high user fees—compound these vulnerabilities. Cultural norms, such as beliefs discouraging financial preparation for illness, further heighten exposure to risk. The practice of hospital detention, though largely undocumented, imposes severe physical, emotional, and financial burdens, prompting some to delay care or adopt harmful coping mechanisms. Conclusion/policy implications: Addressing medical debt and hospital detention requires a multifaceted policy response. Recommendations include eliminating maternal user fees, expanding health insurance coverage for vulnerable populations, protecting hospital-based social assistance, and replacing detention with legal safeguards and social mediation. Additionally, culturally sensitive financial literacy and mental health support programs are vital. Long-term investment in health infrastructure and governance is essential to reduce out-of-pocket spending and ensure equitable, rights-based healthcare access.
Prevention product profiles for future options, including long-acting PrEP formulations and products: person-centred design choice in HIV prevention
Paper presented at the HIV R4P: HIV Prevention Roadmap, Peru and Virtual, 6-10 OctoberN/
Towards developing a collaborative PhD program across ARUA member universities: experiences from South African universities
Commissioned by the African Research Universities Alliance (ATUA), OctoberThe South African higher education system has been recognised as the leading producer of knowledge on the continent, contributing to 73% of total publications from all ARUA universities in 2018 (Van Shalkwyk et al., 2021). Furthermore, a recent study by ARUA shows that South African universities had higher doctoral enrolments and graduates than their alliance counterparts (ARUA, 2021). What is less obvious is the nature of collaboration, and how this can be enhanced. This report highlights the status of doctoral training in South Africa using evidence from the six South African ARUA member universities. The study explores the nature of the doctoral programme within the member universities as a sample of the system to make recommendations towards the development of collaborative doctoral programmes across the alliance. The report first provides a brief overview of the country's socio-economic status, which has a bearing on the higher education system and how universities and doctoral programmes are organised, and which may influence the direction of the design of collaborative programmes as envisaged by ARUA. It further details the national and institutional policy and operational frameworks, identifying institutional and systemic challenges. The report uses institutional data to explore the doctoral life cycle in South Africa along three main themes: access, structure of the programmes, and experience through the programme; thereafter making recommendations towards designing collaborative arrangements, and challenges that need to be addressed. The report is divided into five sections. The next section provides an overview of South Africa's
socio-economic and political context, including a brief description of the higher education landscape. Section three delves into the case study of the university and the two selected programmes. Section four presents the findings from the data collected from the two case study programmes. Section five provides some recommendations and conclusions.N/
Use of survey data
This chapter covers three major topics: use of survey results for estimation of TB disease burden, other key
results that can be generated from survey data and how they can be used, and country examples that illustrate
how a range of survey results have been used in practice.