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Everyday mobilisations among grandmothers in South Africa: survival, support and social change in the era of HIV/AIDS

Published online by Cambridge University Press:  08 August 2013

MAY CHAZAN*
Affiliation:
Department of Gender and Women's Studies, Trent University, Peterborough, Canada.
*
Address for correspondence: May Chazan, 503 McLeod St, Ottawa, ON, CanadaK1R 5P9. E-mail: mchazan@hotmail.com

Abstract

In many sub-Saharan African communities, caring for vulnerable children in the era of HIV/AIDS appears to be creating deep financial, physical and psychological strains for care-givers, the great majority of whom are ageing women or ‘grandmothers’. Yet, limited primary research has been carried out with older women in specific communities, and therefore grandmothers' collective responses, sources of support, complex lived experiences, and diverse family situations are not well understood. This paper presents the findings of research undertaken in four communities in KwaZulu-Natal, South Africa, between 2006 and 2010. The purpose was to understand the daily stresses, collective responses and mobilisations of older women in these communities. The research involved repeated focus groups, interviews and participant observation involving approximately 100 older women. In the analysis, attention is given to the diversities among participants, the ways in which HIV/AIDS intermingles with other stresses in their lives to drive their mobilisations, and their collective responses, even amidst highly constrained conditions. Through these lenses, the paper illuminates how older women in these communities are organising in response to the combined, devastating and diverse effects of HIV/AIDS, poverty, violence and illness. It also suggests that, counter to some stereotyping of ‘African grandmothers’ as frail or passive, these women are forming associations in order to generate incomes, resist stigma, connect with broader support networks and provide care to hundreds in their communities.

Type
Articles
Copyright
Copyright © Cambridge University Press 2013 

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References

Abebe, T. and Aase, A. 2007. Children, AIDS and the politics of orphan care in Ethiopia: the extended family revisited. Social Science and Medicine, 64, 10, 2058–69.Google Scholar
Bicego, G., Rutstein, S. and Johnson, K. 2003. Dimensions of the emerging orphan crisis in sub-Saharan Africa. Social Science and Medicine, 56, 6, 1235–47.Google Scholar
Bohman, D. M., Vasuthevan, S., van Wyk, N. and Ekman, S. L. 2007. ‘We clean our houses, prepare for weddings and go to funerals’: daily lives of elderly Africans in Majaneng, South Africa. Journal of Cross-cultural Geronotology, 22, 4, 323–37.Google Scholar
Campbell, C., Nair, Y., Maimane, S. and Sibiya, Z. 2008. Supporting people with AIDS and their carers in rural South Africa: possibilities and challenges. Health & Place, 14, 3, 507–18.Google Scholar
Casale, M. 2011. ‘I am living a peaceful life with my grandchildren. Nothing else’. Stories of adversity and ‘resilience’ of older women caring for children in the context of HIV/AIDS and other stressors. Ageing & Society, 31, 8, 1265–88.Google Scholar
Chazan, M. 2008. Seven ‘deadly’ assumptions: unraveling the implications of HIV/AIDS among grandmothers in South Africa and beyond. Ageing & Society, 28, 7, 9935–58.Google Scholar
Chirwa, W. 2002. Social exclusion and inclusion: challenges to orphan care in Malawi. Nordic Journal of African Studies, 11, 1, 93113.Google Scholar
Department of Health 2010. National Antenatal Sentinel HIV and Syphilis Prevalence Survey in South Africa, 2009. Available online at http://www.doh.gov.za/docs/reports/2010/hiv_syphillis_09.pdf [Accessed 30 June 2011].Google Scholar
Fine, M. 1994. Working the hyphens, reinventing Self and Others in qualitative research. In Denzil, N. K. and Lincoln, Y. S. (eds), Handbook of Qualitative Research. Sage, London, 7082.Google Scholar
Frank, E. 2005. AIDS ethnography: how to begin. Transforming Anthropology, 13, 2, 143–7.Google Scholar
Freeman, M. and Nkomo, N. 2006 a. Guardianship of orphans and vulnerable children: a survey of current and prospective South African caregivers. AIDS Care, 18, 4, 302–10.Google Scholar
Freeman, M. and Nkomo, N. 2006 b. Assistance needed for the integration of orphaned and vulnerable children – views of South African family and community members. Journal of Social Aspects of HIV/AIDS Research Alliance, 3, 3, 503–9.Google Scholar
Fuller-Thomson, E., Hayslip, B. and Patrick, J. H. 2005. Introduction to the special issue: diversity among grandparent caregivers. International Journal of Aging and Human Development, 60, 4, 269–72.Google Scholar
Garner, J. D. and Mercer, S. O. (eds) 2001. Women as They Age. Second edition, Hapworth, Binghamton, New York.Google Scholar
Hansell, P., Hughes, C., Caliandro, G., Russo, P., Budin, W. and Hartman, B. 2002. Stress and social support in older caregivers of children with HIV/AIDS: an intervention model. In Joslin, D. (ed.), Invisible Caregivers: Older Adults Raising Children in the Wake of HIV/AIDS, Columbia University Press, New York, 113–30.Google Scholar
Hardill, I. 2009. Introduction: geographies of aging. Professional Geographer, 61, 1, 13.Google Scholar
Harper, S. and Laws, G. 1995. Rethinking the geography of ageing. Progress in Human Geography, 19, 2, 199221.Google Scholar
HelpAge International 2006. Older Women Lead the Response to HIV/AIDS. HelpAge International, London.Google Scholar
Hosegood, V. and Solarsh, G. 2004. Population Mobility and Household Dynamics in Rural South Africa: Implications for Demographic and Health Research. Africa Centre for Population Studies and Reproductive Health, Africa Centre to Health and Population Studies, Mtubatuba, South Africa.Google Scholar
Hosegood, V. and Timæus, I. M. 2005. The impact of adult mortality on the living arrangements of older people in rural South Africa. Ageing & Society, 25, 6, 431–44.Google Scholar
Hunter, M. 2010. Love in the Time of AIDS: Inequality, Gender, and Rights in South Africa. Indiana University Press, Bloomington, Indiana.Google Scholar
Jeffery, A. 1997. The Natal Story: Sixteen Years of Conflict. South African Institute of Race Relations, Johannesburg, South Africa.Google Scholar
Jones, L. 2006. Childcare in poor urban settlements in Swaziland in an era of HIV/AIDS. African Journal of AIDS Research, 4, 3, 161–71.Google Scholar
Joslin, D. and Harrison, R. 1998. The ‘hidden patient’: older relatives raising children orphaned by AIDS. Journal of the American Medical Women's Association, 53, 2, 6571.Google Scholar
Kuo, C. and Operario, D. 2009. Caring for AIDS-orphaned children: a systematic review of studies on caregivers. Vulnerable Children and Youth Studies, 4, 1, 112.Google Scholar
Legido-Quigley, H. 2003. The South African Old Age Pension: Exploring the Role of Poverty Alleviation in Households Affected by HIV/AIDS. Eldis. Available online at www.eldis.org [Accessed 1 December 2006].Google Scholar
Lewis, S. 2005. Race Against Time. House of Anansi Press, Toronto.Google Scholar
Linsk, N. and Mason, S. 2004. Stresses on grandparents and other relatives caring for children affected by HIV/AIDS. Health and Social Work, 29, 3, 127–36.Google Scholar
Madhavan, S. 2004. Fosterage patterns in the age of AIDS: continuity and change. Social Science and Medicine, 58, 7, 1443–54.Google Scholar
Marais, H. 2005. Buckling: The Impact of AIDS in South Africa. University of Pretoria Press, Pretoria, South Africa.Google Scholar
Meintjies, H. and Giese, S. 2006. Spinning the epidemic: the making of mythologies of orphanhood in the context of AIDS. Childhood, 13, 3, 407–30.Google Scholar
Miller, C., Gruskin, S., Subramanian, S., Rajaraman, D. and Heymann, J. 2006. Orphan care in Botswana's working households: growing responsibilities in the absence of adequate support. American Journal of Public Health, 96, 8, 1429–35.Google Scholar
Monasch, R. and Boerma, J. 2004. Orphanhood and childcare patterns in sub-Saharan Africa: an analysis of national surveys from 40 countries. AIDS, 18, supplement 2, 5565.Google Scholar
Moss, P. (ed.) 2002. Feminist Geography in Practice: Research and Methods. Wiley-Blackwell, Malden, Massachusetts.Google Scholar
Munthree, C. and Maharaj, P. 2010. Prevalence of HIV/AIDS: the impacts of AIDS on older men and women in KwaZulu-Natal, South Africa. Research on Aging, 32, 2, 155–74.Google Scholar
Mutangadura, G., Mukurazita, D. and Jackson, H. 1999. A Review of Household and Community Responses to the HIV/AIDS Epidemic in the Rural Areas of Sub-Saharan Africa. UNAIDS, Geneva.Google Scholar
Nyambedha, E., Wandibba, S. and Aagaard-Hansen, J. 2003. ‘Retirement lost’ – the new role of the elderly as caretakers for orphans in western Kenya. Journal of Cross-cultural Gerontology, 18, 1, 3352.Google Scholar
O'Brien, K., Quinlan, T. and Ziervogel, G. 2009. Vulnerability interventions in the context of multiple stressors: lessons from the Southern Africa Vulnerability Initiative (SAVI). Environmental Science & Policy, 12, 1, 2332.Google Scholar
Oburu, P. and Palmerus, K. 2005. Stress related factors among primary and part-time caregiving grandmothers of Kenyan grandchildren. International Journal of Ageing and Human Development, 60, 4, 273–82.Google Scholar
Pain, R. 2001. Age, generation and lifecourse. In Pain, R., Barke, M., Gough, J., Fuller, D., MacFarlane, R. and Mowl, G. (eds), Introducing Social Geographies. Arnold, London, 141–63.Google Scholar
Pratt, G. 2000. Research performances. Environment and Planning D: Society and Space, 18, 5, 639–51.Google Scholar
Ruddick, S. 2004. Activist geographies: building possible worlds. In Cloke, P., Crang, P. and Goodwin, M. (eds), Envisioning Human Geographies. Arnold, London, 229–40.Google Scholar
Sawchuk, D. 2009. The raging grannies: defying stereotypes and embracing aging through activism. Journal of Women and Aging, 21, 3, 171–85.Google Scholar
Schatz, E. J. 2007. ‘Taking care of my own blood’: older women's relationships to their household in rural South Africa. Scandinavian Journal of Public Health, 35, 69supplement, 147–54.Google Scholar
Schatz, E. and Ogunmefun, C. 2007. Caring and contributing: the role of older women in rural South African multi-generational households in the HIV/AIDS era. World Development, 35, 8, 1390–403.Google Scholar
Seeley, J., Wolff, B., Kabunga, E., Tumwekwase, G. and Grosskurth, H. 2009. ‘This is where we buried our sons’: people of advanced old age coping with the impact of the AIDS epidemic in a resource-poor setting in rural Uganda. Ageing & Society, 29, 1, 115–34.Google Scholar
Skinner, D., Tsheko, N., Mtero-Munyati, S., Segwabe, M., Chibatamoto, P. and Mfecane, S. 2006. Towards a definition of orphaned and vulnerable children. AIDS Behavior, 10, 6, 619–26.Google Scholar
UNAIDS 2010. Global Report: UNAIDS Report on the Global AIDS Epidemic 2010. UNAIDS, Geneva.Google Scholar
United Nations 2001. United Nations Declaration of Commitment on HIV/AIDS. Available online at http://www.un.org/ga/aids/coverage/FinalDeclarationHIVAIDS.html [Accessed 17 March 2013].Google Scholar
United Nations 2002. Madrid International Plan of Action on Ageing. Available online at http://www.un.org/ageing/documents/building_natl_capacity/guiding.pdf [Accessed 17 March 2013].Google Scholar
Upton, R. 2003. ‘Women have no tribe’: connecting carework, gender, and migration in an era of HIV/AIDS in Botswana. Gender and Society, 17, 2, 314–22.Google Scholar
Valletta Declaration 2005. Valletta Declaration. Available online at http://www.pdfio.com/k-385959.html# [Accessed 3 April 2013].Google Scholar
Valley Trust 2009. The Valley Trust, Bothas Hill, KwaZulu-Natal. Available online at http://www.thevalleytrust.org.za/ [Accessed 12 March 2009].Google Scholar