How did South Africans with disabilities experience COVID-19? Results of an online survey

Background: People with disabilities are a large, disadvantaged minority, comprising approximately 12% of the population. The South African government has ratified international and regional disability treaties but deals with disability rights within general anti-discrimination legislation. There are no specific frameworks to monitor justice for people with disabilities. The study aims to inform further development of disability inclusive mechanisms relating to crises including pandemics. Objectives: This study explored the perceptions of South Africans with disabilities, to understand their experiences during coronavirus disease 2019 (COVID-19), focussing on socioeconomic, well-being and human rights aspects. Method: An online survey tool generated quantitative and qualitative data. Widespread publicity and broad recruitment were achieved through project partners networks. Participants responded via mobile phone and/or online platforms. Results: Nearly 2000 people responded, representing different genders, impairments, races, socio-economic status, education and ages. Findings include: (1) negative economic and emotional impacts, (2) a lack of inclusive and accessible information, (3) reduced access to services, (4) uncertainty about government and non-government agencies' support and (5) exacerbation of pre-existing disadvantages. These findings echo international predictions of COVID-19 disproportionally impacting people with disabilities. Conclusion: The evidence reveals that people with disabilities in South Africa experienced many negative impacts of the pandemic. Strategies to control the virus largely ignored attending to human rights and socioeconomic well-being of this marginalised group. Contribution: The evidence will inform the development of the national monitoring framework, recognised by the South African Government and emphasised by the United Nations as necessary to ensure the realisation of the rights of people with disabilities during future crises including pandemics.

Transformative equality: court accommodations for South African citizens with severe communication disabilities

Background: Persons with disabilities are generally at greater risk of experiencing violence than their peers without a disability. Within the sphere of disability, individuals with severe communication disabilities are particularly vulnerable and have an increased risk of being a victim of abuse or violence and typically turn to their country's criminal justice system to seek justice. Unfortunately, victims with disabilities are often denied fair and equal treatment before the court. Transformative equality should be pursued when identifying accommodations in court for persons with communication disabilities, as the aim should be to enable such individuals to participate equally in court, without barriers and discrimination. Objectives: This research aimed to identify court accommodations recommended by legal experts, which could assist individuals with severe communication disabilities in the South African court. Method: A qualitative design was used to conduct a discussion with a panel of legal experts. Results: Using Article 13 (Access to Justice) of the Convention on the Rights of Persons with Disabilities (CRPD) as a human rights framework, four themes were identified: equality, accommodations, participation and training of professionals. Conclusion: Foreign and national law clearly prohibits discrimination against persons with communication disabilities because of their disability and state that they should be given fair and equal access to the court system. For transformative equality to be achieved, certain rules and laws need to be changed to include specific accommodations for persons with communication disabilities so that they may be enabled to participate effectively in court in the criminal justice system

Analysing disability policy in Namibia: an occupational justice perspective

Background: The Namibian disability policy of 1997 has not been reviewed for about 20 years, which has raised concerns with persons with disabilities and stakeholders in the fields of disability and rehabilitation. In March 2017, the government publicised its intention to review the policy. Thus, this study's purpose was to generate evidence that can contribute to the development of a more current disability policy that will promote occupational justice.Objectives: The aim of the study was to develop an alternative disability policy option for Namibia and to present outcomes and trade-offs using a policy analysis approach while applying the occupational justice framework to gather evidence.Method: A qualitative research design and Bardach's eightfold path approach to policy analysis were used. Critical disability theory provided the theoretical framework. The occupational justice framework was the conceptual framework for the study. Evidence from preceding phases of this study and appropriate literature was utilised to construct possible disability policy alternatives in Namibia, set evaluative criteria, project outcomes and confront trade-offs.Results: Three main disability policy alternatives emerged: access policy, support policy and universal coverage policy. Access policy had the fewest trade-offs, and the support policy had the most trade-offs in the Namibian context. Access policy was projected to foster occupational participation among persons with disabilities.Conclusion: Results have implications for selecting disability policy alternatives that promote occupational participation and justice among persons with disabilities in Namibia.Furthermore, the study has implications for advancing the practice of occupational justice in disability policy formulation

The role of civil society in health policy making in South Africa: a review of the strategies adopted by the Treatment Action Campaign

The diagnosis of AIDS in 1982 in South Africa was followed by a rapid rise in the number of people living with the virus and dying from AIDS-related illnesses. The 2016 report by the Statistics South Africa indicated that about 7.03 million South Africans were infected with HIV/AIDS ­ the highest rate in the world. Despite the emergence of effective drugs in the mid-1990s, medical treatment remained unavailable in South Africa, particularly in public hospitals. This prompted civil society groups to establish platforms to discuss health policy change in South Africa. Prominent among these was the Treatment Action Campaign (TAC), formed in 1998, which aimed to advocate for improved HIV/AIDS health service delivery. The efforts succeeded in shaping the current HIV/AIDS policy through various initiatives such as the use of constitutional law in legal action against profiteering drug companies. This paper examines the role of civil society, and particularly the TAC engagement with the state in health policy making, and the subsequent implementation of health policy on HIV/AIDS in post-apartheid South Africa

Public Health and Social Justice: Forging the Links

The purpose of this article is to explore the concept and scope of public health and to argue that particularly in low income contexts; where social injustice and poverty often impact significantly on the overall health of the population; the link between public health and social justice should be a very firm one. Furthermore; social justice in these contexts must be understood as not simply a matter for local communities and nation-states; but in so far as public health is concerned; as a matter of global concern and responsibility. The interpretation of the scope of public health by any particular nation is I believe contingent on the current socio-political context and the conception of social or distributive justice that underpins this context. Furthermore I will argue here that the link between public health and social justice ought to be founded on a conception of social justice that adequately addresses issues of social injustice and patterns of systematic disadvantage that contribute to ill health and that so commonly prevail in many low and middle income social contexts

A 4-year review of psychiatrists' participation in prosecutorial workshops on criminal capacity

Objective. The objective was to review psychiatric involvement in seven prosecutorial workshops on criminal capacity between 2004 and 2009. The aim was to evaluate the changing role of the psychiatrists in the workshops in order to identify areas in forensic psychiatry where prosecutors have a specific need for training; and to identify more suitable methods of training. Method. The workshop programmes; copies of presentations; the number of attending prosecutors at each workshop; informal personal notes from the presenters; suggestions from meetings in preparation for workshops and formatted feedback reports were reviewed. Information from a total of seven workshops was reviewed and interpreted by 2 psychiatrists from Weskoppies Hospital Forensic Psychiatry Unit (WHFPU). Results. The psychiatrists' involvement increased over the years. Problematic topics that were identified include non-pathological criminal incapacity; child psychiatry and the different roles of the psychiatrist and the psychologist in court. Exposure to practical aspects; interactive workshops with case presentations; discussion groups and audience participation seemed to be the preferred method of training. Attitudes of prosecutors towards psychiatry improved with increased knowledge and understanding of the field; and overall the training was rated as relevant and enriching. Conclusion. Psychiatrists can offer valuable training opportunities to legal professionals about the major mental illnesses and how they can affect criminal capacity; but evaluation of the training should be an ongoing process to address changing needs. Training sessions provide an opportunity for reciprocal sensitisation between the different fields. The ultimate goal is to work towards improved association between the criminal justice and mental health systems

Children within the Juvenile Justice System in Nigeria: Psychopathology and Psychosocial Needs

Background: Many children in Nigeria face a life of poverty; family instability; inadequate educational opportunities and poor physical and mental health which hinder their ability to develop into healthy adults; live an improved quality of life or fulfil their life aspirations. These factors have also been associated with juvenile delinquency and need for institutional care. Objectives: As a step toward providing comprehensive services for incarcerated children in Nigeria; this study aimed to identify the psychosocial needs as well as types of psychopathology among a group of incarcerated children at the Ibadan remand home. Methods: A cross-sectional survey of children and adolescents at the Ibadan remand home was carried out using a semi-structured questionnaire. Results: A total of 59 children were assessed over a one year period. Majority (90) were in need of care and protection. All (100) had significant psychosocial needs presenting as difficulty with their primary support; economic; social environment; or educational systems. Majority (97) also demonstrated significant psychopathology and anxiety; suicidal and depressive symptoms were the most commonly elicited. Conclusions: Incarcerated children in this study showed significant mental health needs which need to be addressed as a matter of urgency. This should be carried out through the collaborative efforts of mental health professionals with various stakeholders in child care

Children within the Juvenile Justice System in Nigeria: Psychopathology and Psychosocial Needs

Background: Many children in Nigeria face a life of poverty; family instability; inadequate educational opportunities and poor physical and mental health which hinder their ability to develop into healthy adults; live an improved quality of life or fulfil their life aspirations. These factors have also been associated with juvenile delinquency and need for institutional care. Objectives: As a step toward providing comprehensive services for incarcerated children in Nigeria; this study aimed to identify the psychosocial needs as well as types of psychopathology among a group of incarcerated children at the Ibadan remand home. Methods: A cross-sectional survey of children and adolescents at the Ibadan remand home was carried out using a semi-structured questionnaire. Results: A total of 59 children were assessed over a one year period. Majority (90) were in need of care and protection. All (100) had significant psychosocial needs presenting as difficulty with their primary support; economic; social environment; or educational systems. Majority (97) also demonstrated significant psychopathology and anxiety; suicidal and depressive symptoms were the most commonly elicited. Conclusions: Incarcerated children in this study showed significant mental health needs which need to be addressed as a matter of urgency. This should be carried out through the collaborative efforts of mental health professionals with various stakeholders in child care

Mob justice in Tanzania: a medico-social problem

Objective:To investigate the magnitude of mob justice and associated factors. Background: Mob justice is a social and public health problem that has grown in Tanzania in recent decades that has negative effects on social and health of the country; communities; and families. Materials and Methods:A four-year autopsy study was conducted at the Department of Pathology; MUCHS. Information on the cases was obtained from police; the relatives; friends and other witnesses if available. Results: 1249 persons were killed by mobs in Dar es Salaam during the period of 5 years (2000-2004). The alleged offense ranged from a serious crime like theft or murder to a mere violation of local customs or religious beliefs.The mode of the killings were mostly burning (48.11) and stoning (49.96). Other modes accounted for only 3.0of the cases.The pattern of injuries ranged from skull and other skeletal fractures to viscera rupture. Conclusion: MJ is a social; legal and public health problem in Tanzania that needs immediate attention. Unemployment of youth and perceived economic inequalities should be addressed.As long as the judicial system doesn't work and corruption is not punished; people will continue to organize their own trials and judge their suspects in the street.These must be tackled in order to reduce the growing incidences of mob justice; hence saving life. It must be ensured that criminals do not violate the freedom; dignity and respect of each and every human or member of the society