ISSN 1012-1080 
JOURNAL OF 1 
SOCIAL DEVELOPMENT 
IN AFRICA 1 
EDITORIAL 
COMMUNITY OBLIGATIONS TO THE ELDERLY 
B A Rwezaura 
SUPPORT FOR THE DYING AND BEREAVED 
Patricia Swift 
PATTERNS OF PSYCHIATRIC ILLNESS 
Tuna Lergo 
MENTAL HEALTH, STIGMA AND EMPLOYMENT 
Kwaku Osei-Hwedie 
RURAL-URBAN HEALTH CARE SERVICES 
Lengwe-Katembula Mwansa 
BOOK REVIEWS 
LIST OF BOOKS RECEIVED 
Volume 4 No 1 1989
JOURNAL OF SOCIAL DEVELOPMENT IN AFRICA 
School of Social Work 
P/Bag 66022 Kopje 
Harare, Zimbabwe 
The journal will publish critical analyses of social development issues as 
they affect the poor and marginalised in society. It deals with concerns. 
especially but not exclusively relevant to Southern Africa, and is addressed 
to development practitioners, social workers, planners and policy makers, 
academics in a variety of fields such as economics, geography, politics, 
sociology, psychology, social administration and to other concerned 
individuals. 
Published twice annually, the journal seeks to enhance understanding oi 
the social development processes that contribute to the planning and 
implementation of appropriate intervention strategies at different levels. Its 
goal is to discover how best to target relevant and successful projects to 
those most in need, and how to maximise popular participation, thereby 
creating egalitarian and productive communities. 
Editor 
Ms B Willmore 
Editorial Board 
Fr J Hampson, SJ (Chairperson) Jesuit Provincial, Zimbabwe 
Professor G Chavunduka Dean, Faculty of Social Studies, University 
of Zimbabwe (Parastatals Commissioner) 
Dr S Agere Ministry of the Public Service, Zimbabwe 
Mr N Hall School of Social Work, Harare, Zimbabwe 
Mr R Mupedziswa School of Social Work, Harare, Zimbabwe 
Editorial Advisors 
Dr S Selassie Dean, College of Social Sciences, Addis 
Ababa University, Ethiopia. 
Dr P Muzaale Makerere University, Kampala, Uganda. 
Dr J Midgley Dean, School of Social Welfare, Louisiana 
State, USA. 
Dr D Saunders Professor, School of Social Work, University 
of Illinois at Urbana Champaign, USA. 
Dr J Safari University of Dar es Salaam, Tanzania. 
Dr J Jones Dean, Graduate School of Social Work, 
University of Denver, USA. 
Subscriptions per annum* 
Third World Individuals: US$10 Institutions: US$20 
Elsewhere Individuals: US$15 Institutions: US$30 
Zimbabwe Individuals: Z$10 Institutions: Z$20 
* Please indicate which issues are to be covered by subscription. 
Advertising rates on request.
Journal of Social Development in Africa 
Vol 4 No 1 1989 
Editorial 
Articles 
Changing Community Obligations to the Elderly in Contemporary Africa 5 
B A Rwezaura 
Support for the Dying and Bereaved in Zimbabwe: Traditional and New Approaches 25 
Patricia Swift 
Patterns of Psychiatric Illness. A Study in Kaduna Psychiatric Facilities 47 
Tunalergo 
Mental Health: Perspectives on Resolving Social Stigma in Employment 
for Ex-Mental Patients 61 
Kxoaku Osei-Hwedi 
Rural-Urban Health Care Service Imbalances in Zambia. Forces and Outcomes 69 
Lcngwe-Katcmbvla Mwansa 
Book Reviews 85 
The State and the Working People in Tanzania, Issa G Shivji (ed); The State and 
Agriculture in Africa, Thandika Mkanawire and Naceur Bourmane (eds); Peasant Economics: 
Farm Households and Agrarian Development, Frank Ellis; The African Poor, a History, 
Jthn IUffe; National and Class Conflict in the Horn of Africa,/oftn Maria/us; Imposing 
Aid, B Harrell-Bond; Conservation in Africa. People, Policies and Practice, David Anderson 
and Richard Grove; Refugees and Development in Africa, Peter Nobel (ed); State, Resistance 
and Change in South Africa, PhiUip Frankel, Noam Pines and Mark Swilling (eds); Doing a 
Feasibility Study: Training Activities for Starting or Reviewing a Small Business, Suzanne 
Kindervatter (ed); Marketing Strategy: Training Activities for Entrepreneurs, Suzanne 
Kindervatter with Maggie Range (eds); Women in the Third World. A Directory of 
Resources, Thomas P Fenian and Mary J Heffron (eds); The Women's Question and the 
Modes of Human Reproduction. An Analysis of a Tanzanian Village, UUa Vuorela; 
Higher Education in Sub-Saharan Africa, Keith Hinchliffe; Financing Education in 
Developing Countries, World Bank; Social Structures. A Network Approach, Barry 
Wellman and S D Berkowitz (eds). 
list of Books Received 11 *
CM* aUok i(U ACCWlACvy &l 
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