Rural sub-Saharan Africa faces limited medical access, healthcare worker shortages, and inadequate health information systems. Mobile health (mHealth) technologies offer potential solutions but remain underdeveloped in these settings. This review aims to explore the sociocultural context of mHealth adoption in rural sub-Saharan Africa to support sustainable implementation. A comprehensive Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) search was conducted in databases like PubMed, MEDLINE, and African Journals Online, covering peer-reviewed literature from 2010 to 2024. Qualitative studies of mHealth interventions were included, with quality assessed via the Critical Appraisal Skills Program (CASP) checklist and data synthesized using a meta-ethnographic approach. Out of 892 studies, 38 met the inclusion criteria. Key findings include sociocultural factors like community trust influencing technology acceptance, local implementation strategies, user empowerment in health decisions, and innovative solutions for infrastructure issues. Challenges include privacy concerns, increased healthcare worker workload, and intervention sustainability. While mHealth can reduce healthcare barriers, success depends on sociocultural alignment and adaptability. Future interventions should prioritize community co-design, privacy protection, and sustainable, infrastructure-aware models.
South Africa’s border posts are increasingly becoming crucial hubs for organized crime posing serious national and regional security implications with far-reaching consequences. The country’s national security, economic stability, and community safety are significantly jeopardised by organised criminal enterprises at border posts. As a result, the porous borders of South Africa have fostered an environment that is conducive to a variety of unlawful activities, such as the smuggling of drugs into the country and human trafficking. This paper seeks to identify political, economic, and social factors that lead to organised crime, corruption, and weak border management systems. The paper employed a secondary data analysis of existing scholarly articles, government reports as well as relevant case studies. The study found that local communities are most affected by illegal activities at the ports of entry. The findings further emphasize the importance of inclusive approaches in responding to security challenges that address cross-border flow regulation, fight corruption in service delivery, and promote community resilience. The paper concludes with recommendations for strengthening border controls towards enhancing cooperation between countries and curbing transnational crime networks.
South Africa, like many emerging economies, grapples with the challenges of rapid urbanisation, unequal access to resources, and historical spatial inequalities. Addressing these issues requires a multifaceted approach that reimagines urban real estate development as a catalyst for positive social change. This paper explores the imperative of inclusive urban real estate development in South Africa and presents innovative strategies to promote equity, accessibility, and sustainability in urban environments. Following a quantitative inquiry technique, primary data was gathered from 109 built environment professionals with experience in sustainable urban development. To support this, descriptive and inferential statistics, particularly exploratory factor analysis (EFA), were used. According to the descriptive analysis using the mean score (MS) ranking technique, the development of affordable housing was one of the higher up-front innovative strategies for reshaping real estate development. Ensuring objectivity in city planning, re-engineering the city streets and buildings to create a safer environment were among the highly ranked strategies. The EFA further demonstrated that “urban redevelopment”, “government regulations”, “spatial planning”, “urban policy” and “diversification” were the underlying groups of new approaches for inclusive development. Implementing these innovative strategies, South Africa can move towards a more inclusive and equitable urban landscape, where urban real estate development becomes a force for positive social change, fostering sustainable economic growth and improving the quality of life for all citizens. This research contributes to the ongoing dialogue on urban development in South Africa and offers actionable insights for policymakers, developers, and community stakeholders invested in shaping more inclusive cities.
The state delivery of affordable and sustainable housing continues to be a complicated challenge in Africa, and there is a need to encourage private sector participation. As a result, this study examines the risks associated with private sector participation in affordable housing and supporting infrastructure investment and the strategies towards mitigating the risks from an Afrocentric perspective. The evidence from a systematic literature review was coupled with the opinion of an international expert panel to address the paper’s aim and provide recommendations for developing improved housing and supporting infrastructure in Sub-Saharan Africa. The review outcomes and the qualitative data from the panel discussion were analysed using thematic analysis. The results revealed that market dynamics, land supply and acquisition constraints, cost of construction materials, unsupportive policies, and technical and financial factors constitute risks to affordable housing in the region. Mitigation strategies include leveraging joint efforts, strengths, and resource bases, increasing access to land and finance for private sector participation, developing a supportive government framework to promote an enabling environment for easy access to land acquisition and development finance, local production of building materials, research and technology adoption. In line with the United Nations (UN) Agenda 2030 targets and principles, reforms are required across the housing value chain, involving the private sector and community. Application of the study’s recommendations could minimise the risks of affordable housing delivery and enhance private sector participation.
Public recreation hubs play an important role in enhancing physical activities, social contacts, and the health status of a community. The quality of the experience in such a setting influences user satisfaction and dedication; however, there are limited studies that can adapt well-advanced conceptual frameworks to capture unique characteristics of the public recreation feature. This study investigates user expectations and perceptions of service quality within public recreation hubs in Gauteng Province, South Africa. Data collection was obtained through a cross-section of 385 respondents using a SERVQUAL instrument from 22 recreational hubs. Various statistical analyses were performed, of which the EFA produced a nine-factor solution and not the customary five SERVQUAL dimensions. Important findings include the emergence of an intersection of the constructs of empathy and assurance, thereby suggesting that the dimensions are perceived as connected in the context of relational services. In addition, program quality and community engagement came out as two other important dimensions, representing the expectation for pluralism in provision, or inclusiveness and participation. Demographic differences were significant, gender differences existed in the perception of tangibles and reliability. It provides useful recommendations for managers of recreational hubs and policymakers. It could improve tangible factors with standard maintenance activities, improved infrastructure, and coordinated operational routines that improve its reliability. Targeted training among the staff for empathy and reassurance, and programming targeted to meet demographic needs, can be helpful in serving the various needs. Community building strategies, such as participatory planning and outreach programs, help make the people who feel included in them and loyal to facilities stay. It will not only help in offering better service delivery but also ensure that facilities within such public recreation hubs last long. This work contributes to service quality theory because it applies the SERVQUAL framework in a community-based recreational environment and shows its practical benefit in service delivery improvement of public services. Further work should adopt longitudinal methods and multi-regional analyses in the development and refinement of such findings to enhance generalisability across settings. Results have important implications for the development of user-focused, sustainable public recreation services compatible with changing community needs.
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