Page 9 - Bophelo - Edition Two | March 2025
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The  conversation  about  men’s  health  in  South  Africa   to managing chronic illnesses can lead to a decline in
            is overdue. Despite advances in medicine and public   mental health. Addressing these systemic barriers requires
            health, a significant number of men still suffer in silence,   a collective effort from policymakers, healthcare providers,
            their well-being compromised by the weight of societal   and society at large.
            expectations, economic burdens, and  a lack of access   One  of  the  most  significant obstacles  to  improving
            to appropriate care. This edition of Bophelo magazine   men’s health is stigma. In South African culture, men
            is an opportunity to confront those challenges, address   are often expected to be strong and self-reliant. For
            the stigma surrounding men’s health, and advocate for a   example, admitting to a chronic illness such as diabetes or
            future where wellness is a priority, not an afterthought.
                                                                  hypertension is perceived by some as a sign of weakness.
            One of  the most pressing health  challenges for South   This stigma delays health seeking, diagnosis, and
            African men today is the growing prevalence of        treatment, and isolates those in need of support.
            noncommunicable  diseases  (NCDs).  These  chronic    Health complications, such as physical limitations or
            conditions  including  hypertension,  cardiovascular  conditions like erectile dysfunction associated with NCDs,
            diseases, diabetes, mental illness, cancer, and respiratory   are particularly difficult for men to discuss, compounding
            conditions are not just medical issues. They are complex   feelings of shame and helplessness. This cycle of isolation
            problems deeply linked with social dynamics, mental   can lead to depression, further impacting both mental and
            health, and economic stability.
                                                                  physical health.
            For South African men, the stakes are particularly high. Many   We must challenge these cultural norms of masculinity and
            men are primary breadwinners, heads of families, and pillars   redefine what it means to be strong. True strength lies in
            of their communities. When their health falters, the ripple   taking control of one’s health, seeking help when needed,
            effects extend far beyond the individual, impacting families   and prioritising wellbeing. This cultural shift is essential to
            and society at large. The burden of NCDs is therefore not   improving health outcomes for men and fostering a more
            just personal, but profoundly social and economic.
                                                                  supportive environment.
            South Africa is witnessing an alarming rise in NCDs,   It is needless to state that education is the most powerful
            with  these  diseases  now  accounting  for  a  significant   tool  in  the  fight against NCDs and that is what we are
            portion of mortality and morbidity. For men, the reality   trying to do with this edition of Bophelo. We want to
            is stark: socioeconomic pressures, cultural expectations,   raise awareness about men’s health and to emphasise
            and  lifestyle  factors  converge,  making them especially   the importance of regular check-ups, healthy eating, and
            vulnerable.
                                                                  physical activity. On top of that, workplaces, community
            NCDs often develop silently, with symptoms often absent   centres, and digital platforms should offer valuable
            until complications arise. This late detection can lead to   spaces to disseminate information and encourage open
            severe health consequences, including heart attacks, strokes,   conversations about health.
            kidney failure, and other life-altering conditions. Beyond   Support networks and peer groups can also play a vital
            the physical toll, the psychological burden of managing   role. When men see others taking proactive steps toward
            chronic conditions is immense, affecting self-esteem, social   wellness, it normalises the behaviour and creates a
            relationships, and the ability to fulfill societal roles.
                                                                  ripple effect. This collective approach can break down
            In a country where healthcare access is deeply inequitable,   stereotypes, reduce stigma, and inspire change.
            men  from  under-resourced  communities  face  significant   The SAMRC remains committed to advancing research,
            and disproportionate hurdles in managing NCDs. Limited   fostering innovation, and advocating for equitable
            access to diagnostic tools, medications, and regular   healthcare. Together, we can empower and support men
            medical care exacerbates the impact of these diseases. The   to take charge of their health and build a healthier, more
            financial implications are equally daunting, with the cost of   resilient society.
            managing chronic conditions often becoming unsustainable
            for individuals and families.

            Stress, both a contributor to and a consequence of NCDs,   Professor Ntobeko Ntusi
            further complicates the picture. Economic pressures tied   President and CEO of the SAMRC


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