Intimate crimes: heroin and the rise of amaphara in South Africa

Hunter, Mark

doi:10.1017/s0022278x20000658

Cited by 12 publications

(6 citation statements)

References 34 publications

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“…Thengimfene, observing different types of social ills, remains optimistic that drug usage is among the leading factors of social ills. That is why Hunter (2021) and Subramaniam et al (2023) assert that besides personal and family distress, additional healthcare costs and loss of future productivity place burdens on the community. Because of drug abuse, mental health problems such as depression, developmental lags, apathy, withdrawal, and other psychosocial dysfunctions frequently are linked to substance abuse among adolescents (Hunter, 2021).…”

Section: Drug Abusementioning

confidence: 99%

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Education and drug abuse in two selected isiXhosa poems produced by Anelisa Thengimfene

Diko

2023

IJRBS

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The poetry of Anelisa Thengimfene, through scholarly critique, certifies that applicatory subjects may be enacted in isiXhosa modern literature. Such applicatory subjects breathe pertinence to social issues that predominantly affect the South African youth and other organs of social anatomy. Using Anelisa Thengimfene’s two selected isiXhosa poems (Imfundo and Iziyobisi) , issues concerning education and drug abuse are critiqued in terms of content or subject matter in order to unmask their interfacing meanings. Textual analysis alongside qualitative research methodology is appointed to operate in a synergetic relationship. The principal objective of this article is to exhibit that education and drug addiction are social problems that continue to sabotage the lives of many young men and women in South Africa and elsewhere. The findings and discussions underscore that isiXhosa modern literature should be employed for the fact that it contests contemporary issues that are valuable and worth theoretical and practical debates. As a direct consequence of that, the closing remarks recommend a maintained scrutinisation of isiXhosa modern poetry. The contribution of this intellectual discourse can be pinned on the fact that Anelisa Thengimfene is an emerging isiXhosa literary writer, and therefore, new insights can be enacted from her literary art.

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Section: Drug Abusementioning

confidence: 99%

“…Substance-using young individuals, compared with non-users, are at increased risk for academic failure, including dropout, especially when the use is frequent and heavy. Marijuana use, for instance, negatively impacts academic outcomes more than alcohol (Hunter, 2021). vi.…”

Section: Drug Abusementioning

confidence: 99%

Education and drug abuse in two selected isiXhosa poems produced by Anelisa Thengimfene

Diko

2023

IJRBS

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“…In order for the recent gains in tackling the HIV epidemic in South Africa not to be undone, equitable access to and engagement in HIV prevention and care must be realised across all sectors of society. Stigma and discrimination associated with being “ amaphara” (derogatory term to refer to a criminal/drug user) [ 22 ], are cited as reasons for under-utilisation of public healthcare services by PWID, and they may rely on civil society organisations for healthcare needs over public sector services [ 13 ]. In South Africa, HIV prevention and treatment programmes which target PWID are limited in number, location, consistency and funding [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Access to and acceptability of sexual and reproductive health, harm reduction and other essential health services among people who inject drugs in Durban, South Africa

Milford,

Cavanagh,

Bosman

et al. 2024

Harm Reduct J

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Background People who inject drugs (PWID) are at risk of HIV acquisition. The number of PWID in South African cities is increasing, and in spite of an advanced HIV prevention and treatment programme, there are PWID who experience challenges accessing sexual and reproductive health (SRH) and HIV related services. Access to and acceptability of SRH and harm reduction services by PWID needs to be further understood and explored. Methods In-depth interviews (IDIs) were conducted with 10 key stakeholders and 11 PWID, in Durban, South Africa. Interviews were transcribed and translated. Data were thematically analysed using Dedoose software. Results Participants described stigma/discrimination from healthcare workers and other clients accessing services as barriers to accessing healthcare services. They were concerned about long waiting times at healthcare facilities because of possibilities of withdrawal, as well as lost opportunities to “hustle”. Targeted, non-discriminatory services, as well as mobile clinics existed in the city. Non-governmental organisations reportedly worked together with the public sector, facilitating access to HIV and TB prevention and treatment services. There were also needle exchange programmes and a harm reduction clinic in the city. However, there was limited access to contraceptive and STI services. Although there was reportedly good access to HIV and TB and harm reduction services in the city of Durban, uptake was low. Conclusions The integration of services to enable PWID to access different services under one roof is critical. There is also a need to strengthen linkages between public and private healthcare, and ensure services are provided in a non-discriminatory environment. This will facilitate uptake and access to more comprehensive SRH and harm reduction services for PWID in Durban, South Africa.

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“…For example, the rise in consumption of crystal meth in Zimbabwe has been attributed to rising levels of unemployment associated with the COVID-19 pandemic (Chingono, 2021). In South Africa, research has described increase in heroin use among young male labourers many of whom experience employment precarity and use heroin for coping purposes (Hunter, 2021). In Ghana (Alhassan, 2022) and Nigeria (Madukwe and Klein, 2020), tramadol use among youths has been linked to physically demanding work conditions, anxieties and uncertainties about the future, and low access to biomedical pain management.…”

Section: Introductionmentioning

confidence: 99%

Tramadol regulation, illegal markets and consumption practices: exploring frictions of drug control in Nigeria

Nelson

Odeigah²,

Dumbili

2023

DHS

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Purpose The purpose of this study is to understand the complex interplay between illicit opioids trade and consumption practices and state policies that aim to reduce their misuse. Design/methodology/approach The study adopted an exploratory design. Data were gathered through in-depth interviews with 31 commercially oriented drug dealers in Uyo, Nigeria. The framework approach was used in data analyses, while “friction” provided the interpretive lens. Findings Accounts revealed public concerns over the misuse of tramadol and other opioids among young people and the associated health and social harms. These concerns provided support for enforcement-based approaches to prescription opioids control, including police raids on pharmacy stores. These measures did not curtail opioids supply and consumption. Instead, they constrained access to essential medicines for pain management, encouraged illegal markets and fuelled law enforcement corruption in the form of police complicity in illegal tramadol trade. Research limitations/implications The findings reveal the frictions of drug control in Nigeria, wherein enforcement-based approaches gained traction through public concerns about opioids misuse but also faced resistance due to the persistence of non-medical use and illegal supply channels made possible by law enforcement complicity. These indicate a need to prioritize approaches that seek to reduce illegal supply and misuse of opioids while ensuring availability of these medications for health-care needs. Originality/value The study is unique in its focus on the creative tension that exists between state control measures and local opioids supply and consumption practices.

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Intimate crimes: heroin and the rise of amaphara in South Africa

Cited by 12 publications

References 34 publications

Education and drug abuse in two selected isiXhosa poems produced by Anelisa Thengimfene

Education and drug abuse in two selected isiXhosa poems produced by Anelisa Thengimfene

Access to and acceptability of sexual and reproductive health, harm reduction and other essential health services among people who inject drugs in Durban, South Africa

Tramadol regulation, illegal markets and consumption practices: exploring frictions of drug control in Nigeria

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