Research Article

Understanding Community Engagement in Sexual and Reproductive Health and Rights Promotion in the Eastern Cape, South Africa: A Conceptual Framework to Inform Practice

Table 1

Research settings.

Research setting numberSetting descriptionGeographic and demographic information

1Major provincial city; Buffalo city Metropolitan municipalityLarge port city with substantial economic industries. Population totals approximately 400,000 people in the city, and approximately 700,000 in the broader metropolitan region. Predominantly Black population (70%), followed by White (16%), Coloured (12%), and 2% other ethnicities; has all the amenities of a major city, including access to schools, further education and training institutes, and health and medical facilities
2Regional city; Buffalo city Metropolitan municipalityInland city in a metropolitan municipality, with a population of approximately 34,000 people in the immediate city (9,900 households), and 80,000 people in the surrounding region; comprised predominantly of the Black population (65%), with smaller populations of other ethnic groups (Coloured 25%, White 5%, and other 5%); predominantly Xhosa speaking (55%); has all the amenities of a major city, including access to schools, further education and training institutes, and health and medical facilities
3Periurban community; Buffalo city metropolitan municipalityXhosa community of approximately 1000 people, located approximately 30 minutes by vehicle from setting one with frequent public taxis to setting one. Housing is traditional mud brick with tin roofs.
Homes have no running water supply or sewage, and limited electricity. The community has a number of small local shops and sellers for basic goods, but travel to the nearby city is common for shopping and schooling.
4Informal settlement community; O.R. Tambo district municipalityInformal settlement community situated within a broader regional community totalling approximately 5000 people. The population is almost entirely Black (99%) and Xhosa speaking (92%). Houses in the settlement community are made of mud brick and cement, with tin roofs. Houses are organised into orderly rows, with each plot demarcated by fencing. Each plot has a tap with running water, but no sewage system. The settlement community and surrounding regional community contains several schools (primary and secondary), churches, health clinic facilities, shops and warehouses, and transport interchange.
5Rural community; O.R. Tambo district municipalityTraditional Xhosa community of approximately 1500 people, predominantly Black population, but two Coloured families and two Indian families live in the community. Located approximately forty minutes by vehicle from the nearest local municipal town centre (population approximately 3000, comprised of 97% Black population), and one hour by vehicle from the nearest regional city. Housing is traditional mud brick constructions with no running water or sewage system, and limited reliable electricity. The small local community has a medical clinic, two primary schools and a secondary school, several churches and christian missions, and several small shops for buying basic groceries. Hospitals, larger shops, and emergency services are located in nearby towns and centres

Statistics compiled from 2011 census data [52].