Magister Artium - MA / There is a widely held assumption that immigrants have difficulties in accessing public health care services in South Africa. This assumption derives from the experiences of some immigrants in accessing public health care services at some public health care facilities which are all required by law and policy to provide such services. The main aim of the study was to investigate the experiences of Zimbabwean immigrants in accessing public health care services at some public clinics and hospitals in Cape Town. Foucault’s theory on power was used to unpack the experiences of Zimbabwean immigrants at these public health care centers. Zimbabwean immigrant participants were all purposively sampled for the study and medical personnel were randomly sampled. The Zimbabwean immigrants sampled had used public health care facilities in Cape Town. Semi-structured interviews were used to collect data from the Zimbabwean immigrants which were qualitatively analysed using content analysis. Questionnaires were also used to collect data from both the Zimbabwean immigrants and medical personnel and subsequently open-ended questions from the questionnaires were also analysed using content analysis and closed questions were analysed using the Micro-soft excel package of data assessment and statistically presented using pie, bar and line graphs. Themes that were recurring from the semi-structured interviews and responses from questionnaires suggested that immigrants in their experiences at public health care facilities encountered barriers that included communication problems, negative attitudes and xenophobia from medical staff, policy and practice problems and preferential treatment offered to citizens over non-citizens. Recommendations of what needs to be done to reduce barriers to health care for immigrants were made to all involved in the provision of health care. The study contributed to our understanding of barriers that immigrants encounter in accessing public health care in South Africa as well as the role of citizens in this process.

This study investigates short stories published in South Africa and in Zimbabwe before the turn of the twenty-first century. The short story as a genre provides a more accessible and shorter means of viewing literary trends after the official end of the hostilities of apartheid and colonialism. Because of their brevity and specific focus, these short stories from many voices allow a glimpse of different arenas affecting contemporary reality. Post-independence stories reveal that in the process of navigating or directing hope after independence, people are sometimes left bereft as disenchantment with politics sets in, leaving people to search for hope in areas of their everyday lives such as marriage, birth and friendship. But because their lives are also fraught with conflict, hate and betrayal, hope may remain uncertain and prospects frightening. Chapter One embarks on a brief historical and political background of South Africa and Zimbabwe. This chapter also conceptualizes the issues of hope and disillusionment in the South African and Zimbabwean socio-historical contexts. Chapters Two and Three analyze selected stories from South Africa and Zimbabwe, respectively, focusing on issues with which the writers are preoccupied, especially how they explore hope and disillusionment. The analyses of the stories in these two chapters are structured chronologically depicting events in the stories. Thus the study creates its own narrative of South African and Zimbabwean life towards the new millennium. These two chapters discuss how meanings, significances and ramifications of the post-colonial community are negotiated and re-negotiated in selected stories, highlighting the challenges and engagements with hope and disillusionment dramatized in short prose fiction. Chapter Four will undertake to conclude with comparisons of the selected stories, discussing the implications of the study for South African and Zimbabwean contemporary societies at the turn of the twenty-first century. Granted, it is always difficult to generalize about a society from such highly individual, personal stories. But my study suggests that at the turn of the twenty-first century in South Africa, disillusionment is beginning to displace the heady expectation many felt at the 1994 election. And perhaps even more unlikely, given the current crisis, Zimbabwean stories from recent years show people hopefully waiting for the new millennium, a dawning of new, unpredictable possibilities.

This study explored the social construction of black male Zimbabwean refugees’ identities as they experienced becoming refugees living in South Africa. A review of refugee literature revealed that Zimbabwean refugees demonstrate an exceptional nature that sets them apart from what most definitions of refugees assume. Refugee theory focusing on deficits and disorder promoted a view of refugees as helpless victims. As a result, refugees have come to be viewed as state burdens. Immigration practices characterized by the herding of refugees into spatially segregated areas, deportation and neglect continue to endanger the livelihoods of refugees. The manner in which government and media conceptualise the identity of a refugee has significant consequences for foreigners and locals. It is therefore important to explore the social construction of black male Zimbabwean refugees’ identities by investigating their own experiences through the telling of life stories. A process of in-depth qualitative interviews were conducted with four black male Zimbabwean refugees between the ages of 18 and 50, all currently living in South Africa. A self told life story outlined a narrative of their past migration, present circumstances and future deliberations. Results showed that participants bore great suffering in search of a stable existence. They were subjected to political abuse and an immense economic downfall in Zimbabwe, and experienced a great shock of self-confidence upon leaving their home. They came to bear a painful sense of ‘otherness’ living as a foreigner, and had to develop new understandings of themselves. Race and religion became important signifiers of identity, and participants were said to undergo a posttraumatic growth in the aftermath of their turbulent experiences. A study such as this offers valuable insights into the aspects of a Zimbabwean refugee’s existence and needs. Research may also inform bureaucratic practices as to conceptualising more appropriate refugee relations in the future, as well as media campaigns capable of rehabilitating the image of the refugee. / Dissertation (MA)--University of Pretoria, 2012. / Psychology / unrestricted

Migrant women are often omitted within the migrant discourse/research, with that in mind, the research study brings to the fore migrant women's experiences when accessing public health care services within underdeveloped communities. The study explored Zimbabwean migrant women's experiences in accessing public health care services in Makhado, a small town based in Limpopo, South Africa which has only two public health care services namely, Louis Trichardt Memorial Hospital and Louis Trichardt clinic. To conduct this study, ethical clearance was obtained in November 2018 from the Department of Sociology at the University of Cape Town. The qualitative research method was adopted in collecting the data. The study conducted in-depth interviews with five Zimbabwean migrant women who had made use of the two public health care services in Makhado. Field notes, diary entry, an impromptu focus group were used to collect the study data. The sample for the study was purposively selected. The study worked with a total of twelve participants, in-depth interviews with five Zimbabwean women, and a focus group with seven health care workers. The collected data was manually transcribed and was analyzed using the framework analysis. Main themes and sub-themes were extracted from the transcribed interview scripts. The study revealed that migrants accessing the two hospitals in Makhado faced challenges such as language barriers, discrimination, and adverse health personnel attitudes based on the patient's citizenship status. Furthermore, the challenges that nurses are faced within their workplace, which include lack of resources, absenteeism, long working hours and overcrowded public health care services within their workplace contributed towards their negative attitude in assisting patients. As a result, migrants bore the challenges faced by the nurses within the public health care services. Therefore, the migrants reverted to having other alternatives such as traditional healers, churches, connections with nurses working in the hospitals, private hospitals and over the counter medication. However, participants underscored that in order for betterment within the public health care services, the following measures ought to be implemented, these include the introduction of independent centres, an increase of mobile clinics, increased number of interpreters, better working environment for the health personnel within the public health care facilities and intensive education training of the health personnel around the awareness migrant issues when accessing public health care services. Foucault's (1980) theory on power and knowledge, played a significant role in understanding the operational systems of public health care services. It also assisted in understanding how public health care services function, to exclude and control migrant patients, through the introduction of fees and required documentation to access public health care services.

All bodies of critical discourse on any given literary canon seek visibility through self- celebration, subversion of competing critical ideas and identification with supposedly popular, scientific and incisive critical theories. Thus, the literary-critical quest for significance and visibility is, in essence, a quest for „space‟, „voice‟ and „authority‟ in the discussion of aspects of a given literary corpus. This research explores the politics of „space‟, „voice‟ and „authority‟ in „white critical thought‟ on „the black Zimbabwean novel‟. It unfolds in the context of the realisation that as a body of critical discourse on „the black Zimbabwean novel‟, „white critical thought‟ does not only emerge in an intellectual matrix in which it shares and competes for „space‟, „voice‟ and „authority‟ with other bodies of critical thought on the literary episteme in question; it also develops in the ambit of Euro-African cultural politics of hegemony and resistance. Thus, the research sets out to identify the ways in which „white critical thought‟ affirms and perpetuates or questions and negates European critical benchmarks and cultural models in the discussion of selected aspects of „the black Zimbabwean novel‟. The investigation considers the fissures at the heart of „white critical thought‟ as a critical discourse and the myriad of ways in which it interacts with competing critical discourses on the „the black Zimbabwean novel‟. It derives impetus from the fact that while other versions of critical thought on „the black Zimbabwean novel‟ have received extensive metacritical discussion elsewhere, „white critical thought‟ remains largely under-discussed. This phenomenon enables it to solidify into a settled body of critical thought. The metacritical discussion of „white critical thought‟ in this research constitutes part of the repertoire of efforts that will help check the solidification of critical discourses into hegemonic bodies of thought. The research makes use of Afrocentric and Postcolonial critical tenets to advance the contention that while „white critical thought‟ on „the black Zimbabwean novel‟ is fraught with fissures and contradictions that speak directly to its complexity and resistance to neat categorisation, it is largely vulnerable to identification as part of the paraphernalia of European cultural and intellectual hegemony in African literature and its criticism, given its tendency to discuss the literature outside the context of critical theories that emerge from the same culture and history with the literary corpus in question. / African Languages / D. Litt. et Phil. (African Languages)

Zimbabwean men at risk of developing prostate cancer (PC) are diagnosed late or not at all. A cross sectional, quantitative study was done in Zimbabwe to establish physicians' attitudes and beliefs towards PC screening and diagnosis. Descriptive statistics were obtained to determine physicians' beliefs and attitudes using the Physician Attitudes and Beliefs Questionnaire Survey. The instrument incorporated validated instruments, the Burns' Cancer Belief Scale and Physician Survey on Prostate Cancer Screening, and demographic questions to measure specific independent variables, potentially influencing attitudes and beliefs. Means and standard deviations were conducted for continuous variables for beliefs and attitudes, and frequencies and percentages for categorical variables were calculated. Data from 206 respondents were analyzed utilizing multiple regression and MANOVA analysis to determine significance. The average Belief score was 3.96 (SD = 1.04), which reflected an overall belief score falling in the neutral range of response options. Linear regression results were significant, F(19, 178) = 2.09, p = 0.007, R2 = 0.18, suggesting that screening, stage of cancer, gender, training location, culture, total years in practice, and specialty accounted for 18% of the variance in Belief score. Attitude score predicted by screening (p = .000), stage of cancer (p = .005), race (p = .000), and culture (p = .020), was also significant. Screening and training location were significant predictors. Results will benefit physicians improve their attitudes using suggested continued education, resulting in improved screening practices and PC diagnosis. The public health system will potentially see PC death rates decline over time increasing life expectancy.

Thesis (MPH.) -- University of Limpopo, 2020 / Background Health status and access to adequate healthcare are vulnerabilities that undocumented migrants face in the receiving country. The purpose of the study was to explore the experiences of undocumented Zimbabwean migrants on accessing public healthcare services in the Tshwane Metro, South Africa. Methods A qualitative, descriptive and exploratory research was conducted to explore the experiences of undocumented Zimbabwean migrants on accessing public healthcare services in Tshwane Metro, South Africa. A group of undocumented Zimbabwean migrants (n=20) were purposively sampled. Data were analysed using a grounded approach. Results The study has highlighted the challenges undocumented Zimbabwean migrants living in the Tshwane Metro, South Africa face when trying to access public healthcare services. The study also highlighted the alternative health-seeking strategies the migrants were using to access health services. The findings revealed that there were tensions between public health workers and undocumented migrants. These tensions were contrary to international compacts as well as the policy provisions of the South African government. Conclusion A human rights paradigm needs to be central to any dialogue regarding migrants, legal or illegal, as their health status was invariably entwined with that of the citizens of South Africa.

Thesis submitted in partial fulfillment of the requirements of the Master of Arts Degree In Development Studies at the University of the Witwatersrand, Department of Sociology, 2016 / Online resource (vii, 75 leaves) / According to a report provided by Consortium for Refugees and Migrants in South Africa (CoRMSA, 2011), Zimbabwean migrants in South Africa are estimated to be between one and two million, although the actual figures remain elusive. Many of these migrants do not possess legal documentation (Tevera and Zinyama, 2002) and as a result, it is difficult for them to access financial services in the South African financial institutions, since these institutions require documentation such as valid passports with visas, proof of residence and salary slips. In light of this, undocumented migrants in South Africa are facing challenges in saving, borrowing, investing and remitting money back home. As a result, they are at risk as they may become vulnerable to loan sharks and conmen if they access financial services informally. In relation to that, the study investigates how undocumented migrants in South Africa access financial services and how this may affect their lives. The researcher found it important to conduct a first-hand investigation onto the strategies and experiences of undocumented self-employed Zimbabwean migrants who might be financially excluded in South Africa. Studying the experiences of undocumented migrants in South Africa is important as it allows for an exploration of their reactions and views about their financial exclusion or inclusion. It is also of paramount importance for us to comprehend how some people who are financially excluded worm their way into the social and economic milieu that are in large measure hostile to them. Thus the present study aims to ensure that the voices of undocumented immigrants who are financially excluded are equally heard in order for us to appreciate the harsh realities that confront them. The research focuses on undocumented self-employed Zimbabweans (street vendors, hairdressers and barber men) in the Pretoria Central Business District (CBD). The study draws on the concepts of Human Security and 'Alternative Economic Repertoires' to understand the strategies employed by undocumented Zimbabweans in South Africa in the face of financial exclusion and the insecurities that they encounter. The research follows a qualitative approach on the basis that qualitative research enables the researcher to construct meanings and interpret the behaviours of undocumented self-employed Zimbabwean migrants. In-depth interviews and participant observations were conducted in order to explore strategies in this regard. This enabled the researcher to deeply explore the experiences, views and feelings of these migrants. / MT2017

The thesis aimed at explaining why some Zimbabwean teachers have migrated to South Africa while others have not despite experiencing the same economic and political crisis. The focus was on external secondary brain drain, which is the movement of human resources from one country to another within the Southern African Development Community region (SIRDIC, 2008). It was premised on the theoretical argument that uneven development in the SADC region sustains the movement of human resources from the poorer countries to the richer or ‘core’ countries in the region particularly South Africa. The thesis reviewed literature on the Zimbabwean crisis and conducted a quantitative field survey, which was supplemented by a qualitative aspect, in order to analyse the determinants of teacher migration to South Africa. The field survey involved the self-administration of questionnaires by 200 Zimbabwean teachers, half of them teaching in South Africa and the other half in Zimbabwe, as well as collected life stories from five migrant teachers, interviewed four school heads, and perused circulars. The research found that Zimbabwe’s reversed economic growth and social development constituted the background on which teacher migration occurred. This brain drain, which mainly involved highly qualified and specialised mathematics and science teachers, coincided with the peak of the Zimbabwean crisis around 2008 indicating its survival significance. Teacher migration continued after 2008 due networks and teachers’ salaries that remained inadequate as they were close to the poverty line. Several recommendations were made including strategies for reducing the brain drain. / Development Studies / D. Litt. et Phil. (Development studies)

The aim of this study is to offer a critical analysis of representations of gender violence and resistance to such violence in selected novels by Zimbabwean women writers. A great deal of scholarship on Zimbabwean women writers focuses on well-known authors such as Yvonne Vera and Tsitsi Dangarembga. Even here, the critical emphasis tends to be on the representation of women’s suffering under patriarchy and their status as victims. Although the exposure of gendered suffering is important, these studies often fail to take into consideration the female characters’ agency and survival strategies, including how they go about rebuilding lives and identities in the aftermath of violence. This thesis argues that the fictional texts of other, lesser known Zimbabwean authors are similarly worthy of critical scrutiny, yielding as they can important insights into female characters’ resistance to gender violence. The current study analyses Zimbabwean women writers’ literary contributions to discourses on gender-based violence and explores how female characters have embraced the concept of agency to recreate their identities and to introduce a new gender ethos into the contexts of lives that are often shaped by severe restrictions and oppression. Violence is a phenomenon that is always shaped by specific cultural, ideological and socio-economic forces. As the study shows, characters’ identities are constituted by the complex intersections of a number of markers of difference, including their gender, race and class. This study thus regards identity as intersectional and takes all these factors into consideration in its analysis of the representations of violence and resistance in the selected texts. The study also aims to determine whether these literary representations offer any solutions to the difficulties of characters affected by or living with violence. The works critiqued are Lillian Masitera’s The Trail (2000), Valerie Tagwira’s The Uncertainty of Hope (2006), Virginia Phiri’s Highway Queen (2010) and Violet Masilo’s The African Tea Cosy (2010). / English Studies / D. Litt. et Phil. (English)