The media, civil society and democracy in South Africa: State of the Nation Address 2015

This article reports on an investigation into the events surrounding the State of the Nation Address in 2015 (SONA2015), during which opposition party members interrupted proceedings to raise questions about the controversial R208-million security upgrade to South African President Jacob Zuma's personal homestead, Nkandla, in KwaZulu-Natal, using public funds. The event raised issues about the constitutionality of the use of police in the National Assembly; the use of cell phone blocking devices; and the fact that television broadcasters were not allowed to broadcast the events as they happened. The investigation drew on a quantitative content analysis of print media coverage of SONA2015, as well as qualitative interviews with members of the Right2Know (R2 K) campaign in Cape Town and Durban. It explored their activities to “take back Parliament” and calling for a “people's Parliament”. At the core of the investigation was the role of civil society in the media-politics nexus with regard to strengthening democracy and democratic participation in South Africa, through an exploration of the case study

Print media coverage of service delivery protests in South Africa: A content analysis

In recent years South Africa has seen an increase in ‘service delivery protests’ – protests related to the inadequate provision of services – as a result of growing citizen frustration resulting from high levels of economic inequality. Unemployment, housing, water and sanitation, electricity, corruption and municipal administration, health and crime, have all been listed as reasons for the protests, often described a ‘rebellion of the poor’. Given the frustration expressed by citizens using protest as a form of communication, the question arises whether the media covered these protests in a way to contribute to democratic participation, and how they were framed in relation to the young democracy in the country. Through a combination of quantitative content and qualitative framing analysis, this article explores mainstream print newspaper coverage of the protests, which we term ‘community protests’, to include the range of different types of protest and to signal that these protests are a bottom-up engagement by citizens to demand to be listened to. Mainstream mass media often subscribe to the protest paradigm, which includes delegitimisation and demonisation, highlighting the negative consequences of protests. Given the significance of the media as sources of collective knowledge and people’s perceptions of reality, this article explores how a sample of mainstream South African newspapers portray the conflict parties, and what kind of interpretations and value judgments are offered to frame the conflict

Questioning the media-democracy link: South African’s journalists’ views

ABSTRACT It is often assumed that a robust, free and independent media will contribute to the deepening of democracy by keeping governments accountable and broadening citizen participation in deliberative democratic debates. But in new democracies such as South Africa, the deepening and broadening of democratic participation is often curtailed by challenges such as unequal access to the media, the orientation of mainstream media towards elite audiences and renewed attempts by sources of power to control the free flow of information. Despite the promise of a peaceful, equitable and democratic society after the end of apartheid, conflicts continue to erupt due to continued social polarisation, vast socio-economic inequalities and new struggles for power. In South Africa these conflicts include social protests on a daily basis, repeated outbreaks of xenophobic violence and disruptions to the parliamentary process. This paper probes the role of the media in these conflicts from the perspective of journalists who have reported on these issues. The paper explores ways in which journalists critically reflect on their abilities to perform the roles expected of them within a normative framework informed by the Habermasian ideal of deliberative democracy. The reasons they offer for not fulfilling these roles, and the conditions underpinning these failures, lead them to question the ability of the South African media to contribute to an emerging democracy

A Critical Analysis of Purchasing Arrangements in Kenya: The Case of the National Hospital Insurance Fund

Abstract Background: Purchasing refers to the process by which pooled funds are paid to providers in order to deliver a set of health care interventions. Very little is known about purchasing arrangements in low- and middle-income countries (LMICs), and certainly not in Kenya. This study aimed to critically analyse purchasing arrangements in Kenya, using the National Hospital Insurance Fund (NHIF) as a case study. Methods: We applied a principal-agent relationship framework, which identifies three pairs of principal-agent relationships (government-purchaser, purchaser-provider, and citizen-purchaser) and specific actions required within them to achieve strategic purchasing. A qualitative case study approach was applied. Data were collected through document reviews (statutes, policy and regulatory documents) and in-depth interviews (n=62) with key informants including NHIF officials, Ministry of Health (MoH) officials, insurance industry actors, and health service providers. Documents were summarised using standardised forms. Interviews were recorded, transcribed verbatim, and analysed using a thematic framework approach. Results: The regulatory and policy framework for strategic purchasing in Kenya was weak and there was no clear accountability mechanism between the NHIF and the MoH. Accountability mechanisms within the NHIF have developed over time, but these emphasized financial performance over other aspects of purchasing. The processes for contracting, monitoring, and paying providers do not promote equity, quality, and efficiency. This was partly due to geographical distribution of providers, but also due to limited capacity within the NHIF. There are some mechanisms for assessing needs, preferences, and values to inform design of the benefit package, and while channels to engage beneficiaries exist, they do not always function appropriately and awareness of these channels to the beneficiaries is limited. Conclusion: Addressing the gaps in the NHIF’s purchasing performance requires a number of approaches. Critically, there is a need for the government through the MoH to embrace its stewardship role in health, while recognizing the multiplicity of actors given Kenya’s devolved context. Relatively recent decentralisation reforms present an opportunity that should be grasped to rewrite the contract between the government, the NHIF and Kenyans in the pursuit of universal health coverage (UHC)