Fall from Grace: South Africa and the Changing International Order

Special Issue for Perspectives on the Changing Global Balance of Power</p

The trepidations of an African PhD researcher – who are you and why are you here?

This paper contributes to research that has a predominant focus on western researchers in the global South. Firstly, the paper examines how my African identity fits into a western discourse of being a researcher and their intersections with my other personalities as I world‐travel. ‘World‐travelling’ is about the plurality of selves and an opening for self‐construction. Secondly, the paper elaborates on violence and intimidation in the field and how researchers may succeed or fail in negotiating such risks. As a non‐native researcher in a UK‐Based University, I acknowledge my plurality of selves, and the skills needed to navigate these social worlds

Commodification of transformation discourses and post-apartheid institutional identities at three South African universities

Using mission statements from the UCT, UWC and Stellenbosch University (South Africa), we explore how the three universities have rematerialised prior discourses to rebrand their identities as dictated by contemporary national and global aspirations. We reveal how the universities have recontextualised the experiences and discourses of liberation struggle and the new government's post-apartheid social transformation discourses to construct distinctive identities that are locally relevant and globally aspiring. This has led to the semiotic refiguring of universities from spatial edifices of racially based unequal education, to equal opportunity institutions of higher learning, and to the blurring of historical boundaries between these universities. We conclude that the universities have reconstructed distinct and recognisable identities which speak to a segregated past, but with a post-apartheid voice of equity and redress.IS

Bioprospecting the African Renaissance: The new value of muthi in South Africa

This article gives an overview of anthropological research on bioprospecting in general and of available literature related to bioprospecting particularly in South Africa. It points out how new insights on value regimes concerning plant-based medicines may be gained through further research and is meant to contribute to a critical discussion about the ethics of Access and Benefit Sharing (ABS). In South Africa, traditional healers, plant gatherers, petty traders, researchers and private investors are assembled around the issues of standardization and commercialization of knowledge about plants. This coincides with a nation-building project which promotes the revitalization of local knowledge within the so called African Renaissance. A social science analysis of the transformation of so called Traditional Medicine (TM) may shed light onto this renaissance by tracing social arenas in which different regimes of value are brought into conflict. When medicinal plants turn into assets in a national and global economy, they seem to be manipulated and transformed in relation to their capacity to promote health, their market value, and their potential to construct new ethics of development. In this context, the translation of socially and culturally situated local knowledge about muthi into global pharmaceuticals creates new forms of agency as well as new power differentials between the different actors involved

The African intellectuals’ project

Soon after taking the position of editor of IJARS at the beginning of 2019, I was contacted by the dean of Unisa’s College of Graduate Studies (CGS), Prof. Lindiwe Zungu, who informed me that the university’s principal and vice-chancellor, Prof. Mandla Makhanya, had decided to revive his project, the African Intellectuals’ Project (AIP). I was asked to coordinate this project, through which Makhanya sought to invite scholars, academics, and intellectuals, both on and outside of the African continent, to deliver presentations reflecting on the ills afflicting Africa and, at the same time, to offer possible solutions. In pursuing the AIP, Prof. Makhanya was carrying on a perennial tradition

Without the blanket of the land: agrarian change and biopolitics in post–Apartheid South Africa

This paper connects Marxist approaches to the agrarian political economy of South Africa with post-Marshallian and Foucauldian analyses of distributional regimes and late capitalist governmentality. Looking at South Africa’s stalled agrarian transition through the lens of biopolitics as well as class analysis can make visible otherwise disregarded connections between processes of agrarian change and broader contests about the terms of social and economic incorporation into the South African social and political order before, during and after Apartheid. This can bring a fresh sense of the broader political implications of the course of agrarian change in South Africa, and helps contextualise the enduring salience of land as a flashpoint within South Africa’s unresolved democratic transition

South African Paediatric Surgical Outcomes Study : a 14-day prospective, observational cohort study of paediatric surgical patients

BACKGROUND : Children comprise a large proportion of the population in sub-Saharan Africa. The burden of paediatric surgical disease exceeds available resources in Africa, potentially increasing morbidity and mortality. There are few prospective paediatric perioperative outcomes studies, especially in low- and middle-income countries (LMICs). METHODS : We conducted a 14-day multicentre, prospective, observational cohort study of paediatric patients (aged <16 yrs) undergoing surgery in 43 government-funded hospitals in South Africa. The primary outcome was the incidence of in-hospital postoperative complications. RESULTS : We recruited 2024 patients at 43 hospitals. The overall incidence of postoperative complications was 9.7% [95% confidence interval (CI): 8.4–11.0]. The most common postoperative complications were infective (7.3%; 95% CI: 6.2–8.4%). In-hospital mortality rate was 1.1% (95% CI: 0.6–1.5), of which nine of the deaths (41%) were in ASA physical status 1 and 2 patients. The preoperative risk factors independently associated with postoperative complications were ASA physcial status, urgency of surgery, severity of surgery, and an infective indication for surgery. CONCLUSIONS : The risk factors, frequency, and type of complications after paediatric surgery differ between LMICs and high-income countries. The in-hospital mortality is 10 times greater than in high-income countries. These findings should be used to develop strategies to improve paediatric surgical outcomes in LMICs, and support the need for larger prospective, observational paediatric surgical outcomes research in LMICs. CLINICAL TRIAL REGISTRATION : NCT03367832.Jan Pretorius Research Fund; Discipline of Anaesthesiology and Critical Care, Nelson R Mandela School of Medicine, University of KwaZulu-Natal; Department of Anaesthesia and Perioperative Medicine, Groote Schuur Hospital and University of Cape Town; Department of Anaesthesia, University of the Witwatersrand; and the Paediatric Anaesthesia Community of South Africa (PACSA).https://bjanaesthesia.org2020-02-01gl2019Anaesthesiolog