Tourism entrepreneurship: the contours of challenges faced by female-owned BnBs and Guesthouses in Mthatha, South Africa

Abstract

The purpose of the study was to investigate and discover the facts about the challenges of female entrepreneurs who are the owners of bed and breakfasts and guesthouses in Mthatha, and to find out whether these challenges have an impact in their business performance. By way of using a semi-structured survey, women who own guesthouses and bed and breakfast establishments were targeted by way of a purposive snowball sampling technique. The primary data collected indicated that female-entrepreneurs in Mthatha face a number of challenges including limited access to finance, seasonality, balancing work and family life, corruption/bribery, poor infrastructure, inability to attend seminars and workshops to network, poor customer service and lack of awareness to the required training/skills to function effectively. However, such women remain resilient to the aforementioned challenges, largely motivated by such factors linked to flexibility, the quest to remain independent and the belief in the opportunity and financial incentives that their operation represents. This study has implications for entrepreneurship and economic growth in South Africa and how vulnerable businesses including women’s require continuous support from government and private sector to remain competitive and economically sustainable.ackground:Context-specific factors influence adherence to antiretroviral therapy (ART) among pregnant womenliving with HIV. Gaps exist in the understanding of the reasons for the variable outcomes of the prevention ofmother-to-child transmission (PMTCT) programme at the health facility level in South Africa. This study examinedadherence levels and reasons for non-adherence during pregnancy in a cohort of parturient women enrolled in thePMTCT programme in the Eastern Cape, South Africa.Methods:This was a mixed-methods study involving 1709 parturient women in the Eastern Cape, South Africa. Weconducted a multi-centre retrospective analysis of the mother-infant pair in the PMTCT electronic database in 2016.Semi-structured interviews of purposively selected parturient women with self-reported poor adherence (n= 177)were conducted to gain understanding of the main barriers to adherence. Binary logistic regression was used todetermine the independent predictors of ART non-adherence.Results:A high proportion (69.0%) of women reported perfect adherence. In the logistic regression analysis, afteradjusting for confounding factors, marital status, cigarette smoking, alcohol use and non-disclosure to a family memberwere the independent predictors of non-adherence. Analysis of the qualitative data revealed that drug-related side-effects, being away from home, forgetfulness, non-disclosure, stigma and work-related demand were among the mainreasons for non-adherence to ART.Conclusions:Non-adherence to the antiretroviral therapy among pregnant women in this setting is associated withlifestyle behaviours, HIV-related stigma and ART side-effects. In order to eliminate mother-to-child transmission of HIV,clinicians need to screen for these factors at every antenatal clinic visit.Keywords:Adherence, Non-adherence, HIV, Antiretroviral therapy, Elimination of mother-to-child transmission,Prevention of mother-to-child transmission, Stigma, South Afric