"We are a Family That Doesn't Have Much Every Day, so we Eat What we Get": The Bodily Health of a Group of Rural Women Living in South Africa
Bibliographic record
Abstract
South Africa's health system continues to exhibit stark inequalities, with the well-being of individuals inextricably linked to their geographic location and social position. This study explored the concept of bodily health from the perspective of women living in rural areas, employing the human capabilities approach as a theoretical framework. Using a qualitative, exploratory approach, semi-structured individual interviews were conducted with 45 participants, including parents, caregivers, and key stakeholders, in two rural towns in South Africa. Participants' understanding of health varied, and they highlighted the inadequacy of healthcare services available to them. The findings reveal the multifaceted nature of rural health, where factors such as the proximity of healthcare facilities, the availability of medical personnel and supplies, and the level of trust in the healthcare system all play a crucial role in shaping individuals' experiences and perceptions of bodily health. Collaborative efforts among diverse stakeholders are necessary to develop and implement comprehensive approaches that ensure equitable access to quality healthcare and nutrition in rural areas, ultimately fostering the well-being of individuals and families. This study underscores the importance of a capabilities-oriented perspective in understanding and addressing the complex realities of rural health in South Africa, where the interplay of geography, socioeconomic status, and intersectional identities profoundly shapes the pursuit of optimal bodily health. Keywords: food insecurity; human capabilities approach; rural healthcare; rural women's health, South Africa ______________________________________________________________________________ « Nous sommes une famille qui n’a pas grand-chose chaque jour, alors nous mangeons ce que nous recevons » : la santé corporelle d'un groupe de femmes rurales vivant en Afrique du Sud Le système de santé sud-africain continue de présenter de fortes inégalités, le bien-être des individus étant inextricablement lié à leur situation géographique et à leur position sociale. Cette étude a exploré le concept de santé corporelle du point de vue des femmes vivant dans les zones rurales, en utilisant l'approche des capacités humaines comme cadre théorique. À l'aide d'une approche qualitative et exploratoire, des entretiens individuels semi-structurés ont été menés auprès de 45 participants, dont des parents, des soignants et des parties prenantes clés, dans deux villes rurales d'Afrique du Sud. La compréhension de la santé par les participants variait et ils ont souligné l'insuffisance des services de santé mis à leur disposition. Les résultats révèlent la nature multidimensionnelle de la santé rurale, où des facteurs tels que la proximité des établissements de santé, la disponibilité du personnel et des fournitures médicales et le niveau de confiance dans le système de santé jouent un rôle crucial dans la formation des expériences et des perceptions des individus en matière de santé corporelle. Des efforts de collaboration entre diverses parties prenantes sont nécessaires pour développer et mettre en oeuvre des approches globales garantissant un accès équitable à des soins de santé et à une nutrition de qualité dans les zones rurales, favorisant à terme le bien-être des individus et des familles. Cette étude souligne l'importance d'une perspective axée sur les capacités pour comprendre et aborder les réalités complexes de la santé rurale en Afrique du Sud, où l'interaction de la géographie, du statut socio-économique et des identités intersectionnelles façonne profondément la recherche d'une santé corporelle optimale. Mots-clés : insécurité alimentaire, approche des capacités humaines, soins de santé ruraux, santé des femmes rurales, Afrique du Sud
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.008 | 0.006 |
| Scholarly communication | 0.003 | 0.003 |
| Open science | 0.001 | 0.004 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".