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Health Provision in Tshitshi, Zimbabwe: A Focus on Sexual and Reproductive Health
Political conflict in Zimbabwe led to a series of crises that has negatively affected the nation's socio-economic status for over a decade now. The public sector's ability to provide basic services has been affected by a dead economy: the scarcity of resources such as money, water, energy, food, and...
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| Format: | Thesis |
| Language: | English |
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Department of Sociology
2022
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| _version_ | 1867613162712334336 |
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| access_status_str | Open Access |
| author | Moyo, Samantha Zanele |
| author2 | Pande, Amrita |
| author_browse | Moyo, Samantha Zanele Pande, Amrita |
| author_facet | Pande, Amrita Moyo, Samantha Zanele |
| author_sort | Moyo, Samantha Zanele |
| collection | Thesis |
| description | Political conflict in Zimbabwe led to a series of crises that has negatively affected the nation's socio-economic status for over a decade now. The public sector's ability to provide basic services has been affected by a dead economy: the scarcity of resources such as money, water, energy, food, and medical care has meant that a once-desirable system has become dysfunctional and is too incapacitated to meet the needs of the public. The population has been reduced to paupers and forced to adopt informal survival strategies to access services that in a functional economy would have been provided by the government. Little is known about how services that cannot be forfeited, in particular sexual and reproductive health (SRH) services, are accessed by the most severely disadvantaged segment of the population: people living in rural areas. This study explores how the economic crisis shapes Tshitshi women's access to and use of SRH services. Specifically, it maps out Tshitshi women's experiences in accessing SRH services, the coping mechanisms, and the non-biomedical alternatives within the socioeconomic deprivation they encounter. Data was collected in Tshitshi village located in Matabeleland South province of Zimbabwe using qualitative methods through focus group discussions and in-depth interviews. In analysing data, I used thematic analysis with the help of NVivo version 12 to identify and sort themes. The study adopted the transnational care framework which was informed by the findings of the research, where I identified transnational medical resources and care as the overarching theme. Findings show that Tshitshi women's access to and use of SRH services is mostly influenced by transnational care resources which is how they improvise and manage the healthcare genocide. To cope with the lack of biomedical services, Tshitshi women improvise and access non-biomedical services which present convenience in availability, affordability, and acceptability. The study results elicited recommending outsourcing of medical supplies as an acceptable measure provided the state can be trusted to commit to meeting the needs of the people in positive sustainable ways. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/35976 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:31:45.395Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | Department of Sociology |
| publisherStr | Department of Sociology |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/35976 Health Provision in Tshitshi, Zimbabwe: A Focus on Sexual and Reproductive Health Moyo, Samantha Zanele Pande, Amrita Development Studies Political conflict in Zimbabwe led to a series of crises that has negatively affected the nation's socio-economic status for over a decade now. The public sector's ability to provide basic services has been affected by a dead economy: the scarcity of resources such as money, water, energy, food, and medical care has meant that a once-desirable system has become dysfunctional and is too incapacitated to meet the needs of the public. The population has been reduced to paupers and forced to adopt informal survival strategies to access services that in a functional economy would have been provided by the government. Little is known about how services that cannot be forfeited, in particular sexual and reproductive health (SRH) services, are accessed by the most severely disadvantaged segment of the population: people living in rural areas. This study explores how the economic crisis shapes Tshitshi women's access to and use of SRH services. Specifically, it maps out Tshitshi women's experiences in accessing SRH services, the coping mechanisms, and the non-biomedical alternatives within the socioeconomic deprivation they encounter. Data was collected in Tshitshi village located in Matabeleland South province of Zimbabwe using qualitative methods through focus group discussions and in-depth interviews. In analysing data, I used thematic analysis with the help of NVivo version 12 to identify and sort themes. The study adopted the transnational care framework which was informed by the findings of the research, where I identified transnational medical resources and care as the overarching theme. Findings show that Tshitshi women's access to and use of SRH services is mostly influenced by transnational care resources which is how they improvise and manage the healthcare genocide. To cope with the lack of biomedical services, Tshitshi women improvise and access non-biomedical services which present convenience in availability, affordability, and acceptability. The study results elicited recommending outsourcing of medical supplies as an acceptable measure provided the state can be trusted to commit to meeting the needs of the people in positive sustainable ways. 2022-03-07T13:16:48Z 2022-03-07T13:16:48Z 2021 2022-03-07T08:22:07Z Master Thesis Masters MPhil http://hdl.handle.net/11427/35976 eng application/pdf Department of Sociology Faculty of Humanities |
| spellingShingle | Development Studies Moyo, Samantha Zanele Health Provision in Tshitshi, Zimbabwe: A Focus on Sexual and Reproductive Health |
| thesis_degree_str | Master's |
| title | Health Provision in Tshitshi, Zimbabwe: A Focus on Sexual and Reproductive Health |
| title_full | Health Provision in Tshitshi, Zimbabwe: A Focus on Sexual and Reproductive Health |
| title_fullStr | Health Provision in Tshitshi, Zimbabwe: A Focus on Sexual and Reproductive Health |
| title_full_unstemmed | Health Provision in Tshitshi, Zimbabwe: A Focus on Sexual and Reproductive Health |
| title_short | Health Provision in Tshitshi, Zimbabwe: A Focus on Sexual and Reproductive Health |
| title_sort | health provision in tshitshi zimbabwe a focus on sexual and reproductive health |
| topic | Development Studies |
| url | http://hdl.handle.net/11427/35976 |
| work_keys_str_mv | AT moyosamanthazanele healthprovisionintshitshizimbabweafocusonsexualandreproductivehealth |