The invisibility of men in South African violence prevention policy: national prioritization, male vulnerability, and framing prevention

South Africa has a significant violence problem. The exposure of girls and women to interpersonal violence is widespread, and the victimization of men, especially to severe and homicidal forms of aggression, is of considerable concern, with male homicide eight times the global rate. In the last two...

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Published inGlobal health action Vol. 8; no. 1; p. 27649
Main Authors van Niekerk, Ashley, Tonsing, Susanne, Seedat, Mohamed, Jacobs, Roxanne, Ratele, Kopano, McClure, Roderick
Format Journal Article
LanguageEnglish
Published United States Taylor & Francis 01.01.2015
Taylor & Francis Ltd
Co-Action Publishing
Taylor & Francis Group
Subjects
HIV
R&D
STD
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ISSN1654-9716
1654-9880
DOI10.3402/gha.v8.27649

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Abstract South Africa has a significant violence problem. The exposure of girls and women to interpersonal violence is widespread, and the victimization of men, especially to severe and homicidal forms of aggression, is of considerable concern, with male homicide eight times the global rate. In the last two decades, there have been a plethora of South African policies to promote safety. However, indications suggest that the policy response to violence is not coherently formulated, comprehensive, or evenly implemented. This study examines selected South African national legislative instruments in terms of their framing and definition of violence and its typology, vulnerable populations, and prevention. This study comprises a directed content analysis of selected legislative documents from South African ministries mandated to prevent violence and its consequences or tasked with the prevention of key contributors to violence. Documents were selected using an electronic keyword search method and analyzed independently by two researchers. The legislative documents recognized the high levels of violence, confirmed the prioritization of selected vulnerable groups, especially women, children, disabled persons, and rural populations, and above all drew on criminological perspectives to emphasize tertiary prevention interventions. There is a policy focus on the protection and support of victims and the prosecution of perpetrators, but near absent recognition of men as victims. There is a need to broaden the policy framework from primarily criminological and prosecutorial perspectives to include public health contributions. It is likewise important to enlarge the conceptions of vulnerability to include men alongside other vulnerable groups. These measures are important for shaping and resourcing prevention decisions and strengthening primary prevention approaches to violence.
AbstractList South Africa has a significant violence problem. The exposure of girls and women to interpersonal violence is widespread, and the victimization of men, especially to severe and homicidal forms of aggression, is of considerable concern, with male homicide eight times the global rate. In the last two decades, there have been a plethora of South African policies to promote safety. However, indications suggest that the policy response to violence is not coherently formulated, comprehensive, or evenly implemented. This study examines selected South African national legislative instruments in terms of their framing and definition of violence and its typology, vulnerable populations, and prevention. This study comprises a directed content analysis of selected legislative documents from South African ministries mandated to prevent violence and its consequences or tasked with the prevention of key contributors to violence. Documents were selected using an electronic keyword search method and analyzed independently by two researchers. The legislative documents recognized the high levels of violence, confirmed the prioritization of selected vulnerable groups, especially women, children, disabled persons, and rural populations, and above all drew on criminological perspectives to emphasize tertiary prevention interventions. There is a policy focus on the protection and support of victims and the prosecution of perpetrators, but near absent recognition of men as victims. There is a need to broaden the policy framework from primarily criminological and prosecutorial perspectives to include public health contributions. It is likewise important to enlarge the conceptions of vulnerability to include men alongside other vulnerable groups. These measures are important for shaping and resourcing prevention decisions and strengthening primary prevention approaches to violence.
Background: South Africa has a significant violence problem. The exposure of girls and women to interpersonal violence is widespread, and the victimization of men, especially to severe and homicidal forms of aggression, is of considerable concern, with male homicide eight times the global rate. In the last two decades, there have been a plethora of South African policies to promote safety. However, indications suggest that the policy response to violence is not coherently formulated, comprehensive, or evenly implemented. Objective: This study examines selected South African national legislative instruments in terms of their framing and definition of violence and its typology, vulnerable populations, and prevention. Design: This study comprises a directed content analysis of selected legislative documents from South African ministries mandated to prevent violence and its consequences or tasked with the prevention of key contributors to violence. Documents were selected using an electronic keyword search method and analyzed independently by two researchers. Results: The legislative documents recognized the high levels of violence, confirmed the prioritization of selected vulnerable groups, especially women, children, disabled persons, and rural populations, and above all drew on criminological perspectives to emphasize tertiary prevention interventions. There is a policy focus on the protection and support of victims and the prosecution of perpetrators, but near absent recognition of men as victims. Conclusions: There is a need to broaden the policy framework from primarily criminological and prosecutorial perspectives to include public health contributions. It is likewise important to enlarge the conceptions of vulnerability to include men alongside other vulnerable groups. These measures are important for shaping and resourcing prevention decisions and strengthening primary prevention approaches to violence.
Background: South Africa has a significant violence problem. The exposure of girls and women to interpersonal violence is widespread, and the victimization of men, especially to severe and homicidal forms of aggression, is of considerable concern, with male homicide eight times the global rate. In the last two decades, there have been a plethora of South African policies to promote safety. However, indications suggest that the policy response to violence is not coherently formulated, comprehensive, or evenly implemented. Objective: This study examines selected South African national legislative instruments in terms of their framing and definition of violence and its typology, vulnerable populations, and prevention. Design: This study comprises a directed content analysis of selected legislative documents from South African ministries mandated to prevent violence and its consequences or tasked with the prevention of key contributors to violence. Documents were selected using an electronic keyword search method and analyzed independently by two researchers. Results: The legislative documents recognized the high levels of violence, confirmed the prioritization of selected vulnerable groups, especially women, children, disabled persons, and rural populations, and above all drew on criminological perspectives to emphasize tertiary prevention interventions. There is a policy focus on the protection and support of victims and the prosecution of perpetrators, but near absent recognition of men as victims. Conclusions: There is a need to broaden the policy framework from primarily criminological and prosecutorial perspectives to include public health contributions. It is likewise important to enlarge the conceptions of vulnerability to include men alongside other vulnerable groups. These measures are important for shaping and resourcing prevention decisions and strengthening primary prevention approaches to violence. Keywords: violence; gender; vulnerable groups; prevention; policy; South Africa Citation: Glob Health Action 2015, 8: 27649 - http://dx.doi.org/10.3402/gha.v8.27649 Responsible Editor: Maria Emmelin, Lund University, Sweden. Copyright: © 2015 Ashley van Niekerk et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license. Received: 18 February 2015; Revised: 22 May 2015; Accepted: 6 July 2015; Published: 29 July 2015 Competing interests and funding: None declared. The Medical Research Council of South Africa and the University of South Africa provided funding for the project. *Correspondence to: Ashley van Niekerk, Violence, Injury and Peace Research Unit, Medical Research Council, University of South Africa, PO Box 19070, 7505 Tygerberg, South Africa, Email: ashley.vanniekerk@mrc.ac.za Globally, men have shorter lifespans and lose more years of their lives to death or disability than women do (1), with higher rates of heart disease, respiratory infections, cerebrovascular disease, HIV/AIDS, and road injuries (1, 2). Young men aged 25-39 years are especially affected, possibly because of the impact of injuries (3). South Africa is one of a number of countries plagued by high levels of injuries, which are driven by widespread, often gruesome violence (4-6). The country has a violence mortality rate of 65 per 100,000, nearly five times the global average (7), with nearly 2 million people annually seeking health care for violent injuries (8). Violence is endemic among women and girls, with a significant proportion of traumatic events linked to sexual violence, which is grossly underreported (9). Whereas the rate of female homicide involving intimate partners is six times the global rate (10), the exposure of men to violence - especially to severe and homicidal forms - is also disproportionate, with male homicide rates eight times the global average and the highest rates (184 per 100,000) reported for 15-29-year-olds (7). Sexual violence toward boys and men is also notable: one study reported that 3-4% of young men are victims of rape (4), and another study highlighted its concentrations in prisons (11). Children are also vulnerable, at 5.5 homicides per 100,000 children younger than 18 years - about twice the global average. The homicide rate for boys, at 6.9 per 100,000, is nearly double that of girls, at 3.9 per 100,000. Gender differences increase with age, to reach a homicide rate among boys aged 15-17 years (21.7 per 100,000) nearly five times the rate among girls (4.6 per 100,000). Child abuse precedes nearly half of all child homicides in South Africa, with high levels of abuse underpinning vulnerability to such violence (12). There are many cases that involve sexual abuse, with 40% of girls and 17% of boys sexually abused (13). This extensive violence is compounded by episodes of high profile, state violence, such as that by the police on striking miners at Marikana in 2012 (14). Violence is determined by a range of often inseparable dynamics located at individual, relationship, community, and societal levels (15). In South Africa, violence is marked by multiple social drivers, including widespread and racialized poverty, persistent unemployment, and extreme income inequality; patriarchal notions of masculinity that celebrate toughness and risk-taking; extensive exposure to abuse in childhood; access to firearms; excessive alcohol misuse; and weaknesses in law enforcement (4). Although there has been a steady overall decrease in violent deaths over the last decade, non-fatal violence to women has remained particularly high (4, 16). In view of the complex multifaceted nature of violence, prevention efforts are expected to include multisectoral and multidisciplinary contributions and legislative mechanisms to enable a socially cohesive response (15, 17, 18). The South African government has prioritized the prevention of violence through a range of intersectoral initiatives. The recently formulated National Development Plan (NDP) aims to reduce violence by half by 2030 (19) with collaborative prevention efforts involving the health, justice, and police sectors through national government stewardship. These efforts have tended to focus on criminal justice measures and services for victims rather than on primary prevention, with gender appearing to feature significantly in the existing secondary and tertiary prevention responses (4, 20). The South African government response is aligned to the resolutions made at the Sixty-Seventh World Health Assembly (21), with a focus on strengthening health systems to address violence, especially against women, girls, and children. There is recognition that boys and young men are amongst those most affected by violence; however, the Assembly primarily emphasizes interventions for women, girls, and children. Their purpose is primarily to reduce child maltreatment and substance and alcohol abuse and to provide health and social care and/or rehabilitation for victims, but also for perpetrators. The South African response would appear aligned to this limited inclusion of support to boys (as children) in vulnerable settings, and men as perpetrators. Despite this global focus on women and children as the most important victims of violence, there is emerging recognition of men's vulnerability to violence, especially as perpetrated by male strangers or acquaintances, with pockets of recent research on male violent victimization, including sexual victimization (22), violence during conflict and post-conflict situations (23), and, more controversially, male intimate partner violence victimization (e.g. 24, 25). Despite this, the international conventions and country plans seem to have maintained a focus on policies and programs aligned to the Sixty-Seventh World Health Assembly (21). This study examines the definition and delineation of violence and its typology, vulnerable populations, and prevention in selected South African national legislative instruments. Methods The focus is on key legislative documents that deal with violence prevention. The study draws on a number of core concepts that define violence prevention and policy, respectively (see Box 1). Box 1. Terminology The terminology used as a basis for the study closely follows that used by the WHO, by government or by agencies on behalf of government. Violence is defined in the World Report on Violence and Health as follows: ... the intentional use of physical force or power, threatened or actual, against oneself, another person, or against a group or community that either results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment, or deprivation. (26: p. 5) Violence can be further classified as self-inflicted (i.e. suicide or self-mutilation), interpersonal (i.e. homicide, intimate partner, sexual abuse, child abuse and neglect, elder abuse), and collective (i.e. political violence, acts of terrorism, and gang violence) (18). In this article the violence is restricted to interpersonal and collective forms, as the more prominent types currently in South Africa (4). The WHO states that policy can be defined in a number of different ways, with the following definition of violence prevention policy: A policy on violence and injury prevention is a document that sets out the main principles and defines goals, objectives, prioritized actions and coordination mechanisms, for preventing intentional and unintentional injuries and reducing their health consequences. (18: p. 5) Source documents This study uses public health conceptualizations of violence prevention policy (15, 18). For purposes of the initial keyword search, documents searched included white papers, green papers, dra
BACKGROUNDSouth Africa has a significant violence problem. The exposure of girls and women to interpersonal violence is widespread, and the victimization of men, especially to severe and homicidal forms of aggression, is of considerable concern, with male homicide eight times the global rate. In the last two decades, there have been a plethora of South African policies to promote safety. However, indications suggest that the policy response to violence is not coherently formulated, comprehensive, or evenly implemented.OBJECTIVEThis study examines selected South African national legislative instruments in terms of their framing and definition of violence and its typology, vulnerable populations, and prevention.DESIGNThis study comprises a directed content analysis of selected legislative documents from South African ministries mandated to prevent violence and its consequences or tasked with the prevention of key contributors to violence. Documents were selected using an electronic keyword search method and analyzed independently by two researchers.RESULTSThe legislative documents recognized the high levels of violence, confirmed the prioritization of selected vulnerable groups, especially women, children, disabled persons, and rural populations, and above all drew on criminological perspectives to emphasize tertiary prevention interventions. There is a policy focus on the protection and support of victims and the prosecution of perpetrators, but near absent recognition of men as victims.CONCLUSIONSThere is a need to broaden the policy framework from primarily criminological and prosecutorial perspectives to include public health contributions. It is likewise important to enlarge the conceptions of vulnerability to include men alongside other vulnerable groups. These measures are important for shaping and resourcing prevention decisions and strengthening primary prevention approaches to violence.
Author Tonsing, Susanne
Seedat, Mohamed
Jacobs, Roxanne
McClure, Roderick
van Niekerk, Ashley
Ratele, Kopano
AuthorAffiliation 3 Monash Injury Research Institute, Monash University, Melbourne, Australia
2 Institute for Social and Health Sciences, University of South Africa, Lenasia, South Africa
1 Violence, Injury and Peace Research Unit, South African Medical Research Council – University of South Africa, Tygerberg, South Africa
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Issue 1
Keywords South Africa
gender
vulnerable groups
prevention
policy
violence
Language English
License open-access: http://creativecommons.org/licenses/by/4.0/: This is an Open Access article distributed under the terms of the Creative Commons CC-BY 4.0 License (http://creativecommons.org/licenses/by/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.
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Snippet South Africa has a significant violence problem. The exposure of girls and women to interpersonal violence is widespread, and the victimization of men,...
Background: South Africa has a significant violence problem. The exposure of girls and women to interpersonal violence is widespread, and the victimization of...
BackgroundSouth Africa has a significant violence problem. The exposure of girls and women to interpersonal violence is widespread, and the victimization of...
BACKGROUNDSouth Africa has a significant violence problem. The exposure of girls and women to interpersonal violence is widespread, and the victimization of...
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SubjectTerms Abused children
Access
Acknowledgment
Acquaintances
Acquired immune deficiency syndrome
Adult abuse & neglect
Age differences
Age Factors
AIDS
Alcohol abuse
At risk populations
Cardiovascular diseases
Cerebrovascular disease
Children
Children & youth
Children with disabilities
Colleges & universities
Content analysis
Councils
Crime Victims - legislation & jurisprudence
Criminal Law - organization & administration
Criminology
Disabled Persons - legislation & jurisprudence
Disease prevention
Female
Frame analysis
Funding
gender
Health sciences
HIV
Homicide
Human immunodeficiency virus
Human settlement
Human settlements
Humans
Injuries
Interdisciplinary aspects
Intimate partner violence
Judicial system
Law enforcement
Legislation
Male
Management
Masculinity
Medical research
Mens health
Mortality
Mothers
Murders & murder attempts
Original
Peace
Perpetrators
Police
Policy
Policy making
Poverty
Prevention
Prevention programs
Prosecutions
Public health
R&D
Rehabilitation
Research & development
Risk taking
Rural communities
Rural Population
Rural populations
Safety - legislation & jurisprudence
Safety regulations
Sex Factors
Sexual abuse
Sexual assault
Sexually transmitted diseases
Socioeconomics
South Africa
STD
Substance abuse
Suicide
Terrorism
Victimization
Violence
Violence - legislation & jurisprudence
Violence - prevention & control
Vulnerability
vulnerable groups
Vulnerable Populations - legislation & jurisprudence
Womens health
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Title The invisibility of men in South African violence prevention policy: national prioritization, male vulnerability, and framing prevention
URI https://www.tandfonline.com/doi/abs/10.3402/gha.v8.27649
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