Abortion Services and Reproductive Justice in Rural South Africa
- du Plessis, Ulandi, Macleod, Catriona I
- Authors: du Plessis, Ulandi , Macleod, Catriona I
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , book
- Identifier: http://hdl.handle.net/10962/434081 , vital:73030 , ISBN 9781776148738 , https://www.witspress.co.za/page/detail/Abortion-Services-and-Reproductive-Justice-in-Rural-South-Africa/?K=9781776148776
- Description: Despite progressive legislation, abortion service implementa-tion and access in South Africa’s rural areas is challenging and directly affects low-income communities. This book urges an intervention for safe and accessible abortion services that does not compromise costs or confidentiality within a repara-tive reproductive justice framework. South Africa’s progressive abortion legislation was hailed as transformative in terms of reproductive health and rights. Despite this promise, many challenges persist resulting in a lack of services, especially in rural areas where distances and transport costs are a factor.
- Full Text:
- Authors: du Plessis, Ulandi , Macleod, Catriona I
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , book
- Identifier: http://hdl.handle.net/10962/434081 , vital:73030 , ISBN 9781776148738 , https://www.witspress.co.za/page/detail/Abortion-Services-and-Reproductive-Justice-in-Rural-South-Africa/?K=9781776148776
- Description: Despite progressive legislation, abortion service implementa-tion and access in South Africa’s rural areas is challenging and directly affects low-income communities. This book urges an intervention for safe and accessible abortion services that does not compromise costs or confidentiality within a repara-tive reproductive justice framework. South Africa’s progressive abortion legislation was hailed as transformative in terms of reproductive health and rights. Despite this promise, many challenges persist resulting in a lack of services, especially in rural areas where distances and transport costs are a factor.
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Comparative situational analysis of comprehensive abortion care in four Southern African countries
- Macleod, Catriona I, Reuvers, Megan, Reynolds, John H, Lavelanet, Antonella, Delate, Richard
- Authors: Macleod, Catriona I , Reuvers, Megan , Reynolds, John H , Lavelanet, Antonella , Delate, Richard
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441199 , vital:73865 , xlink:href="https://doi.org/10.1080/17441692.2023.2217442"
- Description: We report on a comparative situational analysis of comprehensive abortion care (CAC) in Botswana, Eswatini, Lesotho and Namibia. We conducted systematic literature searches and country consultations and used a reparative health justice approach (with four dimensions) for the analysis. The following findings pertain to all four countries, except where indicated. Individual material dimension: pervasive gender-based violence (GBV); unmet need for contraception (15−17%); high HIV prevalence; poor abortion access for rape survivors; fees for sexual and reproductive health (SRH) services (Eswatini). Collective material dimension: no clear national budgeting for SRH; over-reliance on donor funding (Eswatini; Lesotho); no national CAC guidelines or guidance on legal abortion access; poor data collection and management systems; shortage and inequitable distribution of staff; few facilities providing abortion care. Individual symbolic dimension: gender norms justify GBV; stigma attached to both abortion and unwed or early pregnancies. Collective symbolic dimension: policy commitments to reducing unsafe abortion and to post-abortion care, but not to increasing access to legal abortion; inadequate research; contradictions in abortion legislation (Botswana); inadequate staff training in CAC. Political will to ensure CAC within the country’s legislation is required. Reparative health.
- Full Text:
- Authors: Macleod, Catriona I , Reuvers, Megan , Reynolds, John H , Lavelanet, Antonella , Delate, Richard
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441199 , vital:73865 , xlink:href="https://doi.org/10.1080/17441692.2023.2217442"
- Description: We report on a comparative situational analysis of comprehensive abortion care (CAC) in Botswana, Eswatini, Lesotho and Namibia. We conducted systematic literature searches and country consultations and used a reparative health justice approach (with four dimensions) for the analysis. The following findings pertain to all four countries, except where indicated. Individual material dimension: pervasive gender-based violence (GBV); unmet need for contraception (15−17%); high HIV prevalence; poor abortion access for rape survivors; fees for sexual and reproductive health (SRH) services (Eswatini). Collective material dimension: no clear national budgeting for SRH; over-reliance on donor funding (Eswatini; Lesotho); no national CAC guidelines or guidance on legal abortion access; poor data collection and management systems; shortage and inequitable distribution of staff; few facilities providing abortion care. Individual symbolic dimension: gender norms justify GBV; stigma attached to both abortion and unwed or early pregnancies. Collective symbolic dimension: policy commitments to reducing unsafe abortion and to post-abortion care, but not to increasing access to legal abortion; inadequate research; contradictions in abortion legislation (Botswana); inadequate staff training in CAC. Political will to ensure CAC within the country’s legislation is required. Reparative health.
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Directive counselling undermines “safe” abortion
- Mavuso, Jabulile M-J J, Macleod, Catriona I, du Toit, Ryan
- Authors: Mavuso, Jabulile M-J J , Macleod, Catriona I , du Toit, Ryan
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434096 , vital:73031 , ISBN 97817936442138 , https://rowman.com/ISBN/9781793644213/Sexual-and-Reproductive-Justice-From-the-Margins-to-the-Centre
- Description: Sexual and Reproductive Justice: From the Margins to the Centre offers new insights and perspectives on sexual and reproductive justice. The thought-provoking and diverse contributions in this volume — which range from indigenous approaches to sexual violence to gender-affirming primary and mental healthcare — extend sexual and reproductive justice scholarship, and spark critical questions, novel thinking, and ongoing dialogue in this field.
- Full Text:
- Authors: Mavuso, Jabulile M-J J , Macleod, Catriona I , du Toit, Ryan
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434096 , vital:73031 , ISBN 97817936442138 , https://rowman.com/ISBN/9781793644213/Sexual-and-Reproductive-Justice-From-the-Margins-to-the-Centre
- Description: Sexual and Reproductive Justice: From the Margins to the Centre offers new insights and perspectives on sexual and reproductive justice. The thought-provoking and diverse contributions in this volume — which range from indigenous approaches to sexual violence to gender-affirming primary and mental healthcare — extend sexual and reproductive justice scholarship, and spark critical questions, novel thinking, and ongoing dialogue in this field.
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Governing pregnancy in the Global South: the case of post-apartheid South Africa
- du Plessis, Ulandi, Macleod, Catriona I
- Authors: du Plessis, Ulandi , Macleod, Catriona I
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441212 , vital:73867 , xlink:href="https://doi.org/10.1080/13698575.2023.2249943"
- Description: Women who sell sex (WSS) are vulnerable to violence. We present a scoping review of the last decade of research on the prevalence and incidence of, factors associated with, and services regarding violence against WSS in Eastern and Southern African (ESA). A systematic search of various databases resulted in 20 papers being reviewed. Inclusion criteria, applied by the first two authors, were as follows: empirical papers, key research problem is violence against WSS, and conducted in ESA countries. The lifetime prevalence of violence revealed in the studies ranged from 21% to 82%. A pattern of generalized violence against WSS from paying clients, male partners, strangers, family members, friends/acquaintances, and the authorities emerged. Factors associated with violence included the context within which the sex work occurs, alcohol use, type of sex exchange interactions, and personal factors (low education, low income, marriage, youth, high client volume, time in sex work, forced sexual debut, and internalized sex work stigma). WSS seldom access services after violence. Evaluations of two programs, a woman-focused HIV intervention, and the Diagonal Interventions to Fast-Forward Reproductive Health project, showed improvements in gender-based violence services. Findings suggest that targeted programmes should be paired with improving general health services and focus on promoting collective agency among WSS.
- Full Text:
- Authors: du Plessis, Ulandi , Macleod, Catriona I
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441212 , vital:73867 , xlink:href="https://doi.org/10.1080/13698575.2023.2249943"
- Description: Women who sell sex (WSS) are vulnerable to violence. We present a scoping review of the last decade of research on the prevalence and incidence of, factors associated with, and services regarding violence against WSS in Eastern and Southern African (ESA). A systematic search of various databases resulted in 20 papers being reviewed. Inclusion criteria, applied by the first two authors, were as follows: empirical papers, key research problem is violence against WSS, and conducted in ESA countries. The lifetime prevalence of violence revealed in the studies ranged from 21% to 82%. A pattern of generalized violence against WSS from paying clients, male partners, strangers, family members, friends/acquaintances, and the authorities emerged. Factors associated with violence included the context within which the sex work occurs, alcohol use, type of sex exchange interactions, and personal factors (low education, low income, marriage, youth, high client volume, time in sex work, forced sexual debut, and internalized sex work stigma). WSS seldom access services after violence. Evaluations of two programs, a woman-focused HIV intervention, and the Diagonal Interventions to Fast-Forward Reproductive Health project, showed improvements in gender-based violence services. Findings suggest that targeted programmes should be paired with improving general health services and focus on promoting collective agency among WSS.
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Male peer talk about menstruation: Discursively bolstering hegemonic masculinities among young men in South Africa
- Macleod, Catriona I, Glover, Jonathan M, Makuse, Manase, Kelland, Lindsay, Paphitis, Sharli A
- Authors: Macleod, Catriona I , Glover, Jonathan M , Makuse, Manase , Kelland, Lindsay , Paphitis, Sharli A
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441253 , vital:73870 , xlink:href="https://doi.org/10.1080/23293691.2022.2057830"
- Description: In this paper, we show how male peer talk about menstruating women may be used to discursively bolster hegemonic masculinities and denigrate women. Focus group discussions among 37 young isiXhosa-speaking men from two South African schools were facilitated by two young men; statements garnered from a sexuality education class about menstruation conducted in the same schools were used as cues. Data were analyzed using discourse analysis. The interactive talk constructed a bifurcation: “disgusting” menstruating women versus “reasonable” non-menstruating women who abide by idealized feminine behavior and are available sexually. We argue that as the non-menstruating woman cyclically become the other (menstruating woman) in women of particular ages, the trace of disgust inhabits the signifier “woman” for these men. Menstruation also disrupted a core identity strategy of local hegemonic masculinities: virile (hetero)sexuality. Given this, discursive distancing of the self from the very topic of menstruation is necessary. Small moments of resistance to these constructions were quickly closed down, and caring masculinity emerged only in the context of negotiating sex during menstruation. Involving men in menstrual hygiene management programs may provide spaces for resistance to denigrating discourses about menstruation.
- Full Text:
- Authors: Macleod, Catriona I , Glover, Jonathan M , Makuse, Manase , Kelland, Lindsay , Paphitis, Sharli A
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441253 , vital:73870 , xlink:href="https://doi.org/10.1080/23293691.2022.2057830"
- Description: In this paper, we show how male peer talk about menstruating women may be used to discursively bolster hegemonic masculinities and denigrate women. Focus group discussions among 37 young isiXhosa-speaking men from two South African schools were facilitated by two young men; statements garnered from a sexuality education class about menstruation conducted in the same schools were used as cues. Data were analyzed using discourse analysis. The interactive talk constructed a bifurcation: “disgusting” menstruating women versus “reasonable” non-menstruating women who abide by idealized feminine behavior and are available sexually. We argue that as the non-menstruating woman cyclically become the other (menstruating woman) in women of particular ages, the trace of disgust inhabits the signifier “woman” for these men. Menstruation also disrupted a core identity strategy of local hegemonic masculinities: virile (hetero)sexuality. Given this, discursive distancing of the self from the very topic of menstruation is necessary. Small moments of resistance to these constructions were quickly closed down, and caring masculinity emerged only in the context of negotiating sex during menstruation. Involving men in menstrual hygiene management programs may provide spaces for resistance to denigrating discourses about menstruation.
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The binary order of things: A discursive study of nursing students’ talk on providing, and learning about, LGBT patient care
- Pinto, Pedro, Macleod, Catriona I, Nhamo-Murire, Mercy
- Authors: Pinto, Pedro , Macleod, Catriona I , Nhamo-Murire, Mercy
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441343 , vital:73878 , xlink:href="https://doi.org/10.1080/00918369.2022.2048163"
- Description: Against the backdrop of the healthcare inequities and maltreatment facing LGBT patients, recommendations have been made for the inclusion of LGBT health topics in nursing curricula. Based on data collected in focus group discussions with South African nursing students, we complicate the assumption that training focused on health-specific knowledge will effectively reform providers’ prejudicial practices. Findings reveal ambivalence: silence and discrimination versus inclusive humanism. Participants drew on discourses of ignorance, religion, and egalitarian treatment to justify their inadequacy regarding LGBT patients; while doing so, however, they deployed othering discourses in which homophobic and transphobic disregard is rendered acceptable, and “scientifically” supported through binary, deterministic views of sexuality and gender. Such “expert” views accord with Foucault’s notion of “grotesque discourse.” We conclude with a discussion of the findings’ implications for nursing education; we call for the recognition and teaching of binary ideology as a form of discursive violence over LGBT lives.
- Full Text:
- Authors: Pinto, Pedro , Macleod, Catriona I , Nhamo-Murire, Mercy
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441343 , vital:73878 , xlink:href="https://doi.org/10.1080/00918369.2022.2048163"
- Description: Against the backdrop of the healthcare inequities and maltreatment facing LGBT patients, recommendations have been made for the inclusion of LGBT health topics in nursing curricula. Based on data collected in focus group discussions with South African nursing students, we complicate the assumption that training focused on health-specific knowledge will effectively reform providers’ prejudicial practices. Findings reveal ambivalence: silence and discrimination versus inclusive humanism. Participants drew on discourses of ignorance, religion, and egalitarian treatment to justify their inadequacy regarding LGBT patients; while doing so, however, they deployed othering discourses in which homophobic and transphobic disregard is rendered acceptable, and “scientifically” supported through binary, deterministic views of sexuality and gender. Such “expert” views accord with Foucault’s notion of “grotesque discourse.” We conclude with a discussion of the findings’ implications for nursing education; we call for the recognition and teaching of binary ideology as a form of discursive violence over LGBT lives.
- Full Text:
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