BackgroundDespite the array of studies on infant feeding practices of HIV-infected women, gaps still exist in the understanding of the underlying reasons for their infant feeding choices. Potential for behavioural change exists, especially in the light of the 2016 updated World Health Organization guideline on HIV and infant feeding. The aim of this paper is to determine the rate of adoption of exclusive breastfeeding in this cohort, examine the determinants of infant feeding choices of HIV-infected women and assess the underlying reasons for these choices.MethodsThis was a mixed methods study conducted between September 2015 and May 2016. It analyses the quantitative and qualitative data of 1662 peripartum women enrolled in the East London Prospective Cohort Study across three large maternity services in the Eastern Cape. Women with HIV reported their preferred choices of infant feeding. In addition, participants explained the underlying reasons for their choices. Descriptive and inferential statistics summarised the quantitative data, while thematic content analysis was performed on qualitative data.ResultsOf the 1662 women with complete responses, 80.3% opted to exclusively breastfeed their babies. In the adjusted model, up to grade 12 education level (AOR: 1.81; 95% CI: 1.14, 2.86), rural/peri-urban residence (AOR:1.44; 95% CI: 1.05, 1.96), alcohol use (AOR: 1.65; 95% CI: 1.25, 2.18), negative or unknown HIV status at booking (AOR:1.85; 95% CI:1.27, 2.70), currently married (AOR:1.43; 95% CI:1.01, 2.02) and WHO Clinical Stage 2–4 (AOR:1.77; 95% CI: 1.15, 2.72) were significantly associated with the decision to exclusively breastfeed. Health care providers’ recommendations, perceived benefits of breastfeeding, unaffordability of formula feeding, and coercion were the underlying reasons for wanting to breastfeed; while work/school-related demands, breast-related issues, and fear of infecting the baby influenced their decision to formula feed.ConclusionThe majority of HIV-infected women chose to breastfeed their babies in the Eastern Cape. Following up on these women to ensure they breastfeed exclusively, while also addressing their possible concerns, could be an important policy intervention. Future studies should focus on how early infant feeding decisions change over time, as well as the health outcomes for mother and child.

Background: The fourth industrial revolution (4IR) is being touted as having the capacity to lift South Africa out of the challenges of poverty, unemployment and inequitable distribution of wealth. However, the state of the country’s readiness for the enabling technologies of the 4IR is in question.Objective: This article sought to investigate South Africa’s state of readiness for the technologies that enable the 4IR. The article proposed a framework which can be used to measure the country’s level of preparedness and implement the necessary processes to move the country into the 4IR era.Method: A detailed analysis of literature was carried out on the current and futuristic technologies employed by developed countries as they moved towards the 4IR. The fit – viability and the task – technology theories were employed to propose a framework to government for measuring its state of readiness for the 4IR in South Africa.Results: Based on findings from the literature study, the article proposed the 4IR readiness framework for government to measure and subsequently plans its response to the advent of 4IR technologies in the country.Conclusion: The framework revealed that South Africa has low technological capability, plummeting economic complexity and a fall in digital technological readiness. There is also a dearth of skilled workforce and technological infrastructure. It was recommended that government should focus on building and strengthening the resilience of both public and private institutions, investment in relevant 4IR education, infrastructural improvement, and promulgation and enforcement of legal framework to ensure security and privacy of data.

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Nigerian urban centers, especially the socially disadvantaged neighborhoods (sdns), like other disadvantaged communities across Africa, are increasingly becoming breeding grounds for youth violence and Armed Non-State Actors (ansas). The increasing waves of violence in socially disadvantaged communities in Nigeria and the inability of security apparatus to curtail them, suggests a ‘nation’ bewildered and a comatose state. This article attempts to dissect the root causes of youth violence in socially disadvantaged urban areas of Nigeria using relevant sociological theories. The paper subjects the current waves of youth violence across ethnic cleavages in Nigeria to a more nuanced and pragmatic analysis in order to dissect and unravel the socio-structural and political factors responsible. The paper argues that the inherent social structural maladies embedded in socially disadvantaged communities appear to have provided an impetus for youth violence and the emergence ofansas in Nigeria. These social structural maladies are captured within the context of social disorganization, relative deprivation, and broken windows theories. The assumptions of these theories provide insights into understanding the predisposing and enabling factors to youth violence and the emergence ofansas in socially disadvantaged communities in Nigeria and beyond. They also provide fundamental policy and research options to nip the contours of violence in socially disadvantaged environments in Nigeria and beyond in the bud.

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