Ukusetshenziswa kabi kwezidakamizwa entsheni kuyinkinga enkulu kuleli edinmga ukunakwa. Ucwaningo lweSouth African Medical Journal luthole ukuthi cishe u-20% wabantu baseNingizimu Afrika basebenzisa izidakamizwa ezifana notshwala, amaphilisi ezinhlungu nensangu. UMkhandlu Kazwelonke WaseNingizimu Afrika Wokuncika Utshwala Nezidakamizwa wabelane ngalezi zibalo ezishaqisayo ngeviki Lokuqwashisa Ngezidakamizwa.
Khonamanjalo, intsha eningi isebenzisa utshwala nezidakamizwa. Ucwaningo lukhombisa ingxenye yabafundi basesikoleni samabanga aphezulu isike yazama utshwala. Izinhlangano ezifana ne-Love Life ziyakuqinisekisa lokhu, ziphawula ukuthi ukusetshenziswa kwezidakamizwa kuyenyuka ezindaweni zasemakhaya nasemadolobheni.
Usonhlalakahle uMandy Stokes ukhathazekile ngokuthi imikhuba esemfashinini efana ne-vaping ne-hookah yenza abantu bayengeke ukungena ezidakamizweni eziyingozi. Isishoshovu esimelene nezidakamizwa u-Dereleen James wengeza ngokuthi imiphakathi iyazilwela, kodwa ayinazo izinsiza ezifana nemitholampilo kanye nokwesekwa kuhulumeni.
Kafushane, ukusetshenziswa kabi kwezidakamizwa entsheni kuwukukhathazeka okukhulayo eNingizimu Afrika. Kuthinta izimpilo eziningi, kugqamisa isidingo sezinhlelo ezingcono zokusekela kanye nemizamo yokuvimbela ezweni lonke.