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Background: In South Africa, tuberculosis (TB) is the leading cause of death, and Cape Town is among the three cities in the country with the highest TB burden. Despite implementation of Directly Observed Treatment Short-Course (DOTS), and improvements in the organisation and delivery of TB care, poor treatment adherence challenges treatment outcomes and the health system's ability to reach international targets. TB requires long-term care, where the relationship with healthcare providers is one of the important influences on decisions to seek care and adhere to treatment. This study sought to explore and deepen insight into how trust is built and experienced between patients and healthcare providers for TB treatment in primary care settings from a gender perspective. Methods: The research was located in three local government-managed clinics in the City of Cape Town's Metropole health district, similar in TB patient load and performance indicators, but differing in level of TB-HIV integrated services. A case study design employing qualitative data collection approaches (non-participant observations in clinics, focus group discussions and in-depth interviews with patients and providers) was applied. Findings: Trust plays a central role for both patients and providers in treatment for TB. On the part of patients, many expressed a deep desire and motivation to complete their treatment. However, patient vulnerability, a complex outcome of intersecting factors at all levels (personal, community and health service level), across which gender was an underlying influence, emerged as a critical influence over patient trust in providers and the health system, with consequences for a range of outcomes including treatment adherence. The ability of providers and the health system as an institution to recognise and respond to patient vulnerability and needs beyond the illness, including to access socio-economic and psycho-social support for the patient, was critical for building trust and enabling adherence. On the part of healthcare providers, vulnerability was a consequence of a range of factors, including professional status and gender, with implications for how trust was built in patients and managers and its outcomes. Patient trustworthiness was based on judgements of competency, integrity and recognition. The ability of managers to mitigate the challenges healthcare providers faced, through providing a supportive and enabling work environment, had implications for providers' experiences and judgements of institutional trustworthiness. Conclusion: Reflecting on the findings within broader national, provincial and global health policy reforms, specific strategies for building patient and provider trust in each other, and in the health system, are proposed. Recommended strategies addressing both patient and provider vulnerabilities rooted in the personal, community and health facility environment are considered. While many of the recommendations are specific to the TB and TB/HIV model of care, they have wider relevance for building mutual trust between patients and providers and enhancing the responsiveness of the health system as a whole. This is important in the context of South Africa, where the vision espoused under proposed National Health Insurance reforms towards universal coverage is transformative, even revolutionary, but its implementation and ultimate achievements are likely to be dogged by challenges of patient and provider trust in the health system, unless themselves addressed. Globally, the study's conclusions also offer important insights about patient-provider trust relevant to health system development, as well as ideas for future, related research.

This research critically examines development project and programme Gender Analysis (GA) frameworks, trialing them with World Vision Vanuatu (WVV) staff and project communities. A Women’s Equality and Empowerment Framework (WEEF) analysis of the WVV country programme provided a visual overview of the programme, demonstrating that the organisation has a strong concern for women’s issues and were encouraging women’s empowerment. The programme could be improved by engaging in more conscientisation around gender issues. The Harvard Analytical Framework collected rich data on men and women in the communities and helped project staff to get to know the communities better. It also questioned the effectiveness of projects in dealing with gender issues, WVV need to provide equal opportunities for women at the project management level. The Gender Analysis Matrix (GAM) clearly showed project impacts for both men and women. One of the literacy projects had greatly benefited women, but could be improved by running separate classes for the men. The GAM results are not restricted to gender issues; the tool shows potential as a general monitoring framework. Experienced facilitators are needed to get the most out of the frameworks, however anyone can greatly benefit from utilising these tools. No GA framework can replace an awareness of gender issues and the will to work towards a fairer society. GA frameworks that are designed to empower the participants can deliberately or inadvertently be used in an extractive way, while frameworks that are labelled as extractive can be used creatively to empower those who take part. GA sessions provide rich data on gender in a relatively short period of time. While they risk not collecting enough information, the systematic collection and use of some information should help move development work forward.

This thesis investigates how capacity development techniques, including training and group formation, can be leveraged to aid in new livelihood development for women living in rural areas who lack the resources necessary for agricultural livelihoods: lack arable land, labour, and capital. This study is situated as a case in an agroforestry development project. The study used multiple qualitative methods to identify how these micro-livestock rearing activities contributed to women’s practical and strategic needs. Key informant interviews (n=5); in-depth interviews, including ranking and scoring exercises, with beneficiaries (n=16); and participant observation all contributed to an in-depth understanding of the relevant phenomena. Interviews were coded and analyzed for key themes that emerged. The study focuses on how micro-livestock as a development intervention may contribute to increased capacities of women in the communities. The conclusions emphasize the importance of fostering knowledge exchange amongst beneficiaries for the maximization of tangible and intangible benefits.

Increasing urbanisation has increased waste generation. This has led to an increase in waste being left uncollected in certain areas of low-income countries. With the inability of municipal authorities to provide the required collection services, there has been the emergence of private sector initiatives in waste management. Nonetheless, this does not offer a complete solution as waste still adorns many of these streets. This however, provides sources of livelihood for the urban poor, both men and women. They can be found in virtually all cities in low-income countries occupied in collecting, recovering, sorting, and recycling waste materials. Their activity not only creates a means of livelihood for them but also ensures sustainability in solid waste management. In most low-income countries, women still enjoy fewer rights and access to assets and resources than men. Accordingly in Nigeria, women are highly represented in low paid employment. The emphasis in development on issues of equity and inclusion, and women s autonomy and empowerment shows that women still count among the most vulnerable and excluded social groups. This doctoral study examines the issue of women in solid waste livelihoods in Lagos, Nigeria. The focus of the study is to identify gender and other socially-related constraints to participation by men and women in solid waste livelihoods in five Lagos dumpsites. It also analyses how these constraints affect their income levels. The research draws on a feminist approach using mixed methods of participant observation, questionnaire survey and interviews. The fieldwork commenced with identification of waste workers activities on the five dumpsites through participant observation. This was followed by the questionnaire survey which was piloted, refined and administered face to face to 305 dumpsite workers. Findings from the questionnaire survey revealed gender differences amongst waste scavengers, waste buyers and waste merchants according to the following criteria: age, marital status, other income-earning household members, hours worked daily, years spent working, education level, and number of dependent children. These factors also further reinforce gender differences in income generation. Further enquiry through qualitative interviews highlighted gender differences in tool usage and the types of waste resources handled. Inequality was also evident in terms of social equality, political power and decision making. The results also highlight childcare as one of the most important challenges that women alone face. Other findings include the impact of current modernisation policies on women s financial security, autonomy, and well-being. The waste livelihood activities observed offer positive economic benefits, and incomes higher than the minimum wage. However, it is important for those engaged in modernisation policy to understand the potential impact of these measures on the livelihood of waste workers, and to ensure their commitment to change will not reinforce inequality.

After 1994, the South African government prioritized land reform as a strategy for development in order to redress the legacy of apartheid, while contributing to national reconciliation, growth and development. The government with endless persuasion from gender activists, non-governmental organizations (NGOs) and interested individuals acknowledged the crucial role that women could play in transforming its society. As a commitment to gender equity, it ratified various international conventions and national declarations, including in 1995, the United Nations on the Elimination of all forms of Discrimination against Women (CEDAW). Subsequently, a variety of institutions and gender divisions (units) in the country were established to advise, monitor and implement gender mainstreaming programs within government departments, NGOs and parliamentary structures. These include amongst othersthe Office of the Status on Women (OSW), The Commission on Gender Equality (CGE) and gender focal points. In 1995, a delegation of South African women led by politicians participated in the Fourth World Conference on Women in Beijing. In response to this report, the Department of Land Affairs (DLA), together with other government departments, committed itself “to take legislative and administrative measures to give men and women equal rights to economic resources, including access to ownership and control over land and other properties, credit facilities, natural resources and appropriate supporting technology” (DLA, 1997:18). Despite these commitments, the South African government in general and the land sector in particular was criticised for contradicting its intentions. These were evident in policy development processes. An example widely documented was the controversies and compromises which were made by the ANC led government during the development of the Communal Land Rights Act of 2004 (Walker, 2005; Hassim, 2005; Claassens 2003). In addition, the land policies, including the DLA Gender Policy, have been widely criticised by several researchers (Hall, 1996; Mann, 1999; Walker, 2002; Claassens, 2005). The common trend was the scepticism of whether these policies would achieve their intended gender equity goals. Amongst others, weaknesses of these polices were the poor conceptualisation of gender and the lack of clarity on the government’s 2 gender equity intentions and outcomes. These would make it difficult to translate policies into practice. This study investigates whether these assertions are valid. The focus of the research is the analysis of the Land Redistribution for Agricultural Development (LRAD) Programme which was established in 2001. Using a project located in Mpumalanga Province, called the Mathebula Communal Property Association, the study evaluates the implementation of this programme. The project is located near Rock’s Drift in the Mbombela Municipality about 6 kilometers from White River on the White River- Nelspruit road (R40). It is amongst the first projects to be administered by the provincial DLA, under the new LRAD programme. This property was used for chicken and smallscale pig farming. The location of the project is of significance because the Mpumalanga province is amongst the most rural poverty stricken provinces in South Africa with a population of approximately 3 million. According to May (2000: 22), about 45% of the individuals in this province are living in poverty. The study was undertaken during the presettlement stages. The main goal was to investigate the DLA commitment to its gender policy through a case study. In addition, it explores the relationship between the primary beneficiary, a rural woman named Aida and the DLA officials during the research period. This is a means to assess whether Aida was empowered through these processes, as per the LRAD policy statements. The study draws its theoretical basis from a Gender Analysis Approach. This analysis recognises in every context that it is relevant to determine the gender-based division of labour and to understand the forces that constrain this division or act to change it. This framework was useful in collecting data tool for this study. The study uses a case study methodology. This research strategy has been chosen because of its ability to offer an “in-depth analysis of a case so as to interpret its unique features and to solicit an understanding of the social arrangements and their existence” (Ragin, 2000:24). The case study approach has shown that without investigating the processes which occur within these projects, the real impact of land reform on the beneficiaries’ lives is far from being realised. The major findings of this research revealed that whilst South Africa has put in place several national legislative frameworks to address gender equity in general, women still struggle to access resources through government systems. Aida, the main driver of this 3 project, experienced 4 years of insurmountable problems whilst trying to acquire a farm she had identified from a willing seller. The research revealed that Aida’s determination to acquire the farm is attributable to her intellectual capabilities, negotiation skills and manipulative tactics, which is contrary to the dominant argument that factors affecting rural women's access to land are dependent on “educational level, age, social status of the family and marital status” (Moser, 1993; Bob, 1994)). In addition, the dynamics within projects often not reflected in policies are very crucial in successful implementation of projects. For instance, in this project, the ‘inactive’ strategy of registered members reduced conflict within the project such that Aida became the sole owner of the project and was able to successfully acquire the farm without any interference from the other members. Overall, a significant contribution of this case study to the SA women’s empowerment theoretical framework is the identification of the external and internal factors, some of which were specific to gender empowerment failures. These include the challenges of targeting women, access to information, lack of accountability on gender as well as the absence of strong social movements. Lastly, the study also revealed unintended outcomes as a result of the lengthy period of the pre-land transfer stage, issues which are normally ignored and undocumented. Studies of land reform (and development) projects in Mpumalanga province and throughout SA have revealed similar findings as outlined through this document. These findings raise key questions that have broader implications for LRAD, and land reform program in general. The study acknowledges that there are examples of women in Mpumalanga province and maybe in other parts of the country who may have had positive experiences through the same program. However, it also confirms findings by earlier studies done by different researchers and thus raises critical questions with regards to the implementation and sustainability of the LRAD projects in South Africa, specifically in the Mpumalanga Province.

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Diss. Tromsø : Universitetet i Tromsø, 2006.

This diploma thesis deals with the gender presentation in textbooks of German used by pupils at Czech grammar schools. The main part of this thesis consists of a gender analysis of two textbook series; one of them was created by mainly Czech authors, another one was created by German authors. The aim of the thesis is to verify the hypothesis that Czech textbooks are more conservative in the conception of male and female image than the German textbooks.