Development Southern Africa

The Care Dependency Grant for children with disabilities in South Africa: perspectives from implementation officials
Trafford Z and Swartz L
For people with disabilities, appropriate social protection interventions can contribute to breaking the cyclical relationship between poverty and disability and may improve social inclusion. In South Africa, a national social assistance programme provides 'social grants' to individuals on the basis of poverty, age, or disability. These grants have been extensively studied but there has been little investigation into the Care Dependency Grant, designed to support the care of children with disabilities. These children consistently have far poorer outcomes on key metrics for wellbeing, health, and education than their non-disabled peers. More attention ought to be focused on uplifting this profoundly marginalised population. We present initial findings from interviews with officials at the South African Social Security Agency, the country's grants implementation agency. These narratives add weight to the growing local and international consensus that complementary interventions and effective intersectoral collaboration may greatly enhance the impact of cash transfers.
'Hampers' as an effective strategy to shift towards sustainable diets in South African low-income communities
Coste M, Pereira L, Charman A, Petersen L and Hawkes C
Transitioning towards sustainable diets is imperative to avoid the worst effects of climate change, environmental degradation, and malnutrition. In South Africa, households most vulnerable to food insecurity employ various strategies to access food. These include purchasing hampers; a combination of staple foods sold in bulk at a discounted price, which are cake wheat flour, super maize meal, white sugar, cooking oil, and white parboiled rice. We explore the barriers and opportunities for hampers to advance sustainable diets in the context of Cape Town. Our findings show hampers contain energy-dense, nutrient-poor foods. Furthermore, we find that brand loyalty plays an important role in households' purchase of hampers. We conclude there is potential to leverage hampers to become a sustainable strategy through which people can access healthier food by working with retailers to offer nutritious and sustainably produced alternatives. Such change would require challenging retailers' and consumers' understanding of what 'necessities' are.
The dynamics of household dissolution and change in socio-economic position: A survival model in a rural South Africa
Sartorius K, Sartorius BK, Collinson MA and Tollman SM
This paper investigates household dissolution and changes in asset wealth (socio-economic position) in a rural South African community containing settled refugees. Survival analysis applied to a longitudinal dataset indicated that the covariates increasing the risk of forced household dissolution were a reduction in socio-economic position (asset wealth), adult deaths and the permanent outmigration of more than 40% of the household. Conversely, the risk of dissolution was reduced by bigger households, state grants and older household heads. Significant spatial clusters of former refugee villages also showed a higher risk of dissolution after 20 years of permanent residence. A discussion of the dynamics of dissolution showed how an outflow/inflow of household assets (socio-economic position) was precipitated by each of the selected covariates. The paper shows how an understanding of the dynamics of forced household dissolution, combined with the use of geo-spatial mapping, can inform inter-disciplinary policy in a rural community.
Mortality in South Africa - socioeconomic profile and association with self-reported health
Ardington C and Gasealahwe B
This paper exploits the first two waves of NIDS to describe the socioeconomic profile of mortality and to assess whether self-rated health status is predictive of mortality between waves. Mortality rates in NIDS are in line with estimates from official death notification data and display the expected hump of excess mortality in early and middle adulthood due to AIDS, with the excess peaking earlier for women than for men. We find evidence of a socioeconomic gradient in mortality with higher rates of mortality for individuals from asset poor households and with lower levels of education. Consistent with evidence from many industrialized countries and a few developing countries, we find self-rated health to be a significant predictor of two year mortality, an association that remains after controlling for socioeconomic status and several other subjective and objective measures of health.
Adult mortality and household food security in rural South Africa: Does AIDS represent a unique mortality shock?
Twine W and Hunter LM
HIV/AIDS has been described as a household shock distinct from others faced by rural households. This study examines this characterisation by analysing the impact of an adult HIV/AIDS-related death on household food security, compared with households experiencing either no mortality or a sudden non-HIV/AIDS adult death. The research is based in the Agincourt Health and Demographic Surveillance Site in rural South Africa, and focuses on a sample of 290 households stratified by experience of a recent prime-age adult death. HIV/AIDS-related mortality was associated with reduced household food security. However, much of this negative association also characterised households experiencing a non-HIV/AIDS mortality. In addition, other household characteristics, especially socioeconomic status, were strong determinants of food security regardless of mortality experience. We therefore recommend that development policy and interventions aimed at enhancing food security target vulnerable households broadly, rather than solely targeting those directly affected by HIV/AIDS mortality.
Recent fertility patterns and population policy in South Africa
Chimere-dan O
International migration: a case study of South Africa
Haldenwang BB
"South Africa, which has traditionally been a popular destination for international migrants, is currently experiencing a net loss of legal migrants, but an enormous gain of illegal immigrants. This article analyses trends in legal international migration to and from South Africa and provides a demographic profile of legal immigrants and emigrants. The reasons for and results of the influx of illegal immigrants into the country are discussed, and possible policies and strategies to reduce this influx are presented."
Demographic characteristics of the population of Greater Soweto, 1993
Mears R and Levin M
"This research note provides information and findings on some aspects of urbanisation in Greater Soweto. It outlines the demographic characteristics of the population, namely the characteristics of households; household preferences for services; perceptions on accommodation; age and gender profiles; education levels; the origin of the inhabitants and mobility in and migration to Greater Soweto. Some findings are particularly important for future planning of services and low-income or subsidised housing."
Overpopulation and unemployment in Zimbabwe
Mufuka K and Iverson S
A theoretical perspective on population policy in South Africa
De Vos M
The author describes the goals of South Africa's Population Development Programme, which works to enact the government's population policy. The primary objective is to achieve a balance between population size and natural and socioeconomic resources in the country. "The Population Development Programme promotes specific fertility-inhibiting programmes, projects and actions in the socio-economic fields of education, manpower training, health, the economy and housing. Population information, education and communication programmes are also directed at people with high fertility to facilitate the change of fertility perceptions in favour of a small family norm."
Politics as an environmental factor in population development: reviewing the South African situation
Pelser AJ, Botes LJ and Van Der Berg L
The political factors that affect the development of a successful population policy in South Africa are examined. "It is concluded that despite the important role of socioeconomic development, the success of the population development programme ultimately depends upon (a) the actual distribution of political power to all communities; (b) the degree of legitimacy enjoyed by the government among the broader population; and (c) a general political consensus regarding the urgency for curbing the population growth rate."
An economic analysis of family size decision making with reference to the developing areas of South Africa
Fairlamb CD and Nieuwoudt WL
A neoclassical utility framework is used to analyze links between decisions about family size and socioeconomic variables using data for 175 women in KwaZulu, South Africa. The demand curve for children is specified within a simultaneous model of family decision-making. "Child education, women's opportunity cost of time and formal market participation were negatively related to fertility, reflecting substitution from numbers of children (time intensive) to fewer, more educated children (less time intensive) as opportunity costs rise. Child labour was positively related to fertility. Strategies to reduce population growth rates should therefore include improvements in women's education and employment opportunities to raise their time costs, and time-saving devices to reduce demand for child labour."
Population policy in South Africa: a critical perspective
Klugman B
The structural and economic implications of urbanization
Simkins CE
"This study surveys the policy issues associated with urbanization following the abolition of the pass laws [in South Africa]. The demographic background is briefly sketched. Using neo-classical analysis as a starting point, particular attention is paid to the present inefficiencies of city form associated with segregation. It is argued that current planning procedures are in danger of perpetuating or even worsening the situation. Obstacles to employment generation are considered and transport, local government and housing issues are discussed. On every front, urbanization policy is unstable and, even in the short term, there will be pressures to change it."
Households, history and black urbanisation: response to Graaff
Mabin A
Some demographic and economic aspects of Third World and First World urbanization and the economic implications thereof for South Africa
Mears RR
"This paper analyses various demographic and economic features of the urbanization process that is taking place in Third World (developing) and First World (developed) countries. A comparison of some demographic and economic differences between contemporary Third World urbanization and First World urbanization at a comparable stage of development is made. The aim is to see what South African urbanization can learn from the comparison between Third and First World urbanization."
Struggles over elder care in South Africa
Moore E and Kelly G
This paper examines the tensions and struggles over elder care that are happening in South Africa between family caregivers, care workers and the state. These struggles are experienced and expressed at the familial and community level but are best understood by examining how the state has de-funded facilities in favour of 'ageing in place' without any additional investment in community and home-based care support. The findings reveal that stresses on unpaid and paid carers are expressed in terms of individual failings and interpersonal conflict rather than through a socio-political contextual lens. These findings contribute to how a familialist care regime impacts the everyday personal relationships between paid and unpaid carers of older persons.
The employment environment for youth in rural South Africa: A mixed-methods study
Wilkinson A, Pettifor A, Rosenberg M, Halpern C, Thirumurthy H, Collinson MA and Kahn K
South Africa has high youth unemployment. This paper examines the predictors of youth employment in rural Agincourt, Mpumalanga Province. A survey of 187 out-of-school 18-24 year olds found only 12% of women and 38% of men were currently employed. Men with skills/training were significantly more likely to report employment, mostly physical labour (aOR: 4.5; CI: 1.3, 15.3). In-depth interviews with 14 of the youth revealed women are perceived more suitable for formal employment, which is scarce informing why women were more likely to pursue further education and yet less likely to be employed. Ten key informants from local organisations highlighted numerous local youth employment resources while, in contrast, all youth in the sample said no resources were available, highlighting a need for the organisations to extend their services into rural areas. As these services are focused on entrepreneurship, programs to increase financial literacy and formal employment opportunities are also needed.
Negative economic shocks and child schooling: Evidence from Rural Malawi
Hyder A, Behrman JR and Kohler HP
This study investigates the impacts of negative economic shocks on child schooling in households of rural Malawi, one of the poorest countries in Sub-Saharan Africa (SSA). Both individually-reported and community-level shocks are investigated. There is evidence that community level shocks negatively impact the school enrolment of children. The point estimates suggest that this effect is larger when shocks and school enrollment are reported by men as compared to women. But we cannot conclude with statistical confidence that the impact of idiosyncratic shocks is larger when reported by males than when reported by females. Similarly, although the point estimates suggest that the impact of community level shocks on the school enrolment of children is larger than that of idiosyncratic shocks, we cannot conclude with statistical significance that the impacts of community-level and idiosyncratic shocks are different.
Which eligible households get grants? Demographic correlates of receipt in South Africa
Godfrey EB, Gordon ND, Knight LC, Aber JL, Allen L, Richter L and
Since Apartheid, the South African government transformed and expanded the social grants system to improve the well-being of its vulnerable populations. Despite increased efforts, a sub-section of the grant-eligible population is not reached. Too little is known about the factors that contribute to grant receipt, especially for the household as a whole. This paper examines the household and community characteristics associated with grant receipt among poor households in KwaZulu-Natal. We add to previous work by assessing grant receipt at the household level, examining receipt of the two major grants and analysing correlates in a multivariate framework. While associations with grant receipt are complex and varied, we find higher grant receipt (especially Child Support Grant) among more disadvantaged households. We also find that characteristics across multiple domains are needed to best distinguish household grant receipt. We discuss theoretical implications for models of grant receipt and practical implications for improving grants access.
Patterns and trends in household food security in rural Mpumalanga Province, South Africa
Rusere F, Hunter L, Collinson M and Twine W
This study examines patterns and trends in household food security in Bushbuckridge, Mpumalanga Province, South Africa, from 2010 to 2019. We use data from a household panel nested in the Agincourt Health and Socio- Demographic Surveillance System. Findings indicate that there have been improvements in household food security in this rural setting over the last decade. By polychoric principal component analysis, an aggregate food security index was constructed and we observed a small, yet important, proportion of households (7.8 %) that remained chronically food insecure. An ordered probit model was used to estimate the determinants of food security. Findings reveal that the observed differences in household food security status are as a result of differences in socioeconomic status. We therefore recommend that focus must be placed on identifying economic opportunities and empowering the chronically food insecure households if universal household food security is to be attained in rural South Africa and beyond.