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South African community health workers' pursuit of occupational security

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  • Catherine van de Ruit
  • Alexandra Breckenridge

Abstract

Community health workers (CHWs) are central to the global health response to crises like the AIDS epidemic. Yet community health work remains undervalued and undercompensated worldwide owing in large part to the gendered and racialized contexts of care work. This paper investigates the possibility of occupational security for CHWs by comparing two cases from South Africa's response to AIDS. The first draws on ethnographic research (2007–2009) in rural KwaZulu‐Natal province and documents the fraught formation of a union representing CHWs. The second examines legal action in the Free State province for a group of CHWs known as the Bophelo House 94, who were arrested and criminally charged in June 2014 after protesting their sudden dismissal by the government. This case comparison finds that collective action has thus far had limited effects on CHWs' position as a nascent occupation. The South African Ministry of Health has obstructed CHW professionalization, and non‐state actors' involvement has been a mixture of benefit and impediment: some social justice agencies have facilitated CHW advocacy, while many AIDS service organizations have cooperated with the state and exacerbated the precarity of CHWs' working conditions. However, the consolidation of CHW work roles—owing to advances in AIDS prevention and treatment—holds promise for future CHW collective organization.

Suggested Citation

  • Catherine van de Ruit & Alexandra Breckenridge, 2024. "South African community health workers' pursuit of occupational security," Gender, Work and Organization, Wiley Blackwell, vol. 31(4), pages 1560-1581, July.
    • Handle: RePEc:bla:gender:v:31:y:2024:i:4:p:1560-1581
    DOI: 10.1111/gwao.12854
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    1. Eddy Donnelly & Stephen Dunn, 2006. "Ten Years After: South African Employment Relations Since the Negotiated Revolution," British Journal of Industrial Relations, London School of Economics, vol. 44(1), pages 1-29, March.
    2. Megan O’Donnell & Mayra Buvinic & Shelby Bourgault & Brian Webster, 2021. "The Gendered Dimensions of Social Protection in the COVID-19 Context," Working Papers 576, Center for Global Development.
    3. Murray Leibbrandt & Vimal Ranchhod & Pippa Green, 2018. "Taking stock of South African income inequality," WIDER Working Paper Series wp-2018-184, World Institute for Development Economic Research (UNU-WIDER).
    4. Murray Leibbrandt & Vima Ranchhod & Pippa Green, 2018. "Taking stock of South African income inequality," WIDER Working Paper Series 184, World Institute for Development Economic Research (UNU-WIDER).
    5. Kate Bahn & Jennifer Cohen & Yana van der Meulen Rodgers, 2020. "A feminist perspective on COVID‐19 and the value of care work globally," Gender, Work and Organization, Wiley Blackwell, vol. 27(5), pages 695-699, September.
    6. Francie LUND, 2010. "Hierarchies of care work in South Africa: Nurses, social workers and home-based care workers," International Labour Review, International Labour Organization, vol. 149(4), pages 495-509, December.
    7. Jill Rubery, 2019. "Joan Acker and Doing Comparable Worth," Gender, Work and Organization, Wiley Blackwell, vol. 26(12), pages 1786-1793, December.
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