Integrating child rights standards in contraceptive and abortion care for minors in Africa
- Kangaude, Godfrey D, Macleod, Catriona I, Coast, Ernestina, Fetters, Tamara
- Authors: Kangaude, Godfrey D , Macleod, Catriona I , Coast, Ernestina , Fetters, Tamara
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441242 , vital:73869 , xlink:href="https://doi.org/10.1002/ijgo.14502"
- Description: Minor girls in Africa face challenges in accessing high-quality contraceptive and abortion services because laws and policies are not child-friendly. Many countries maintain restrictive laws, policies, or hospital practices that make it difficult for minors to access contraception and safe abortion even when the pregnancy would risk their life or health. Further, the clinical guidelines on contraceptive and abortion care are silent, vague, or ambiguous regarding minors' consent. African states should remedy the situation by ensuring that clinical guidelines integrate child rights principles and standards articulated in child rights treaties to enable health providers to facilitate full, unencumbered access to contraceptive and abortion care for minor girls. A sample of clinical guidelines is analyzed to demonstrate the importance of explicit, consistent, and unambiguous language about children's consent to ensure that healthcare workers provide sexual and reproductive health care in a manner that respects child rights.
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- Authors: Kangaude, Godfrey D , Macleod, Catriona I , Coast, Ernestina , Fetters, Tamara
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441242 , vital:73869 , xlink:href="https://doi.org/10.1002/ijgo.14502"
- Description: Minor girls in Africa face challenges in accessing high-quality contraceptive and abortion services because laws and policies are not child-friendly. Many countries maintain restrictive laws, policies, or hospital practices that make it difficult for minors to access contraception and safe abortion even when the pregnancy would risk their life or health. Further, the clinical guidelines on contraceptive and abortion care are silent, vague, or ambiguous regarding minors' consent. African states should remedy the situation by ensuring that clinical guidelines integrate child rights principles and standards articulated in child rights treaties to enable health providers to facilitate full, unencumbered access to contraceptive and abortion care for minor girls. A sample of clinical guidelines is analyzed to demonstrate the importance of explicit, consistent, and unambiguous language about children's consent to ensure that healthcare workers provide sexual and reproductive health care in a manner that respects child rights.
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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, Makusem, Manase, Kelland, Lindsay, Paphitis, Sharli A
- Authors: Macleod, Catriona I , Glover, Jonathan M , Makusem, Manase , Kelland, Lindsay , Paphitis, Sharli A
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/426502 , vital:72358 , 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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- Authors: Macleod, Catriona I , Glover, Jonathan M , Makusem, Manase , Kelland, Lindsay , Paphitis, Sharli A
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/426502 , vital:72358 , 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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Refining youth sexualities empowerment programmes: The development of the Masizixhobise Toolkit based on a critical sexual and reproductive citizenship framework
- Macleod, Catriona I, Moore, Sarah-Ann
- Authors: Macleod, Catriona I , Moore, Sarah-Ann
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434158 , vital:73035 , ISBN 9781003139782 , https://www.taylorfrancis.com/chapters/edit/10.4324/9781003139782-15/refining-youth-sexualities-empowerment-programmes-catriona-ida-macleod-sarah-moore
- Description: Youth sexualities programmes frequently focus on empowering young people in relation to sexual decision-making and interactions. Within these programmes, however, empowerment is mostly equated with the individualised concepts of self-efficacy and agency to the exclusion of interpersonal and social (i.e. collective) components. Resultantly, the social justice aspects of empowerment may be overlooked. Noting this, some researchers have argued for the adoption of a broader, integrative conceptualisation of empowerment. Macleod’s and Vincent’s critical sexual and reproductive citizenship (CSRC) framework provides such a conceptualisation. This framework draws from feminist re-workings of the principles of citizenship and applies these to understandings of CSRC. Based on this framework, key issues for consideration in programmes are: sexual and reproductive citizenship as status and practice; situated agency; differentiated universalism; the interweaving of the private and public; and the politics of recognition, redistribution and reparation. This chapter discusses the development of a programme refinement toolkit based on a CSRC framework, named the Masizixhobise Toolkit; how the elements outlined above were operationalised into questions; an illustrative example; and the partnership formed with a youth empowerment non-governmental organisation in developing the toolkit.
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- Authors: Macleod, Catriona I , Moore, Sarah-Ann
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434158 , vital:73035 , ISBN 9781003139782 , https://www.taylorfrancis.com/chapters/edit/10.4324/9781003139782-15/refining-youth-sexualities-empowerment-programmes-catriona-ida-macleod-sarah-moore
- Description: Youth sexualities programmes frequently focus on empowering young people in relation to sexual decision-making and interactions. Within these programmes, however, empowerment is mostly equated with the individualised concepts of self-efficacy and agency to the exclusion of interpersonal and social (i.e. collective) components. Resultantly, the social justice aspects of empowerment may be overlooked. Noting this, some researchers have argued for the adoption of a broader, integrative conceptualisation of empowerment. Macleod’s and Vincent’s critical sexual and reproductive citizenship (CSRC) framework provides such a conceptualisation. This framework draws from feminist re-workings of the principles of citizenship and applies these to understandings of CSRC. Based on this framework, key issues for consideration in programmes are: sexual and reproductive citizenship as status and practice; situated agency; differentiated universalism; the interweaving of the private and public; and the politics of recognition, redistribution and reparation. This chapter discusses the development of a programme refinement toolkit based on a CSRC framework, named the Masizixhobise Toolkit; how the elements outlined above were operationalised into questions; an illustrative example; and the partnership formed with a youth empowerment non-governmental organisation in developing the toolkit.
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Reproductive health systems analyses and the reparative reproductive justice approach: a case study of unsafe abortion in Lesotho
- Macleod, Catriona I, Reynolds, John H
- Authors: Macleod, Catriona I , Reynolds, John H
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441288 , vital:73874 , xlink:href="https://doi.org/10.1080/17441692.2021.1887317"
- Description: Health systems analyses are touted as mechanisms through which health policy and planning may be implemented. An example is the WHO health systems approach that connects people (needs, rights, perspectives) with services and technologies (equitable access, quality of care, mix of interventions) and with policies and institutional capacities (laws, regulations, human/physical resources, management and financing). The approach is comprehensive and multi-faceted, which is a strength. We argue, however, that health systems analyses should be supplemented with a focus on reproductive justice. Using the WHO health systems approach as an exemplar, we show how the reparative reproductive justice approach outlined by the first author and colleagues assists with outlining comprehensive remedies to the inequities identified in the systems analysis. We argue for attention to remedies at individual and collective, material and symbolic levels. We illustrate our argument using unsafe abortion, legal abortion services and post-abortion care in Lesotho as a case study. We outline the policies, services and people components of abortion in Lesotho using the WHO systems model, followed by a reparative justice analysis of remedies.
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- Authors: Macleod, Catriona I , Reynolds, John H
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441288 , vital:73874 , xlink:href="https://doi.org/10.1080/17441692.2021.1887317"
- Description: Health systems analyses are touted as mechanisms through which health policy and planning may be implemented. An example is the WHO health systems approach that connects people (needs, rights, perspectives) with services and technologies (equitable access, quality of care, mix of interventions) and with policies and institutional capacities (laws, regulations, human/physical resources, management and financing). The approach is comprehensive and multi-faceted, which is a strength. We argue, however, that health systems analyses should be supplemented with a focus on reproductive justice. Using the WHO health systems approach as an exemplar, we show how the reparative reproductive justice approach outlined by the first author and colleagues assists with outlining comprehensive remedies to the inequities identified in the systems analysis. We argue for attention to remedies at individual and collective, material and symbolic levels. We illustrate our argument using unsafe abortion, legal abortion services and post-abortion care in Lesotho as a case study. We outline the policies, services and people components of abortion in Lesotho using the WHO systems model, followed by a reparative justice analysis of remedies.
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Women who sell sex in Eastern and Southern Africa: A scoping review of non-barrier contraception, pregnancy and abortion
- Macleod, Catriona I, Reynolds, John H, Delate, Richard
- Authors: Macleod, Catriona I , Reynolds, John H , Delate, Richard
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441391 , vital:73883 , xlink:href="https://doi.org/10.3389/phrs.2022.1604376"
- Description: There is a need to hone reproductive health (RH) services for women who sell sex (WSS). The aim of this review was to collate findings on non-barrier contraception, pregnancies, and abortion amongst WSS in Eastern and Southern African (ESA).
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- Authors: Macleod, Catriona I , Reynolds, John H , Delate, Richard
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441391 , vital:73883 , xlink:href="https://doi.org/10.3389/phrs.2022.1604376"
- Description: There is a need to hone reproductive health (RH) services for women who sell sex (WSS). The aim of this review was to collate findings on non-barrier contraception, pregnancies, and abortion amongst WSS in Eastern and Southern African (ESA).
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‘My friends would laugh at me’: embedding the dominant heterosexual script in the talk of primary school students
- Morison, Tracy, Macleod, Catriona I, Lynch, Ingrid
- Authors: Morison, Tracy , Macleod, Catriona I , Lynch, Ingrid
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441186 , vital:73864 , xlink:href="https://doi.org/10.1080/09540253.2021.1929856"
- Description: The dominant ‘heterosexual script’ positions men as sexually desiring subjects who initiate sex and use active displays of power to attract women, and women as passive sexual objects who use indirect means to attract men (e.g. physical appearance). While much research has highlighted how this script is deployed in high school settings, less work has attended to primary schools. We demonstrate how the script operates in the talk of primary school students in low resource South African schools. Data were generated in group discussions conducted for a mid-term review of a school-based sexual violence prevention programme. We show how the heterosexual script is embedded in students’ accounts through the regulatory mechanisms of interpersonal and social risks: threats of being ‘dumped’, sexual coercion, violence, and humiliation. These risks are learnt from an early age and may outweigh sexuality education messaging provided later on, which has implications for such interventions. To address this we advocate for early engagement with young people using a dialogical approach that creates a relational context for resistance to inequitable sexual scripts.
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- Authors: Morison, Tracy , Macleod, Catriona I , Lynch, Ingrid
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441186 , vital:73864 , xlink:href="https://doi.org/10.1080/09540253.2021.1929856"
- Description: The dominant ‘heterosexual script’ positions men as sexually desiring subjects who initiate sex and use active displays of power to attract women, and women as passive sexual objects who use indirect means to attract men (e.g. physical appearance). While much research has highlighted how this script is deployed in high school settings, less work has attended to primary schools. We demonstrate how the script operates in the talk of primary school students in low resource South African schools. Data were generated in group discussions conducted for a mid-term review of a school-based sexual violence prevention programme. We show how the heterosexual script is embedded in students’ accounts through the regulatory mechanisms of interpersonal and social risks: threats of being ‘dumped’, sexual coercion, violence, and humiliation. These risks are learnt from an early age and may outweigh sexuality education messaging provided later on, which has implications for such interventions. To address this we advocate for early engagement with young people using a dialogical approach that creates a relational context for resistance to inequitable sexual scripts.
- Full Text:
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