Non-citizen access to ART in Johannesburg: implications for the urban health agenda
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Non-citizen access to ART in Johannesburg: implications for the urban health agenda
- 1. Non-citizen access to ART in Johannesburg: implications for the urban health agenda Jo Vearey 6 th May 2009 [email_address] University of the Witwatersrand Forced Migration Studies Programme Health and Migration Initiative
- 3. World Urbanization Prospects (2005 Revision), United Nations, Department of Economic and Social Affairs In 2009, over half of the world’s population is now urban An urban world
- 4. World Urbanization Prospects (2005 Revision), United Nations, Department of Economic and Social Affairs By 2030, 50% or more of the African population will be living in a city
- 13. Non-citizens face challenges in accessing ART at government sites Government sites Non-governmental Government sites Non-governmental
- 16. A revised sustainable livelihoods framework for urban migrants
Editor's Notes
- The theoretical framework for this intervention drew on work done on urban livelihoods, Paulo Friere’s adult learning, social anthropology and the reflect methodology. Sustainable Livelihoods is a people-centred, participatory and responsive approach to development. SL based programmes starts from where individuals, households and communities currently are, in relation to their livelihoods, and builds from there. This ensures that people - and their current, existing strengths (assets) - are built upon. Stresses are chronic – they include hunger, the fear of violence, unemployment Shocks , are acute - such as shack fires, evictions, rape, theft. Assets – whether they are financial (grants or microfinance loans), physical (a house that does not leak), social (community groups), act as buffers - they enable an individual, household or community to cope with , and recover from , stresses and shocks A SL approach involves assisting individuals to obtain additional assets (strengths) and build these in order to access and obtain additional resources. By continuously building and developing this asset base, an individual is better able to cope with shocks and stresses encountered on a daily basis. ---------------------------- Need to be imaginitave, creative Multi-disciplinary Adult educations Participatroy rural appraisals Reflect Social anth Livelihoods Understand and draw to create a strong theoretical framework Adjusted from various literature etc S ustainable livelihoods (SL) is a people-centred, participatory and responsive approach to development. A sustainable livelihood is “ a livelihood that can cope with and recover from stresses and shocks and maintain or enhance its capabilities and assets both now and in the future…. ” (Carney, 1998)