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Sociology

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    Access to health care and its determinants: the case of older persons in Chivi South district, Zimbabwe.
    (2024) Muzvidziwa, Evelyne.; Govender, Jayanathan Perumal.
    This study investigates the accessibility of health care services by older persons living in rural areas of Chivi South district. Access to health care has remained invisible in the scholarship in third-world countries like Zimbabwe. In this respect, the study explores the lived experiences of rural older persons residing in Chivi South, a research site embedded in political uncertainty and economic quagmire bedeviling Zimbabwe. This qualitative study was anchored on the interpretivist approach. A sample of 10 key informants and 20 older persons participated in key informant and in-depth interviews. This study established four key findings that will contribute immensely to the sociology of ageing in poor-resourced settings such as Zimbabwe. The cultural meaning of illness among older persons is essential in creating acceptable healthcare services. The consequences of not making a more enabling and inclusive environment for older persons will have a dire impact on healthcare delivery. Changes in policies that support more preventative health and social care globally instead of a reactive approach, which is wholly unsustainable for today’s ever-growing population. In Zimbabwe, older persons are often treated as a homogenous group with similar needs, leading to blanket interventions that overlook individual differences. This has resulted in poorly conceptualized and targeted assistance programs, failing to address local needs. Socially constructed narratives of successful ageing could inform the design of appropriate geriatric policies and programs to transform the healthcare needs of older persons in Zimbabwe. The key findings of the study show that the older persons living in the rural areas of Chivi South district experience challenges such as limited access to economic resources, traveling long distances to access healthcare services, inequalities in the healthcare service delivery system, reduced health status, limited availability, acceptability, and accessibility of healthcare services and inter alia. These challenges limit older persons from accessing much-needed healthcare services. The preeminent aim of this study is informed by the theoretical accounts of Penchansky and Thomas (1981) and Giddens (1984). The structures that frame rural healthcare provision ultimately function as key determinants of the nature and scope of healthcare service utilization, which propounded the structuration theory. Based on the subjective narratives of the research participants, the uniqueness of this study is anchored on its ability to offer a sociological foundation for developing innovative interventions and workable public policy options that support the aging population in African rural spaces. The study showed evidence of how social determinants of health may help reduce disparities in healthcare access for older persons in rural settings. Older persons, especially those residing in poor communities, have unique needs when addressing social health needs. The ageing population in Zimbabwe faces socio-economic predicaments and various challenges in the healthcare sector. It is particularly challenging to manage social connectedness in rural areas because of the issues around accessibility of health care, i.e., physical, financial, and societal barriers, making these multifaceted but crucially critical social determinants of health. Any efforts to improve the health and well-being of older rural persons address rural-urban disparities in healthcare needs and include a focus on the social determinants of health.
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    An analysis of the media as a key socialising agent for gender and gender stereotypes.
    (2023) Zungu, Sindisiwe.; Lamula, Sihle Pretty.
    This study examines how the media influences gender identities among university students by studying harmful gender stereotypes toxic masculinities and femininities. Qualitative data were gathered through detailed interviews with students aged 18–26 at the University of KwaZulu-Natal, Howard College campus, using snowball and purposive sampling. The thematic content analysis involved coding the interview transcripts, identifying recurring themes, and analysing patterns in the data. The study revealed that the media significantly influences how students view themselves and others. Men are frequently shown in powerful roles, while women are often portrayed in submissive roles. This reinforces harmful gender stereotypes and unequal power dynamics. Participants observed that societal norms restrict women from independence and limit men from self-expression. These observations reflect entrenched, harmful gender norms. Moreover, male power dynamics and societal structures frequently contribute to gender disparities and reinforce damaging gender stereotypes. Students encounter challenging stereotypes regarding women, which persist through the depiction of beauty norms and traditional gender roles. Furthermore, the media portrays hegemonic masculinity, which refers to the dominant form of masculinity that idealises traits like aggression and control. This perpetuates restrictive and harmful ideas of true masculinity. To promote gender equality, the media should prioritise equality in content, policy, and practice. To combat gender-based violence, address public health issues, and promote positive and constructive gender practices, it is critical to address gender stereotypes in the media. The media exerts a significant influence on societal norms and values. Therefore, it is essential to coordinate efforts to foster a deeper understanding of harmful forms of masculinity and femininity, while also promoting positive gender practices. Gender-based violence and problems with public health will only get worse if harmful gender stereotypes in the media are not addressed. Future research should explore the impact of the media on gender identities across different cultures and promote positive representations of gender. Gender socialisation significantly shapes an individual’s views on gender roles, beliefs, cultural norms, and societal expectations. This underscores the critical importance of implementing education programmes that integrate gender equality education into curricula and community initiatives that establish safe spaces for open dialogue, challenging traditional societal gender norms.
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