Exploration of the familial power women possess is growing as sociologists and anthropologists recognize the legitimacy of power internal to the family. The focus of this research was to uncover the forms of power German-Russian women held as they operated in the private sphere of the family. Attention also focused on the transference of women's power, and the family power dynamics unique to farm families. Members of three generations of one German-Russian farm family were interviewed. The results indicated German-Russian women operated from bases of power derived from their roles as farm wives who contributed to family sustenance, and as caretakers and kinkeepers, maintaining family cohesion. While male power is largely public and formal, women's reliance on the bonds of familial relationships across generations lend them greater power in that realm.

The abuse of and addiction to substances by parents of adolescents, especially in rural areas, is recognised as a major national and international social concern. South African legislation and policy documents provide a framework that emphasises the need to protect and care for children of addicted parents. Literature and recent studies, however, do not focus on how adolescents in rural communities experience dealing with an addicted parent. For this reason, this research study explored and described the experiences and coping strategies of adolescents in rural communities regarding the parents’ addiction. The study was based on a qualitative research approach and made use of the contextual, explorative, descriptive and narrative research designs. The findings illustrate the descriptions of participants’ perceptions and experiences related to living in a farming community, the nature of parental substance addiction, how it affects them, how they deal with it and their perceptions of support needed by them. Recommendations in terms of the micro, mezzo and macro levels serves as guidelines for social workers to assist adolescents of substance-addicted parents with the needed support, protection and care. / Social Work / M.A. (Social Work)

The impact of morbidity and mortality on women’s coping strategies has not been explored or documented in South Africa. Therefore, the main objective of this study was to investigate the influence of morbidity and mortality on coping strategies among 10 community vegetable garden clubs representing 79 households in the Maphephetheni uplands, rural KwaZulu-Natal. An innovative mix of qualitative and quantitative methodologies was used to determine the impacts of morbidity and mortality on women’s coping strategies. Qualitative research methodologies included group sustainable livelihoods analyses. Quantitative methodologies included three annual household surveys conducted between 2003 and 2005. The coping strategy index was also used to determine the levels of food insecurity and understand how morbidity and mortality compromised the coping ability of participating households. The coping strategy index has not been previously used in assessing the impact of morbidity and mortality on coping strategies. Chi-Square tests, Pearson correlation, paired-sample t-tests, and frequency and descriptive statistics were applied to analyse data. The study found that the key contribution of women in community gardening and non-farm activities was compromised by the burden of morbidity and mortality that had negative effects on women’s coping strategies. Findings indicated that the frequency of illness among garden club and household members increased between 2003 (21.2% of household members) and 2004 (25%). Similarly, more households (42% of the sample households) experienced a death in 2004 compared to 7.6 percent of households in 2003. As a result, costs associated with health care and funerals were significantly (P = 0.01) lower in 2003 than in 2004. Most garden club and household members relied on subsidised medication to treat illness. Number of households dependent on subsidised medication dropped from 86 percent of households in 2003 to 66.7 percent in 2004. In 2004, households reported purchasing medication in addition to subsidised medication. Caring for the sick and contributions to household chores were significantly (P = 0.01) correlated in 2003 and 2004. This means that increased caring for sick members resulted in increased workloads for women. Caring for the sick and engagement in community garden activities were significantly (P = 0.01) correlated in both 2003 and 2004, suggesting that caring for the sick reduced participation in community gardens. Analysis showed that reduced labour supply due to increased incidences of sickness and deaths, increased health care and funeral costs, reduced household income and increased care-giving minimised women’s ability to cope with adverse situations. Women used erosive coping strategies such as borrowing money, selling assets, limiting portion sizes at meal times and relying on less preferred and less expensive foods to cushion the effects of morbidity and mortality. Application of erosive coping strategies minimises household resilience to future shocks and stresses. Findings showed that farm and non-farm livelihood activities were critical components of rural livelihoods in Maphephetheni because sample households depended on community gardens, home gardens and small-scale non-farm enterprises for food and income to cushion the negative effects of morbidity and mortality. Community gardening contributed less to total monthly household income (4% of total monthly household income) than wages (41%), social grants (40.9%), home gardens (7%), small-scale enterprises (4.2%) and remittances (2.9%). Even though low, the contribution of community gardens to food security cannot be ignored considering the number of households (about 32% of sample households) that depended upon subsistence agriculture for food. Further analysis indicated that community gardens were themselves a coping strategy in the face of morbidity and mortality. Community gardens provided a risk aversion strategy and minimised risk by providing food resources and social and moral support for households facing hardship. Strategies to enhance household asset bases and promote more productive farm and non-farm activities are needed to improve resilience against the effects of morbidity and mortality. Government and non-governmental organisations need to establish a multi-purpose centre where women can learn agricultural and entrepreneurial skills to help households cope more effectively with shocks and stresses. However, such strategies should ensure that tasks allocated to various activities such as community gardening, non-farm activities and household chores such as fuel and water collection should be distributed equally across household members so that women do not carry excessive workloads since increased workloads reduce women’s ability to respond to livelihood insecurity shocks and stresses. / Thesis (Ph.D.)-University of KwaZulu-Natal, Pietermaritzburg, 2007.

Measurement of household food insecurity is needed to identify the magnitude of food insecurity and assess the impact of development interventions. However, there is no commonly agreed measure of household food insecurity. While researchers continually experiment with new measures, the resultant measures are often complex and include numerous variables that still do not distinguish clearly between the food secure and the food insecure. This study set out to prepare a quick and convenient tool to measure household food security, using common household demographic and socio-economic variables commonly collected through a variety of household surveys. This has minimised data collection costs and assisted national food security units to continually measure and monitor household food insecurity. Food insecurity levels were estimated using data from a baseline survey conducted in a community in KwaZulu-Natal, South Africa. Food security was estimated using a number of measures, including food quantity (adequacy), dietary diversity, dietary quality, coping strategies employed and the Coping Strategies Index. The study found that household food availability varied across the two seasons over which data were collected. Only the percentile of sample households with adequate food intakes (one third of the samples) consumed enough food during the lean period when agricultural production was low. Households with inadequate food intakes also had consumed insufficient energy and lower micronutrient intakes during the period when agricultural produce was more abundant. Energy, iron and protein consumption was positively related to the consumption of adequate food. Energy intake was a relatively good indicator of protein and micronutrient intakes during the leaner period. Consumption of foods from three food groups, namely cereals, legumes and vegetables and fruits were necessary for adequate food intake. Cereals were the most important foods, forming the base of most meals, while fats and animal sourced foods were not widely consumed. Diversifying consumption through fruits and vegetables contributed significantly and positively to improved household food intakes. Household dietary diversity and dietary quality improved during the period of plenty. The application of coping strategies was strongly related to household food intake and diversity. Engaging in more coping strategies and having resultant higher Coping Strategy Index scores was strongly associated with household food inadequacy intakes and low food diversity scores. As expected, sampled households employed more coping strategies during the lean season. The strong and significant relationships between the Coping Strategies Index scores, the number of coping strategies practised by households and the household food intake indices (the Household Food Intake Index and Nutrient Adequacy Ratios) show that food intake is a strong indicator for household food security. The Household Food Insecurity Index and the Household Food Insecurity Scale were developed using 13 potential household demographic and socio-economic variables to identify the food-insecure households. The results of these two new measures were correlated with the results of the common measures reported above and found to be useful determinants of food security. The study found that while the Household Food Insecurity Index explained the influence of demographic and socio-economic variables in household food insecurity, the Household Food Insecurity Scale is more convenient in application (easy data management and computation process), and it is strongly related to the Coping Strategies Index scores. Both the Household Food Insecurity Scale and the Household Food Insecurity Index were useful tools to measure household food security and differentiate between food security and food insecure households in Embo Community. More research is recommended to further test the usefulness of the proposed measures in various settings. / Thesis (Ph.D.)-University of KwaZulu-Natal, Pietermaritzburg, 2010.

The role of traditional foods in reducing hunger and malnutrition is not well documented in South Africa. The aim of this study was to investigate the distribution, popularity and nutritional value of traditional foods in KwaZulu-Natal through evaluation of recipes submitted for a traditional foods recipe competition. Traditional recipes are characterised by indigenous or local ingredients passed from one person to another over many generations, with little or no change in form. Modern recipes include those which use processed ingredients. Modified recipes include those which use processed ingredients. Modified recipes include a mixture of traditional and modern ingredients. The differences between the ingredients of traditional, modern and modified recipes were investigated to determine how modifying and modernising traditional foods changed their nutritional quality. Using competition entries from a traditional recipe competition from all 11 districts of KwaZulu-Natal, the nutritional value of 1200 recipes was analysed using published Food Composition Tables. The 10 most commonly submitted recipes were identified. The majority of recipes came from the more rural districts of KwaZulu-Natal. The largest number of recipes submitted were traditional (68% of entries) followed, respectively, by modified (24%) and modern (8 %) recipes. Adult females submitted more recipes than female youths, male youths and adult males. In general, modified foods had higher nutrient contents than traditional and modern foods. There was a negative correlation between food popularity and nutrient content suggesting that popular foods were not necessarily the most nutritious. It was concluded that the people of KwaZulu-Natal simultaneously use traditional, modified and modern recipes, but that there is a shift towards food modification through use of non-indigenous crops and modern ingredients. Further investigations into the relationship between food choice and the effect of modification on food quality attributes, including sensory and storage quality, are recommended. / Thesis (M.Sc.)-University of KwaZulu-Natal, Pietermaritzburg, 2009.

The abuse of and addiction to substances by parents of adolescents, especially in rural areas, is recognised as a major national and international social concern. South African legislation and policy documents provide a framework that emphasises the need to protect and care for children of addicted parents. Literature and recent studies, however, do not focus on how adolescents in rural communities experience dealing with an addicted parent. For this reason, this research study explored and described the experiences and coping strategies of adolescents in rural communities regarding the parents’ addiction. The study was based on a qualitative research approach and made use of the contextual, explorative, descriptive and narrative research designs. The findings illustrate the descriptions of participants’ perceptions and experiences related to living in a farming community, the nature of parental substance addiction, how it affects them, how they deal with it and their perceptions of support needed by them. Recommendations in terms of the micro, mezzo and macro levels serves as guidelines for social workers to assist adolescents of substance-addicted parents with the needed support, protection and care. / Social Work / M.A. (Social Work)

The determinants of health care use among rural, low-income mothers and their children were assessed using a multi-state, longitudinal data set, Rural Families Speak. The results indicate that rural mothers’ decisions regarding health care utilization for themselves and for their child can be best modeled using a simultaneous systems approach to negative binomial regression. Mothers’ visits to a health care provider increased with higher self-assessed depression scores, increased number of child’s doctor visits, greater numbers of total children in the household, greater numbers of chronic conditions, need for prenatal or post-partum care, development of a new medical condition, and having health insurance (Medicaid/equivalent and HMO/private). Child’s visits to a health care provider, on the other hand, increased with greater numbers of chronic conditions, development of a new medical condition, and increased mothers’ visits to a doctor. Child’s utilization of pediatric health care services decreased with higher levels of maternal depression, greater numbers of total children in the household, if the mother had HMO/private health care coverage, if the mother was pregnant, and if the mother was Latina/African American. Mother’s use of health care services decreased with her age, increased number of child’s chronic conditions, income as a percent of the federal poverty line, and if child had HMO/private health care insurance. The study expands the econometric techniques available for assessing maternal and pediatric health care use and the results contribute to an understanding of how rural, low-income mothers choose the level of health care services use for themselves and for their child. Additionally, the results would assist in formulating policies to reorient the type of health care services provided to this vulnerable population.

Purpose This research project was an attempt to determine situational aspects of HIV and AIDS among the designated farming communities in the Vhembe and Mopani districts of Limpopo Province. Questions arising from the pilot project were premised on the capacity of farmers in these areas to adequately address the daunting reality and prevalence of HIV and AIDS in their communities. Research Design and Methodology The research was designed to facilitate the integration of both qualitative and quantitative approaches. A sample of 228 respondents was involved in a triangulated participatory action research method. To the extent that the data collection techniques were triangulated in both nature and focus, HIV/AIDS-related data and information within the designated farming communities was attained with a maximum degree of validity. The data collection techniques used in this regard were: questionnaires, which were distributed to 228 respondents; participant observation; exploratory investigation; unstructured interviews; naturalistic observation; focus group interviews and discussion; and review of documents. The reviewed documents include (primary) sources on HIV/AIDS by the Department of Health and (secondary) sources of literature by various authors presenting a range of perspectives on HIV/AIDS in farming areas. Findings The results of the study revealed the absence of a coordinated policy on HIV/AIDS in particular, and health in general; and a vacuous prevalence of basic HIV/AIDS-related information. For instance, knowledge on condom usage as a prevention strategy was ostensibly scant. Currently, primary healthcare services in the area are not available. The sampled farm workers themselves unanimously corroborated that there was no HIV/AIDS policy on the SAFM farms. Conclusion Based on the main findings established above, it has become indispensable that comprehensive and multidisciplinary HIV/AIDS policy interventions be initiated by all the relevant stakeholders. Local and provincial healthcare authorities need to provide policy guidelines for the development of such policy, taking the particular needs and circumstances of farm workers. The pervasive degree of insufficient HIV/AIDS knowledge among this group necessitates that such a policy should integrate both a labour perspective and healthcare orientation, rather than perpetuating a separation of the two paradigms. This form of integration ensures that the observance of a human rights dimension becomes a sacrosanct component of the prevention of HIV/AIDS among farm workers, as well as their education concerning their healthcare-related rights as farm employees. Furthermore, the prevalence of a national HIV and AIDS policy is mainly aimed at facilitating broad guidelines, not addressing the specific contexts of every public, corporate and rural employment sector (DoH, 2007: 11-12; Muhlemann, et al., 1992: 479). In order that the education, prevention and treatment initiatives in the Vhembe and Mopani farming communities are achieved, the most important parameters of the policy should indicate: ,,X The systematic institutionalisation of local, provincial, and national HIV and AIDS programmes, notwithstanding the provision of healthcare facilities such as clinics; ,,X The promotion of basic healthcare education in general, and HIV/AIDS awareness and prevention among farm workers in particular; ,,X The development of HIV/AIDS work place policy by SAFM as employer; ,,X The systematic involvement and formation of partnerships between policy makers, local and international funders, HIV/AIDS healthcare workers and practitioners, NGOs and SAFM. As a critical factor and unit of analysis in the study, SAFM is expected to fulfil a developmental function among its employees, their families, and the local communities. This function could be enhanced further with the collaboration between SAFM and other farmers in the distribution of basic information regarding HIV/AIDS and other sexually transmitted diseases at the workplace, as well as extensive healthcare education and training for their farming personnel. Trained personnel, especially managers, are a salient factor in the implementation of organisational health and safety requirements (DoH, 2007: 6, 8; Muhlemann, et al., 1992: 478-479). / Health Studies / D. Litt. et Phil. (Health Studies)

Purpose This research project was an attempt to determine situational aspects of HIV and AIDS among the designated farming communities in the Vhembe and Mopani districts of Limpopo Province. Questions arising from the pilot project were premised on the capacity of farmers in these areas to adequately address the daunting reality and prevalence of HIV and AIDS in their communities. Research Design and Methodology The research was designed to facilitate the integration of both qualitative and quantitative approaches. A sample of 228 respondents was involved in a triangulated participatory action research method. To the extent that the data collection techniques were triangulated in both nature and focus, HIV/AIDS-related data and information within the designated farming communities was attained with a maximum degree of validity. The data collection techniques used in this regard were: questionnaires, which were distributed to 228 respondents; participant observation; exploratory investigation; unstructured interviews; naturalistic observation; focus group interviews and discussion; and review of documents. The reviewed documents include (primary) sources on HIV/AIDS by the Department of Health and (secondary) sources of literature by various authors presenting a range of perspectives on HIV/AIDS in farming areas. Findings The results of the study revealed the absence of a coordinated policy on HIV/AIDS in particular, and health in general; and a vacuous prevalence of basic HIV/AIDS-related information. For instance, knowledge on condom usage as a prevention strategy was ostensibly scant. Currently, primary healthcare services in the area are not available. The sampled farm workers themselves unanimously corroborated that there was no HIV/AIDS policy on the SAFM farms. Conclusion Based on the main findings established above, it has become indispensable that comprehensive and multidisciplinary HIV/AIDS policy interventions be initiated by all the relevant stakeholders. Local and provincial healthcare authorities need to provide policy guidelines for the development of such policy, taking the particular needs and circumstances of farm workers. The pervasive degree of insufficient HIV/AIDS knowledge among this group necessitates that such a policy should integrate both a labour perspective and healthcare orientation, rather than perpetuating a separation of the two paradigms. This form of integration ensures that the observance of a human rights dimension becomes a sacrosanct component of the prevention of HIV/AIDS among farm workers, as well as their education concerning their healthcare-related rights as farm employees. Furthermore, the prevalence of a national HIV and AIDS policy is mainly aimed at facilitating broad guidelines, not addressing the specific contexts of every public, corporate and rural employment sector (DoH, 2007: 11-12; Muhlemann, et al., 1992: 479). In order that the education, prevention and treatment initiatives in the Vhembe and Mopani farming communities are achieved, the most important parameters of the policy should indicate: ,,X The systematic institutionalisation of local, provincial, and national HIV and AIDS programmes, notwithstanding the provision of healthcare facilities such as clinics; ,,X The promotion of basic healthcare education in general, and HIV/AIDS awareness and prevention among farm workers in particular; ,,X The development of HIV/AIDS work place policy by SAFM as employer; ,,X The systematic involvement and formation of partnerships between policy makers, local and international funders, HIV/AIDS healthcare workers and practitioners, NGOs and SAFM. As a critical factor and unit of analysis in the study, SAFM is expected to fulfil a developmental function among its employees, their families, and the local communities. This function could be enhanced further with the collaboration between SAFM and other farmers in the distribution of basic information regarding HIV/AIDS and other sexually transmitted diseases at the workplace, as well as extensive healthcare education and training for their farming personnel. Trained personnel, especially managers, are a salient factor in the implementation of organisational health and safety requirements (DoH, 2007: 6, 8; Muhlemann, et al., 1992: 478-479). / Health Studies / D. Litt. et Phil. (Health Studies)