Governing pregnancy in South Africa: political and health debate, policy and procedures
- Authors: Du Plessis, Ulandi
- Date: 2019
- Subjects: South Africa. Department of Health (1994- ) , Maternal health services -- South Africa , Mothers -- Mortality -- South Africa , Prenatal care -- South Africa , African mothers -- Mortality -- South Africa
- Language: English
- Type: text , Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10962/76552 , vital:30600
- Description: South Africa democratised in 1994. However, due to the discriminatory and segregationist character of the preceding regime, vast swathes of the country’s spaces and people entered the democratic period heavily deprived of essential government services. This was the case with health care in general, including maternal health care. There were also little to no national data available on maternal deaths, especially among the black population. One of the first tasks of the new National Department of Health (NDoH) was to target the high maternal mortality rate. The NDoH made maternal deaths notifiable by law and instituted auditing and information gathering systems in the health sector; health infrastructure was expanded exponentially, and maternal health care was made free. Despite this, the last 24 years have seen the maternal mortality escalate. The latest statistics show that between 1200 and 1300 women die in the South African public health sector each year during pregnancy and the puerperium. This puts the current institutional maternal mortality rate (MMR) at around 154/100 000 live births. The international target for ‘developing’ countries was to reduce the MMR rate by three quarters by 2015, which would have meant a reduction to 38/100 000 live births. The aim of this dissertation is to examine how the democratic South African government (influenced heavily by global health thinking) has laboured to reduce that statistic. I analyse, using Foucauldian discourse analysis, all relevant health and maternal health policies, procedural documents and reports produced by and for the NDoH in the last 24 years. I draw on Foucauldian concepts, specifically those related to Foucault’s work on governmentality. In this dissertation I introduce a new perspective towards the maternal health practices implemented in South Africa, practices that have generally remained unquestioned, been perceived as self-evident, and thus often escaping critical analysis. Through an analysis of the intended operation of the public antenatal clinic (within the larger institutional system) I show how ‘development’ has come to operate as a truth regime in South Africa – facilitating the introduction of liberal governmentality (including some advanced liberal practices) into public health service provision.
- Full Text:
- Date Issued: 2019
- Authors: Du Plessis, Ulandi
- Date: 2019
- Subjects: South Africa. Department of Health (1994- ) , Maternal health services -- South Africa , Mothers -- Mortality -- South Africa , Prenatal care -- South Africa , African mothers -- Mortality -- South Africa
- Language: English
- Type: text , Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10962/76552 , vital:30600
- Description: South Africa democratised in 1994. However, due to the discriminatory and segregationist character of the preceding regime, vast swathes of the country’s spaces and people entered the democratic period heavily deprived of essential government services. This was the case with health care in general, including maternal health care. There were also little to no national data available on maternal deaths, especially among the black population. One of the first tasks of the new National Department of Health (NDoH) was to target the high maternal mortality rate. The NDoH made maternal deaths notifiable by law and instituted auditing and information gathering systems in the health sector; health infrastructure was expanded exponentially, and maternal health care was made free. Despite this, the last 24 years have seen the maternal mortality escalate. The latest statistics show that between 1200 and 1300 women die in the South African public health sector each year during pregnancy and the puerperium. This puts the current institutional maternal mortality rate (MMR) at around 154/100 000 live births. The international target for ‘developing’ countries was to reduce the MMR rate by three quarters by 2015, which would have meant a reduction to 38/100 000 live births. The aim of this dissertation is to examine how the democratic South African government (influenced heavily by global health thinking) has laboured to reduce that statistic. I analyse, using Foucauldian discourse analysis, all relevant health and maternal health policies, procedural documents and reports produced by and for the NDoH in the last 24 years. I draw on Foucauldian concepts, specifically those related to Foucault’s work on governmentality. In this dissertation I introduce a new perspective towards the maternal health practices implemented in South Africa, practices that have generally remained unquestioned, been perceived as self-evident, and thus often escaping critical analysis. Through an analysis of the intended operation of the public antenatal clinic (within the larger institutional system) I show how ‘development’ has come to operate as a truth regime in South Africa – facilitating the introduction of liberal governmentality (including some advanced liberal practices) into public health service provision.
- Full Text:
- Date Issued: 2019
Colloquial terms used in young adults’ talk about sexual practices, sexual subjectivities and sexual desires’
- Authors: Robertson, Cassandra Ann
- Date: 2019
- Subjects: Youth -- Sexual behavior , Sex in popular culture , Communication and sex , Language and sex
- Language: English
- Type: text , Thesis , Masters , MSocSc
- Identifier: http://hdl.handle.net/10962/96551 , vital:31293
- Description: Much of the growth in sexualities‘ research has taken the form of large scale surveys, but there is also increased interest in qualitative approaches that provide useful insights into the experiential and subjective aspects of sexuality, and illuminate the social and cultural contexts shaping these experiences. The reason for this research is to provide a richer understanding of the language that young people employ when speaking about sexuality. This study examines young adults‘ talk about sexualities with a special focus on the way in which colloquial terms are deployed in this talk and through the presence of gendered and/or heteronormative assumptions. Data consisted of posts off a student-led social media site and the study design employed was a validity check group interview. The social media site allowed its followers to post anonymously about a range of sexualities related issues. Data were analysed thematically, using a deductive, critical, and post-structuralist approach with key insights drawn on from Michael Foucault, Adrienne Rich, Gayle Rubin, Judith Butler and Rosalind Gill. Three overarching themes emerged: young adults spoke to sexual practices, sexual subjectivities and sexual desires. A major focus of this talk is casual sex. This talk showed that there are attempts to undermine gendered and heteronormative power relations, for example, non-normative sexual experiences were not seen as deviant, although those who were engaging in monogamy and casual sex were constructed as deviant sexual subjects. Yet underpinning of these power relations still took place, for example, in the female missing discourse of desire, the internalisation of male sexual desires over female sexual desires and the sexual double standard. There was a clear divide between the sexual practices and sexual subjectivities that were considered to be good and bad. This research therefore has the potential to benefit sexuality interventions by bringing into sharp focus the actual experiences of young adults.
- Full Text:
- Date Issued: 2019
- Authors: Robertson, Cassandra Ann
- Date: 2019
- Subjects: Youth -- Sexual behavior , Sex in popular culture , Communication and sex , Language and sex
- Language: English
- Type: text , Thesis , Masters , MSocSc
- Identifier: http://hdl.handle.net/10962/96551 , vital:31293
- Description: Much of the growth in sexualities‘ research has taken the form of large scale surveys, but there is also increased interest in qualitative approaches that provide useful insights into the experiential and subjective aspects of sexuality, and illuminate the social and cultural contexts shaping these experiences. The reason for this research is to provide a richer understanding of the language that young people employ when speaking about sexuality. This study examines young adults‘ talk about sexualities with a special focus on the way in which colloquial terms are deployed in this talk and through the presence of gendered and/or heteronormative assumptions. Data consisted of posts off a student-led social media site and the study design employed was a validity check group interview. The social media site allowed its followers to post anonymously about a range of sexualities related issues. Data were analysed thematically, using a deductive, critical, and post-structuralist approach with key insights drawn on from Michael Foucault, Adrienne Rich, Gayle Rubin, Judith Butler and Rosalind Gill. Three overarching themes emerged: young adults spoke to sexual practices, sexual subjectivities and sexual desires. A major focus of this talk is casual sex. This talk showed that there are attempts to undermine gendered and heteronormative power relations, for example, non-normative sexual experiences were not seen as deviant, although those who were engaging in monogamy and casual sex were constructed as deviant sexual subjects. Yet underpinning of these power relations still took place, for example, in the female missing discourse of desire, the internalisation of male sexual desires over female sexual desires and the sexual double standard. There was a clear divide between the sexual practices and sexual subjectivities that were considered to be good and bad. This research therefore has the potential to benefit sexuality interventions by bringing into sharp focus the actual experiences of young adults.
- Full Text:
- Date Issued: 2019
Narratives of South African heteroseual relationships: understanding masculine and feminine togetherness
- Authors: Tracey, Tiffany
- Date: 2007
- Subjects: Heterosexuality , Heterosexism , Homosexuality , Gender identity
- Language: English
- Type: Thesis , Doctoral , D Soc Sc (Psych)
- Identifier: vital:11601 , http://hdl.handle.net/10353/176 , Heterosexuality , Heterosexism , Homosexuality , Gender identity
- Description: Heterosexuality often appears as a monolithic way of being that has been disciplinarily defined as right and natural for all sexual subjects (Foucault, 1979). However, it may also be viewed as a social construction, subject to alteration and variation according to social and historical context. In the following research, the stories of ten couples and from the South African soap opera Isidingo reveal the ways that heteronorms shape togetherness between men and women. In the research a queer stance is used to interrogate the ways that togetherness appears as natural and normal, such that the contingency of such togetherness is revealed. The queer stance was used to unsettle the unquestioned assumption of heteronormativity by interrogating the construction from a political position not included by the norm (Stein & Plummer, 1994). Within the general queer stance the concept of performance has been used to account for the ways in which subjects are able to unsettle normative constraints: Butler’s (1993) conception of repetition, Holzman’s (1991) account of the revolutionary developmental potential of performance, Billig’s (1991) understanding of the rhetorical constructions of everyday philosophers. Further Bakhtin’s (1994) dialogic ontology suggests that utterances, performances and/or narratives Using these theoretical underpinnings, the narratives show how stories of togetherness collude with heteronorms while at the same time existing alongside alternative forms of togetherness. Possibly because norms are broad, overarching constructions, they do not define the entirety of the couples’ tales. Rather moments of resistance and alteration are interwoven with normative themes. This unpredictable ambivalence appears in the couples narratives as the assertion that all relationships are the same, and that all relationships are unique. Couples position themselves within a social network, and this network instructs the couple on heteronormative ways of being together. They also witness normative performances in a way that is similar to the observation of disciplines, suggested by Foucault (1979). Although couples often go with their social network’s observations, the manner in which couples position themselves within this network assists them in arguing for alternatives to heteronorms. Spatial expressions also at times serve to fix togetherness. Homes are structured in line with social constructions of heteronorms. However, couples can and do mould their understandings of their homes, such space is reveal as an intersection between social and individual concerns. Narratives of work again reveal that heteronorms structure but can also be ignored within heterosexual relationships. Couples tell of receiving particular benefits from normative performances, and it is likely that these dividends make it difficult to opt for an altered version of togetherness. At the same time, the gender dualism of a heteronormative division of labour inserts oppression into togetherness, and this may lead couples to seek an unusual way of being together. In these ways, heterosexuality can be read as a multiple and contingent performance, rather than an immovable, unchangeable imperative.
- Full Text:
- Date Issued: 2007
- Authors: Tracey, Tiffany
- Date: 2007
- Subjects: Heterosexuality , Heterosexism , Homosexuality , Gender identity
- Language: English
- Type: Thesis , Doctoral , D Soc Sc (Psych)
- Identifier: vital:11601 , http://hdl.handle.net/10353/176 , Heterosexuality , Heterosexism , Homosexuality , Gender identity
- Description: Heterosexuality often appears as a monolithic way of being that has been disciplinarily defined as right and natural for all sexual subjects (Foucault, 1979). However, it may also be viewed as a social construction, subject to alteration and variation according to social and historical context. In the following research, the stories of ten couples and from the South African soap opera Isidingo reveal the ways that heteronorms shape togetherness between men and women. In the research a queer stance is used to interrogate the ways that togetherness appears as natural and normal, such that the contingency of such togetherness is revealed. The queer stance was used to unsettle the unquestioned assumption of heteronormativity by interrogating the construction from a political position not included by the norm (Stein & Plummer, 1994). Within the general queer stance the concept of performance has been used to account for the ways in which subjects are able to unsettle normative constraints: Butler’s (1993) conception of repetition, Holzman’s (1991) account of the revolutionary developmental potential of performance, Billig’s (1991) understanding of the rhetorical constructions of everyday philosophers. Further Bakhtin’s (1994) dialogic ontology suggests that utterances, performances and/or narratives Using these theoretical underpinnings, the narratives show how stories of togetherness collude with heteronorms while at the same time existing alongside alternative forms of togetherness. Possibly because norms are broad, overarching constructions, they do not define the entirety of the couples’ tales. Rather moments of resistance and alteration are interwoven with normative themes. This unpredictable ambivalence appears in the couples narratives as the assertion that all relationships are the same, and that all relationships are unique. Couples position themselves within a social network, and this network instructs the couple on heteronormative ways of being together. They also witness normative performances in a way that is similar to the observation of disciplines, suggested by Foucault (1979). Although couples often go with their social network’s observations, the manner in which couples position themselves within this network assists them in arguing for alternatives to heteronorms. Spatial expressions also at times serve to fix togetherness. Homes are structured in line with social constructions of heteronorms. However, couples can and do mould their understandings of their homes, such space is reveal as an intersection between social and individual concerns. Narratives of work again reveal that heteronorms structure but can also be ignored within heterosexual relationships. Couples tell of receiving particular benefits from normative performances, and it is likely that these dividends make it difficult to opt for an altered version of togetherness. At the same time, the gender dualism of a heteronormative division of labour inserts oppression into togetherness, and this may lead couples to seek an unusual way of being together. In these ways, heterosexuality can be read as a multiple and contingent performance, rather than an immovable, unchangeable imperative.
- Full Text:
- Date Issued: 2007
Discourses surrounding 'race', equity, disadvantage and transformation in times of rapid social change : higher education in post-apartheid South Africa
- Authors: Robus, Donovan
- Date: 2005
- Subjects: Rhodes University , University of Fort Hare , Universities and colleges -- Mergers -- South Africa , Education, Higher -- South Africa , Education and state -- South Africa , Apartheid -- South Africa , Discourse analysis -- Methodology , Discrimination in education -- South Africa , Educational change -- South Africa
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3142 , http://hdl.handle.net/10962/d1007196 , Rhodes University , University of Fort Hare , Universities and colleges -- Mergers -- South Africa , Education, Higher -- South Africa , Education and state -- South Africa , Apartheid -- South Africa , Discourse analysis -- Methodology , Discrimination in education -- South Africa , Educational change -- South Africa
- Description: Since the dismantling of Apartheid in South Africa in 1994, the South African socio-political and economic landscape has been characterised by rapid change. In the ten years since the 'new' democratic South Africa emerged, transformation has become a dominant discourse that has driven much action and practice in a variety of public areas. One of the areas of focus for transformation has been Higher Education whereby the Department of Education aimed to do away with disparity caused by Apartheid segregation by reducing the number of Higher Education institutions from 36 to 21. This research draws on Foucauldian theory and post-colonial theories (in particular Edward Said and Frantz Fanon), and the concept of racialisation in an analysis of the incorporation of Rhodes University's East London campus into the University of Fort Hare. Ian Parker's discourse analytic approach which suggests that discourses support institutions, reproduce power relations and have ideological effects, was utilised to analyse the talk of students and staff at the three sites affected by the incorporation (viz. Rhodes, Grahamstown, Rhodes, East London and Fort Hare) as well as newspaper articles and public statements made by the two institutions. What emerged was that in post-Apartheid South Africa, institutional and geographic space is still racialised with virtually no reference to the historical and contextual foundations from which this emerged being made. In positioning space and institutions in this racialised manner a discourse of 'white' excellence and 'black' failure emerges with the notion of competence gaining legitimacy through an appeal to academic standards. In addition to this, transformation emerges as a signifier of shifting boundaries in a post-Apartheid society where racialised institutional, spatial and social boundaries evidently still exist discursively.
- Full Text:
- Date Issued: 2005
- Authors: Robus, Donovan
- Date: 2005
- Subjects: Rhodes University , University of Fort Hare , Universities and colleges -- Mergers -- South Africa , Education, Higher -- South Africa , Education and state -- South Africa , Apartheid -- South Africa , Discourse analysis -- Methodology , Discrimination in education -- South Africa , Educational change -- South Africa
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3142 , http://hdl.handle.net/10962/d1007196 , Rhodes University , University of Fort Hare , Universities and colleges -- Mergers -- South Africa , Education, Higher -- South Africa , Education and state -- South Africa , Apartheid -- South Africa , Discourse analysis -- Methodology , Discrimination in education -- South Africa , Educational change -- South Africa
- Description: Since the dismantling of Apartheid in South Africa in 1994, the South African socio-political and economic landscape has been characterised by rapid change. In the ten years since the 'new' democratic South Africa emerged, transformation has become a dominant discourse that has driven much action and practice in a variety of public areas. One of the areas of focus for transformation has been Higher Education whereby the Department of Education aimed to do away with disparity caused by Apartheid segregation by reducing the number of Higher Education institutions from 36 to 21. This research draws on Foucauldian theory and post-colonial theories (in particular Edward Said and Frantz Fanon), and the concept of racialisation in an analysis of the incorporation of Rhodes University's East London campus into the University of Fort Hare. Ian Parker's discourse analytic approach which suggests that discourses support institutions, reproduce power relations and have ideological effects, was utilised to analyse the talk of students and staff at the three sites affected by the incorporation (viz. Rhodes, Grahamstown, Rhodes, East London and Fort Hare) as well as newspaper articles and public statements made by the two institutions. What emerged was that in post-Apartheid South Africa, institutional and geographic space is still racialised with virtually no reference to the historical and contextual foundations from which this emerged being made. In positioning space and institutions in this racialised manner a discourse of 'white' excellence and 'black' failure emerges with the notion of competence gaining legitimacy through an appeal to academic standards. In addition to this, transformation emerges as a signifier of shifting boundaries in a post-Apartheid society where racialised institutional, spatial and social boundaries evidently still exist discursively.
- Full Text:
- Date Issued: 2005
Public discourses on choice of termination of pregnancy in a rural area of the Eastern Cape Province in South Africa
- Authors: Sigcau, Nomakhosi
- Date: 2009
- Subjects: Abortion -- South Africa -- Eastern Cape Abortion -- Public opinion Abortion -- Moral and ethical aspects Abortion -- Social aspects Abortion -- Psychological aspects Discourse analysis -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3055 , http://hdl.handle.net/10962/d1002564
- Description: A period of ten years has elapsed since the Choice on Termination of Pregnancy Act came into effect. Little has been done in South Africa to investigate public discourses concerning termination of pregnancy since the implementation of the Act. The social context and the quality of available support systems determine the outcome of the women’s feelings after the abortion. Knowledge about the social context is important, as it will help to understand the complexities and nuances of abortion. The aim of the research is to explore public discourses on Choice on Termination of Pregnancy (CTOP), and the potential implications of these discourses on the use of the CTOP service. The sample consisted of 23 black isiXhosa-speaking participants from the rural area of the Eastern Cape Province in South Africa. Four focus groups coming from different age groups (between the ages 18 and 52) with both men and women participated in the study. Fictitious vignettes that tap into two different scenarios regarding abortion based on women’s stories were used. Discourses that emerged from people’s text are explained, described and interpreted through a discourse analysis. Since the study was interested in public discourses it led to the discovery of 17 interpretative repertoires as follows: social stigma, abortion equated to murder, degradation of society, pregnancy as an irresponsible act, conditional acceptance, TOP in the context of marriage, future potentiality invested in the foetus, dehumanizing foetus into a clot, shared decision making responsibility, gender dynamics interpretative repertoire, negative post abortion consequences, the scolding versus the supportive nurse interpretative repertoire, alternatives interpretative repertoire, rights versus no responsibility interpretative repertoire, more knowledge needed, male and female or generational differentiation repertoire, and the positive effects repertoire. Abortion is opposed on religious and cultural grounds. TOP has been legalized in South Africa but with this a debate and conflicting views have arisen. These variations in people’s discourses may limit access to TOP for women who need the service.
- Full Text:
- Date Issued: 2009
- Authors: Sigcau, Nomakhosi
- Date: 2009
- Subjects: Abortion -- South Africa -- Eastern Cape Abortion -- Public opinion Abortion -- Moral and ethical aspects Abortion -- Social aspects Abortion -- Psychological aspects Discourse analysis -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3055 , http://hdl.handle.net/10962/d1002564
- Description: A period of ten years has elapsed since the Choice on Termination of Pregnancy Act came into effect. Little has been done in South Africa to investigate public discourses concerning termination of pregnancy since the implementation of the Act. The social context and the quality of available support systems determine the outcome of the women’s feelings after the abortion. Knowledge about the social context is important, as it will help to understand the complexities and nuances of abortion. The aim of the research is to explore public discourses on Choice on Termination of Pregnancy (CTOP), and the potential implications of these discourses on the use of the CTOP service. The sample consisted of 23 black isiXhosa-speaking participants from the rural area of the Eastern Cape Province in South Africa. Four focus groups coming from different age groups (between the ages 18 and 52) with both men and women participated in the study. Fictitious vignettes that tap into two different scenarios regarding abortion based on women’s stories were used. Discourses that emerged from people’s text are explained, described and interpreted through a discourse analysis. Since the study was interested in public discourses it led to the discovery of 17 interpretative repertoires as follows: social stigma, abortion equated to murder, degradation of society, pregnancy as an irresponsible act, conditional acceptance, TOP in the context of marriage, future potentiality invested in the foetus, dehumanizing foetus into a clot, shared decision making responsibility, gender dynamics interpretative repertoire, negative post abortion consequences, the scolding versus the supportive nurse interpretative repertoire, alternatives interpretative repertoire, rights versus no responsibility interpretative repertoire, more knowledge needed, male and female or generational differentiation repertoire, and the positive effects repertoire. Abortion is opposed on religious and cultural grounds. TOP has been legalized in South Africa but with this a debate and conflicting views have arisen. These variations in people’s discourses may limit access to TOP for women who need the service.
- Full Text:
- Date Issued: 2009
Alcohol use among women attending antenatal care in Buffalo City, Eastern Cape
- Authors: Bredenkamp, Petrus Johannes
- Date: 2022-04-07
- Subjects: Uncatalogued
- Language: English
- Type: Master's thesis , text
- Identifier: http://hdl.handle.net/10962/234358 , vital:50188
- Description: Alcohol use during pregnancy is known to cause neurodevelopmental disorders in offspring, known as Fetal Alcohol Spectrum Disorders (FASD). High prevalence of FASD has been observed in certain parts South Africa, but many areas of the country remain unstudied, and factors contributing to drinking among pregnant women are poorly understood. This study surveyed 1099 women attending antenatal care at public primary healthcare facilities in the Buffalo City Metropolitan Area in the Eastern Cape. Data was collected using the Alcohol Use Identification Test, a 10-item self-report measure of drinking behaviour in isiXhosa, English, and Afrikaans. Factors associated with alcohol use, risky drinking, binge drinking, and hazardous/harmful drinking were identified using logistic regression. A minority of the sample reported alcohol use (64%). Among those reporting alcohol use, most reported occasional binge drinking (63%) and met criteria for risky drinking (59%) and hazardous/harmful drinking (52%). Living with a regular drinker was significantly associated with alcohol use (OR 1.98, 95% CI 1.51 – 2.58), risky drinking (OR 2.03, 95% CI 1.49 – 2.76), binge drinking (OR 2.21, 95% CI 1.64 – 2.97), and hazardous/harmful drinking (OR 2.0, 95% CI 1.41 – 2.99). However, women who were married/cohabiting were less likely to report alcohol use (OR .71, 95% CI .53 - .95). Experiencing intimate partner violence during the current pregnancy was associated with alcohol use (OR 2.42, 95% CI 1.38 – 4.27) and hazardous/harmful drinking (OR 2.62, 95% CI 1.32 – 5.22). In this study, women who identified as Coloured were more likely to report alcohol use than Women who identified as African (OR 2.74, 95% CI 1.4 – 5.36). These findings simultaneously provide evidence of problematic drinking among pregnant women in a previously understudied area and show that external factors affect women’s drinking behaviour during pregnancy. Interventions aimed at reducing the incidence of FASD should consider alcohol use by pregnant women in the context of their lived experiences. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
- Authors: Bredenkamp, Petrus Johannes
- Date: 2022-04-07
- Subjects: Uncatalogued
- Language: English
- Type: Master's thesis , text
- Identifier: http://hdl.handle.net/10962/234358 , vital:50188
- Description: Alcohol use during pregnancy is known to cause neurodevelopmental disorders in offspring, known as Fetal Alcohol Spectrum Disorders (FASD). High prevalence of FASD has been observed in certain parts South Africa, but many areas of the country remain unstudied, and factors contributing to drinking among pregnant women are poorly understood. This study surveyed 1099 women attending antenatal care at public primary healthcare facilities in the Buffalo City Metropolitan Area in the Eastern Cape. Data was collected using the Alcohol Use Identification Test, a 10-item self-report measure of drinking behaviour in isiXhosa, English, and Afrikaans. Factors associated with alcohol use, risky drinking, binge drinking, and hazardous/harmful drinking were identified using logistic regression. A minority of the sample reported alcohol use (64%). Among those reporting alcohol use, most reported occasional binge drinking (63%) and met criteria for risky drinking (59%) and hazardous/harmful drinking (52%). Living with a regular drinker was significantly associated with alcohol use (OR 1.98, 95% CI 1.51 – 2.58), risky drinking (OR 2.03, 95% CI 1.49 – 2.76), binge drinking (OR 2.21, 95% CI 1.64 – 2.97), and hazardous/harmful drinking (OR 2.0, 95% CI 1.41 – 2.99). However, women who were married/cohabiting were less likely to report alcohol use (OR .71, 95% CI .53 - .95). Experiencing intimate partner violence during the current pregnancy was associated with alcohol use (OR 2.42, 95% CI 1.38 – 4.27) and hazardous/harmful drinking (OR 2.62, 95% CI 1.32 – 5.22). In this study, women who identified as Coloured were more likely to report alcohol use than Women who identified as African (OR 2.74, 95% CI 1.4 – 5.36). These findings simultaneously provide evidence of problematic drinking among pregnant women in a previously understudied area and show that external factors affect women’s drinking behaviour during pregnancy. Interventions aimed at reducing the incidence of FASD should consider alcohol use by pregnant women in the context of their lived experiences. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
Pregnant women’s construction of social support from their intimate partners during pregnancy
- Authors: Bottoman, Phathiswa Esona
- Date: 2018
- Subjects: Pregnant women -- South Africa -- Eastern Cape -- Relations with men Pregnancy -- Psychological aspects Pregnant women -- Social conditions
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/62560 , vital:28207
- Description: There is a growing body of research aimed at understanding social support during pregnancy in South Africa. Pregnancy is constantly referred to as one of the challenging and stressful periods affecting women’s physical and psychological well-being. Various research studies on social support argue that social support is paramount at this stage. Research on social support indicates that having adequate and quality social support impacts on how pregnant women experience pregnancy. My interest in social support comes in the wake of absent fathers in South Africa and with the emerging trend of “new” fathers. Although there is a volume of research on social support, it tends to be realist. Using a social constructionist framework, I explore other ways of talking about social support in an attempt to expand the discourse around social support. I explore how pregnant women talk about social support during pregnancy from their intimate partners in the small rural municipality of Elundini, Eastern Cape, South Africa. Intimate partner support was limited to heterosexual partners regardless of their marital status. The sampling procedure followed a non-probability sampling method. Participants of the study were between 24 and 32 years old. Their gestational age ranged between five and eight months. Fourteen in-depth interviews using photo-elicitation were conducted with seven participants and were analysed using a social constructionist informed thematic analysis. The major theme that emerged from the analysis was partner involvement and absence during pregnancy. The analysis of results suggests that expectant father presence translates to social support. Participants constructed his presence as reassurance in the context of possible abandonment. Absence was constructed in different ways: participants constructed absence as unjust and unfair, absence and marriage, temporary absence in the form of cultural phenomenon of ukwaliswa/ukubukubazana, absence as normal but burdening to the pregnant women’s social network. Participants reported that social support from the expectant father affected pregnancy wantedness.
- Full Text:
- Date Issued: 2018
- Authors: Bottoman, Phathiswa Esona
- Date: 2018
- Subjects: Pregnant women -- South Africa -- Eastern Cape -- Relations with men Pregnancy -- Psychological aspects Pregnant women -- Social conditions
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/62560 , vital:28207
- Description: There is a growing body of research aimed at understanding social support during pregnancy in South Africa. Pregnancy is constantly referred to as one of the challenging and stressful periods affecting women’s physical and psychological well-being. Various research studies on social support argue that social support is paramount at this stage. Research on social support indicates that having adequate and quality social support impacts on how pregnant women experience pregnancy. My interest in social support comes in the wake of absent fathers in South Africa and with the emerging trend of “new” fathers. Although there is a volume of research on social support, it tends to be realist. Using a social constructionist framework, I explore other ways of talking about social support in an attempt to expand the discourse around social support. I explore how pregnant women talk about social support during pregnancy from their intimate partners in the small rural municipality of Elundini, Eastern Cape, South Africa. Intimate partner support was limited to heterosexual partners regardless of their marital status. The sampling procedure followed a non-probability sampling method. Participants of the study were between 24 and 32 years old. Their gestational age ranged between five and eight months. Fourteen in-depth interviews using photo-elicitation were conducted with seven participants and were analysed using a social constructionist informed thematic analysis. The major theme that emerged from the analysis was partner involvement and absence during pregnancy. The analysis of results suggests that expectant father presence translates to social support. Participants constructed his presence as reassurance in the context of possible abandonment. Absence was constructed in different ways: participants constructed absence as unjust and unfair, absence and marriage, temporary absence in the form of cultural phenomenon of ukwaliswa/ukubukubazana, absence as normal but burdening to the pregnant women’s social network. Participants reported that social support from the expectant father affected pregnancy wantedness.
- Full Text:
- Date Issued: 2018
Making the personal political: understanding the impacts of participation in an anti-rape protest for women who have experienced sexual violence
- Authors: Barker, Kim Elise
- Date: 2023-03-29
- Subjects: Sexual assault South Africa , Silent protest , Under-reporting , Sexual abuse victims Attiudes , Narrative inquiry (Research method) , Rape Psychological aspects
- Language: English
- Type: Academic theses , Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/422590 , vital:71960 , DOI 10.21504/10962/422590
- Description: South Africa is recognised as a country with unusually high levels of rape and sexual violence. The majority of those who experience sexual violence do not acknowledge, disclose or report it, and do not access support. Many factors have been identified which can inhibit acknowledgement and disclosure. While silence is to be honoured as a chosen response, unwanted silencing is of concern. The annual Silent Protest at Rhodes University is a day-long anti-rape protest which draws attention to the attitudes and practices which silence victim-survivors, and enacts solidarity with victim-survivors of sexual violence. I conducted a three year “critically engaged, activist ethnography” with the community of Silent Protestors and organisers. My focus was on the stories that victim-survivors told about the impacts of participating in the protest. Changes in the research context allowed for a participatory action research cycle to be incorporated into the methodology. This offered an opportunity to implement and evaluate some changes suggested by my research contributors. My contributor’s narratives highlighted the ways in which as a society we position those who have been subjected to sexual violence in ways that are limited and limiting and which diminish victim-survivors’ sense of agency and value. This malignant positioning restricts the choices available to victim-survivors. The anticipation of being positioned in negative ways can inhibit victim-survivors from disclosing a violation and accessing care and justice. Participation in the Silent Protest seems to stand against some of the factors which inhibit acknowledgement and disclosure. Through their participation many women took up opportunities to share their story with at least one other person and to receive and offer care. Most described participation as having been beneficial and having helped them move towards living well again. The ways in which the Silent Protest positioned victim-survivors and the choices they were offered in relation to that positioning seemed to open up opportunities for thinking, feeling and acting in ways that they preferred. This suggests that interventions which mobilise both political resistance and mutual care hold promise for developing more accessible and effective services to those affected by sexual violence. , Thesis (PhD) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-03-29
- Authors: Barker, Kim Elise
- Date: 2023-03-29
- Subjects: Sexual assault South Africa , Silent protest , Under-reporting , Sexual abuse victims Attiudes , Narrative inquiry (Research method) , Rape Psychological aspects
- Language: English
- Type: Academic theses , Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/422590 , vital:71960 , DOI 10.21504/10962/422590
- Description: South Africa is recognised as a country with unusually high levels of rape and sexual violence. The majority of those who experience sexual violence do not acknowledge, disclose or report it, and do not access support. Many factors have been identified which can inhibit acknowledgement and disclosure. While silence is to be honoured as a chosen response, unwanted silencing is of concern. The annual Silent Protest at Rhodes University is a day-long anti-rape protest which draws attention to the attitudes and practices which silence victim-survivors, and enacts solidarity with victim-survivors of sexual violence. I conducted a three year “critically engaged, activist ethnography” with the community of Silent Protestors and organisers. My focus was on the stories that victim-survivors told about the impacts of participating in the protest. Changes in the research context allowed for a participatory action research cycle to be incorporated into the methodology. This offered an opportunity to implement and evaluate some changes suggested by my research contributors. My contributor’s narratives highlighted the ways in which as a society we position those who have been subjected to sexual violence in ways that are limited and limiting and which diminish victim-survivors’ sense of agency and value. This malignant positioning restricts the choices available to victim-survivors. The anticipation of being positioned in negative ways can inhibit victim-survivors from disclosing a violation and accessing care and justice. Participation in the Silent Protest seems to stand against some of the factors which inhibit acknowledgement and disclosure. Through their participation many women took up opportunities to share their story with at least one other person and to receive and offer care. Most described participation as having been beneficial and having helped them move towards living well again. The ways in which the Silent Protest positioned victim-survivors and the choices they were offered in relation to that positioning seemed to open up opportunities for thinking, feeling and acting in ways that they preferred. This suggests that interventions which mobilise both political resistance and mutual care hold promise for developing more accessible and effective services to those affected by sexual violence. , Thesis (PhD) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-03-29
An intracategorical intersectional framework for understanding ‘supportability’ in womxn’s narratives of their pregnancy
- Authors: Kalyanaraman, Yamini
- Date: 2019
- Subjects: Pregnancy -- Psychological aspects -- South Africa , Prenatal care -- South Africa , Pregnant women -- South Africa -- Psycology , Medical care -- South Africa -- Eastern Cape
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/96647 , vital:31304
- Description: In South Africa, the current Maternal Mortality Ratio (MMR) is 135 per 100,000 live births, with a long way to go before it can achieve the Sustainable Development Goal (SDG) global target of under 70 per 100,000 live births by 2030. This research project focuses on the narratives of pregnant womxn in the Eastern Cape Province, using an intracategorical intersectional framework and Macleod’s ‘supportability’ model as a base. The study aims to locate womxn’s pregnancies within the interweaving biological, psychological, social, economic, cultural and political contexts within which they occur, while focusing specifically on the aspect of ‘supportability’. Through purposive sampling and snowballing methods, the research team recruited participants who were 18 years and older, in or past the second trimester of their pregnancy, and able to access antenatal care. Research data were produced using photo-elicitation techniques on 92 photographs and narratives from 32 interviews. An intersectional thematic analysis was used to generate themes, which highlighted different aspects that enabled or hindered pregnancy ‘supportability’. In accordance with prior research, it was revealed that womxn found emotional and tangible support the most beneficial. Findings from this study reveal the interconnectedness between a womxn’s personal (emotional, physical and cognitive) experiences of pregnancy, the micro-interactions of support (un)available from partners, family, friends, healthcare workers, workplaces and community members, and the macrostructures of socioeconomic policies, religiosity, cultural practices and healthcare systems. For example, gendered perceptions (a macro-structure) influence the instrumental support provided by partners (a micro-interaction), which impacts the womxn’s well-being (personal). Certain themes that emerged from the different narratives were: the importance of making available pregnancy-related information to the womxn; a desire for non-judgement and acceptance of their pregnancies within their community; and the need for adequate communication in microinteractions. The findings of this research also indicate that, despite the financial tensions inherent in each womxn’s life, the participants were driven by overarching hopes for their child’s future.
- Full Text:
- Date Issued: 2019
- Authors: Kalyanaraman, Yamini
- Date: 2019
- Subjects: Pregnancy -- Psychological aspects -- South Africa , Prenatal care -- South Africa , Pregnant women -- South Africa -- Psycology , Medical care -- South Africa -- Eastern Cape
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/96647 , vital:31304
- Description: In South Africa, the current Maternal Mortality Ratio (MMR) is 135 per 100,000 live births, with a long way to go before it can achieve the Sustainable Development Goal (SDG) global target of under 70 per 100,000 live births by 2030. This research project focuses on the narratives of pregnant womxn in the Eastern Cape Province, using an intracategorical intersectional framework and Macleod’s ‘supportability’ model as a base. The study aims to locate womxn’s pregnancies within the interweaving biological, psychological, social, economic, cultural and political contexts within which they occur, while focusing specifically on the aspect of ‘supportability’. Through purposive sampling and snowballing methods, the research team recruited participants who were 18 years and older, in or past the second trimester of their pregnancy, and able to access antenatal care. Research data were produced using photo-elicitation techniques on 92 photographs and narratives from 32 interviews. An intersectional thematic analysis was used to generate themes, which highlighted different aspects that enabled or hindered pregnancy ‘supportability’. In accordance with prior research, it was revealed that womxn found emotional and tangible support the most beneficial. Findings from this study reveal the interconnectedness between a womxn’s personal (emotional, physical and cognitive) experiences of pregnancy, the micro-interactions of support (un)available from partners, family, friends, healthcare workers, workplaces and community members, and the macrostructures of socioeconomic policies, religiosity, cultural practices and healthcare systems. For example, gendered perceptions (a macro-structure) influence the instrumental support provided by partners (a micro-interaction), which impacts the womxn’s well-being (personal). Certain themes that emerged from the different narratives were: the importance of making available pregnancy-related information to the womxn; a desire for non-judgement and acceptance of their pregnancies within their community; and the need for adequate communication in microinteractions. The findings of this research also indicate that, despite the financial tensions inherent in each womxn’s life, the participants were driven by overarching hopes for their child’s future.
- Full Text:
- Date Issued: 2019
The digital rhetoric of addressing rape culture: “official” and “unofficial” arguments at Rhodes University
- Authors: Jones, Megaera
- Date: 2020
- Subjects: Rape in universities and colleges -- South Africa -- Makhanda , Universities and colleges -- Administration -- South Africa -- Makhanda , Communication in higher education - South Africa -- Makhanda
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/142621 , vital:38096
- Description: South Africa is overwhelmed with high levels of sexual violence and institutions of higher education in South Africa are not exempt from this. How higher education stakeholders have responded to the call to address rape culture on campuses has been at the centre of much attention, especially publicly on online communicative spaces. Drawing on contemporary rhetorical theories, informed by a feminist poststructuralist perspective, this study sought to explore how constituents at Rhodes University were discussing how rape culture should (and should not be) addressed on campus. Using a rhetorical analysis, this study collected and analysed online public data from ‘official’ (institutionally sanctioned) and ‘unofficial’ (institutionally independent) communication platforms, following the 2016 rape culture student-led protest at Rhodes University. In analysing and interpreting the data from the ‘official’ sites, four major themes of discussion were evident. These rhetors argued that rape culture is a societal issue, requiring collective responsibility and effort in countering it, and that any approach to do so must abide by the bounds of the law. The University’s commitment, and continued investment to address rape culture on campus were repeatedly stated; as well as, the use of external ‘supportive’ messages that bolstered the reputation, efforts, and actions of the institution. On the ‘unofficial’ sites six broad patterns of discussion were evident. These ‘unofficial’ rhetors embodied the rape culture on campus, perceiving its effects as threatening to the physical body, which led to the adoption of the argument that rape culture needs to be ‘fought’ through physical action and support. Narrow law and order approaches were contested, and the need for a victim-centred approaches were prioritised. Additionally, doubt and suspicion were cast onto the institutional management/leadership, and the University (management/leadership body) were perceived as having ‘failed’ to address rape culture adequality. Considering this ‘failure’, a divisive rhetoric argued that the ‘fight’ against rape culture should continue, despite, and separate from, the institutional body. These findings revealed how the divisive positions these various stakeholders took created a volatile climate between University management/leadership, staff, and student. I argue that such division will continue to undermine any meaningful efforts to counter rape culture on the University campus; underscoring the difficulty, and ambiguity, that comes with attempting to address rape culture on higher education campuses. This necessitates how important it will be for scholars to research, and continue researching, the ways in which a rape culture, and the various approaches which attempt to counter it, are understood.
- Full Text:
- Date Issued: 2020
- Authors: Jones, Megaera
- Date: 2020
- Subjects: Rape in universities and colleges -- South Africa -- Makhanda , Universities and colleges -- Administration -- South Africa -- Makhanda , Communication in higher education - South Africa -- Makhanda
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/142621 , vital:38096
- Description: South Africa is overwhelmed with high levels of sexual violence and institutions of higher education in South Africa are not exempt from this. How higher education stakeholders have responded to the call to address rape culture on campuses has been at the centre of much attention, especially publicly on online communicative spaces. Drawing on contemporary rhetorical theories, informed by a feminist poststructuralist perspective, this study sought to explore how constituents at Rhodes University were discussing how rape culture should (and should not be) addressed on campus. Using a rhetorical analysis, this study collected and analysed online public data from ‘official’ (institutionally sanctioned) and ‘unofficial’ (institutionally independent) communication platforms, following the 2016 rape culture student-led protest at Rhodes University. In analysing and interpreting the data from the ‘official’ sites, four major themes of discussion were evident. These rhetors argued that rape culture is a societal issue, requiring collective responsibility and effort in countering it, and that any approach to do so must abide by the bounds of the law. The University’s commitment, and continued investment to address rape culture on campus were repeatedly stated; as well as, the use of external ‘supportive’ messages that bolstered the reputation, efforts, and actions of the institution. On the ‘unofficial’ sites six broad patterns of discussion were evident. These ‘unofficial’ rhetors embodied the rape culture on campus, perceiving its effects as threatening to the physical body, which led to the adoption of the argument that rape culture needs to be ‘fought’ through physical action and support. Narrow law and order approaches were contested, and the need for a victim-centred approaches were prioritised. Additionally, doubt and suspicion were cast onto the institutional management/leadership, and the University (management/leadership body) were perceived as having ‘failed’ to address rape culture adequality. Considering this ‘failure’, a divisive rhetoric argued that the ‘fight’ against rape culture should continue, despite, and separate from, the institutional body. These findings revealed how the divisive positions these various stakeholders took created a volatile climate between University management/leadership, staff, and student. I argue that such division will continue to undermine any meaningful efforts to counter rape culture on the University campus; underscoring the difficulty, and ambiguity, that comes with attempting to address rape culture on higher education campuses. This necessitates how important it will be for scholars to research, and continue researching, the ways in which a rape culture, and the various approaches which attempt to counter it, are understood.
- Full Text:
- Date Issued: 2020
Template ecological analsyis of the narratives of partner’s and family member’s of women who consumed alcohol in pregnancy
- Authors: Tsetse, Agrinette Nontozamo
- Date: 2019
- Subjects: Pregnant women -- Alcohol use -- Social aspects , Substance abuse in pregnancy , Fetus -- Effect of drugs on , Pregnancy -- Psychological aspects , Pregnant women -- Substance use , Substance abuse -- Social aspects , Ecological Systems Theory
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/114905 , vital:34055
- Description: Although there is increasing research on alcohol in South Africa, most of this work has an epidemiological focus. Very little research has explored alcohol use during pregnancy specifically from the perspective of the woman’s partner or family member or focused on contextual risk factors beyond the pregnant woman. This information is important to ensure that interventions are formulated based on the social contexts within which drinking in pregnancy takes place and in guiding interventions that aim to prevent prenatal alcohol use, thereby preventing the occurrence of FASDs. This study was guided by Bronfenbrenner’s Ecological Systems Theory to understand partners’ and family members’ perspectives of prenatal exposure within the actual environments in which alcohol use takes place. According to this theory, an individual exists within layers of social relationships: the family, intimate partners, friendships, and healthcare workers (microsystems), interactions among these microsystems, for example, interaction between healthcare workers and intimate partner and family and social workers (mesosystem), accessibility of alcohol in the neighbourhoods (exosystems), religion, culture and society (macro-systems) and changes of the individual and socio-historical context (chronosystem). The data were collected using a biographic narrative interpretive method of interviewing. Thirteen narratives interviews were conducted with partners and family members in a disadvantaged community in Buffalo City, Eastern Cape Province. The interviews were analysed using Template Analysis within the Ecological Systems Theory to interrogate the stories of partners and family members. According to participants, some of the reasons women consumed alcohol in pregnancy are: drinking habits before pregnancy that were difficult to break in pregnancy; women drank during the first trimester of their pregnancy because of unplanned pregnancy; women continued drinking throughout their pregnancies to cope with the emotional upset caused by the trauma of rape and losing loved ones, stress, receiving HIV-diagnosis in pregnancy, intimate partner violence, infidelity, rejection and denial of pregnancy from partners. After birth, some women continued drinking. Consequently, their children were taken away from them by social workers and family members because the parents were unable to care for the child due to alcohol use. There was lack of compliance of shebeens with liquor regulations, heavy drinking, high rates of alcohol use in pregnancy, and easy accessibility of alcohol within this study community. Pregnant women used religious coping beliefs to cope with their circumstances such as changes in their health, relationships and finances. Drinking during pregnancy is a complex problem that stems from multiple social and structural issues and interventions should therefore not only focus on the individual, but also on social networks and communities.
- Full Text:
- Date Issued: 2019
- Authors: Tsetse, Agrinette Nontozamo
- Date: 2019
- Subjects: Pregnant women -- Alcohol use -- Social aspects , Substance abuse in pregnancy , Fetus -- Effect of drugs on , Pregnancy -- Psychological aspects , Pregnant women -- Substance use , Substance abuse -- Social aspects , Ecological Systems Theory
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/114905 , vital:34055
- Description: Although there is increasing research on alcohol in South Africa, most of this work has an epidemiological focus. Very little research has explored alcohol use during pregnancy specifically from the perspective of the woman’s partner or family member or focused on contextual risk factors beyond the pregnant woman. This information is important to ensure that interventions are formulated based on the social contexts within which drinking in pregnancy takes place and in guiding interventions that aim to prevent prenatal alcohol use, thereby preventing the occurrence of FASDs. This study was guided by Bronfenbrenner’s Ecological Systems Theory to understand partners’ and family members’ perspectives of prenatal exposure within the actual environments in which alcohol use takes place. According to this theory, an individual exists within layers of social relationships: the family, intimate partners, friendships, and healthcare workers (microsystems), interactions among these microsystems, for example, interaction between healthcare workers and intimate partner and family and social workers (mesosystem), accessibility of alcohol in the neighbourhoods (exosystems), religion, culture and society (macro-systems) and changes of the individual and socio-historical context (chronosystem). The data were collected using a biographic narrative interpretive method of interviewing. Thirteen narratives interviews were conducted with partners and family members in a disadvantaged community in Buffalo City, Eastern Cape Province. The interviews were analysed using Template Analysis within the Ecological Systems Theory to interrogate the stories of partners and family members. According to participants, some of the reasons women consumed alcohol in pregnancy are: drinking habits before pregnancy that were difficult to break in pregnancy; women drank during the first trimester of their pregnancy because of unplanned pregnancy; women continued drinking throughout their pregnancies to cope with the emotional upset caused by the trauma of rape and losing loved ones, stress, receiving HIV-diagnosis in pregnancy, intimate partner violence, infidelity, rejection and denial of pregnancy from partners. After birth, some women continued drinking. Consequently, their children were taken away from them by social workers and family members because the parents were unable to care for the child due to alcohol use. There was lack of compliance of shebeens with liquor regulations, heavy drinking, high rates of alcohol use in pregnancy, and easy accessibility of alcohol within this study community. Pregnant women used religious coping beliefs to cope with their circumstances such as changes in their health, relationships and finances. Drinking during pregnancy is a complex problem that stems from multiple social and structural issues and interventions should therefore not only focus on the individual, but also on social networks and communities.
- Full Text:
- Date Issued: 2019
Implementing a sexual and reproductive citizenship intervention refinement instrument for youth sexuality education: a formative evaluation
- Authors: Mthethwa, Thobile
- Date: 2023-10-13
- Subjects: Sexuality education , Sexual and reproductive health and rights , Reproductive rights , Sexual citizenship , Entitlement
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/425008 , vital:72201
- Description: While Out of School sexuality education (SE) programmes in South Africa have attempted to bridge the gap in the number of young people who receive SE, there is still a large number of youth between the age groups of 15 to 24 years who lack adequate sexual knowledge. The manner in which sex education is taught and its accessibility is accompanied by challenges, in particular in relation to empowerment. To better understand the effectiveness of sexual education programmes, evaluations of their content is needed. Therefore, the purpose of this study was to investigate whether and how an Out of school SE programme run by Partners in Sexual Health (PSH) promotes understandings of sexual and reproductive citizenship. A formative evaluation of their sexual and reproductive health and rights (SRHR) facilitator’s manual was conducted (owing to COVID the actual programme was not run in the year data for this thesis were collected). To help perform the formative evaluation, the feminist sexual and reproductive citizenship (SRC) framework as conceptualized by Macleod and Vincent (2014) was used. The SRC framework consists of five key principles that, it is suggested, need to be adopted for SE programmes to be inclusive, namely, citizenship as status and practice, differentiated citizenship, private and public interstice, and politics of recognition, redistribution and reparation. An additional principle of inclusive and process-based educational practices was added into the five key principles. To analyse data, template analysis was used which enabled the researcher to create a priori of themes using the Masizixhobise toolkit which is informed by the SRC framework. Findings from this study reveal the interconnectedness between the different citizenship principles. Moreover, while the PSH SRHR programme promotes principles of the SRC framework, there are aspects of the SRC that are lacking from the programme. Therefore, the SRHR manual needs to take into account a spectrum of issues which include but are not limited to the incorporation of sexually diverse differently-abled individuals' sexual experiences and challenges when it comes to accessing SE. This means for SE programmes to achieve inclusivity and to be empowering, they need to encourage individuals to be agentic beings, engage in informed decision-making and encourage young people to take up their rights. , Thesis (MA) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-10-13
- Authors: Mthethwa, Thobile
- Date: 2023-10-13
- Subjects: Sexuality education , Sexual and reproductive health and rights , Reproductive rights , Sexual citizenship , Entitlement
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/425008 , vital:72201
- Description: While Out of School sexuality education (SE) programmes in South Africa have attempted to bridge the gap in the number of young people who receive SE, there is still a large number of youth between the age groups of 15 to 24 years who lack adequate sexual knowledge. The manner in which sex education is taught and its accessibility is accompanied by challenges, in particular in relation to empowerment. To better understand the effectiveness of sexual education programmes, evaluations of their content is needed. Therefore, the purpose of this study was to investigate whether and how an Out of school SE programme run by Partners in Sexual Health (PSH) promotes understandings of sexual and reproductive citizenship. A formative evaluation of their sexual and reproductive health and rights (SRHR) facilitator’s manual was conducted (owing to COVID the actual programme was not run in the year data for this thesis were collected). To help perform the formative evaluation, the feminist sexual and reproductive citizenship (SRC) framework as conceptualized by Macleod and Vincent (2014) was used. The SRC framework consists of five key principles that, it is suggested, need to be adopted for SE programmes to be inclusive, namely, citizenship as status and practice, differentiated citizenship, private and public interstice, and politics of recognition, redistribution and reparation. An additional principle of inclusive and process-based educational practices was added into the five key principles. To analyse data, template analysis was used which enabled the researcher to create a priori of themes using the Masizixhobise toolkit which is informed by the SRC framework. Findings from this study reveal the interconnectedness between the different citizenship principles. Moreover, while the PSH SRHR programme promotes principles of the SRC framework, there are aspects of the SRC that are lacking from the programme. Therefore, the SRHR manual needs to take into account a spectrum of issues which include but are not limited to the incorporation of sexually diverse differently-abled individuals' sexual experiences and challenges when it comes to accessing SE. This means for SE programmes to achieve inclusivity and to be empowering, they need to encourage individuals to be agentic beings, engage in informed decision-making and encourage young people to take up their rights. , Thesis (MA) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-10-13
A formative evaluation and critical analysis of an alcohol and pregnancy intervention in the Eastern Cape of South Africa
- Authors: Graham, Nicola Susan Jearey
- Date: 2023-10-13
- Subjects: Fetal alcohol spectrum disorders South Africa Eastern Cape , Foucauldian discourse analysis , Conversation analysis , Women Social conditions South Africa Eastern Cape , Sex role South Africa Eastern Cape , Cultural hegemony
- Language: English
- Type: Academic theses , Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/432541 , vital:72879 , DOI 10.21504/10962/432541
- Description: Some communities in South Africa have the highest documented rates of Foetal Alcohol Spectrum Disorders (FASD) in the world. Interventions to reduce alcohol consumption during pregnancy are crucial, but evaluations of such interventions are sparse. Formative evaluations are indicated to assist in the development of interventions. Harmful alcohol consumption during pregnancy is undergirded by a range of social injustices, including those imposed by colonisation and patriarchy; a feminist, decolonial approach to evaluations is, therefore, important. A research project, consisting of three arms, examined alcohol use during pregnancy in an under-resourced urban area of the Eastern Cape, and this research was one of those arms. An intervention was being rolled out in this area and I gathered a range of data from it. I engaged in a formative evaluation of it, and I reflect on the difficulties that I encountered in this endeavour. In the bulk of this thesis, I examine the power apparatuses and technologies that were used during the intervention to discursively position pregnant women. My analysis was guided by Foucauldian and post-Foucauldian theories, using Foucauldian Discourse Analysis and simplified Conversation Analysis (CA). Power apparatuses of coloniality, patriarchy, and pastoral power were used in the intervention to construct positions for pregnant women who drink alcohol as ignorant children, sinners, criminals, or “Mommies”. The foetus was constructed as a precious, vulnerable baby, while the person with FASD was constructed as the defiled Other, responsible for societal dissolution. The intervention used various disciplinary techniques to exhort women to follow their dictates. Women were generally compliant with being positioned as ignorant children, which absolved them from any blame for pre-natal drinking. However, some resistance was evident. I then introduce an ethics of care and justice, and I argue that pregnant/newly parenting women need to be positioned within such an ethics, which acknowledges both the universal resources that they require for reproductive freedoms, as well as their particular care needs. I highlight the few times when women were positioned in this way in the data, and I look at how the common positions could be altered or expanded to promote such an ethics. I conclude by arguing that alcohol use during pregnancy cannot be separated from the larger context of the cultural hegemony of alcohol use in some communities, and the social injustices that potentiate this use. I provide suggestions for country-wide policies and interventions, as well as specific FASD prevention programmes, and I argue that a feminist decolonising approach, within an ethics of care and justice, should guide interventions at all levels. , Thesis (PhD) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-10-13
- Authors: Graham, Nicola Susan Jearey
- Date: 2023-10-13
- Subjects: Fetal alcohol spectrum disorders South Africa Eastern Cape , Foucauldian discourse analysis , Conversation analysis , Women Social conditions South Africa Eastern Cape , Sex role South Africa Eastern Cape , Cultural hegemony
- Language: English
- Type: Academic theses , Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/432541 , vital:72879 , DOI 10.21504/10962/432541
- Description: Some communities in South Africa have the highest documented rates of Foetal Alcohol Spectrum Disorders (FASD) in the world. Interventions to reduce alcohol consumption during pregnancy are crucial, but evaluations of such interventions are sparse. Formative evaluations are indicated to assist in the development of interventions. Harmful alcohol consumption during pregnancy is undergirded by a range of social injustices, including those imposed by colonisation and patriarchy; a feminist, decolonial approach to evaluations is, therefore, important. A research project, consisting of three arms, examined alcohol use during pregnancy in an under-resourced urban area of the Eastern Cape, and this research was one of those arms. An intervention was being rolled out in this area and I gathered a range of data from it. I engaged in a formative evaluation of it, and I reflect on the difficulties that I encountered in this endeavour. In the bulk of this thesis, I examine the power apparatuses and technologies that were used during the intervention to discursively position pregnant women. My analysis was guided by Foucauldian and post-Foucauldian theories, using Foucauldian Discourse Analysis and simplified Conversation Analysis (CA). Power apparatuses of coloniality, patriarchy, and pastoral power were used in the intervention to construct positions for pregnant women who drink alcohol as ignorant children, sinners, criminals, or “Mommies”. The foetus was constructed as a precious, vulnerable baby, while the person with FASD was constructed as the defiled Other, responsible for societal dissolution. The intervention used various disciplinary techniques to exhort women to follow their dictates. Women were generally compliant with being positioned as ignorant children, which absolved them from any blame for pre-natal drinking. However, some resistance was evident. I then introduce an ethics of care and justice, and I argue that pregnant/newly parenting women need to be positioned within such an ethics, which acknowledges both the universal resources that they require for reproductive freedoms, as well as their particular care needs. I highlight the few times when women were positioned in this way in the data, and I look at how the common positions could be altered or expanded to promote such an ethics. I conclude by arguing that alcohol use during pregnancy cannot be separated from the larger context of the cultural hegemony of alcohol use in some communities, and the social injustices that potentiate this use. I provide suggestions for country-wide policies and interventions, as well as specific FASD prevention programmes, and I argue that a feminist decolonising approach, within an ethics of care and justice, should guide interventions at all levels. , Thesis (PhD) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-10-13
Nurses’ experiences of an abortion counselling training course and their understandings of quality abortion services
- Authors: Mogonong, Laurah Carolina
- Date: 2023-03-30
- Subjects: Abortion counseling , Abortion Psychological aspects , Nurses Attitudes , Abortion services South Africa Eastern Cape , Grounded theory , Person-centered therapy
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/408862 , vital:70532
- Description: This research study focuses on nurses’ experiences of participating in an abortion counselling training programme in the Eastern Cape Province (E.C), using a grounded theory and symbolic interactionism framework. The study aims to investigate how participating in a women-centred abortion counselling training course offered through the Critical Studies in Sexualities and Reproduction research unit may modify or improve nurses’ practice of abortion counselling and understanding of quality abortion services. Through purposive sampling, nine research participants working as abortion providers in EC health care facilities were recruited. Research data were produced using discussions around prior abortion counselling experiences, a reflective activity, power point case presentations conducted within the counselling training, and semi-structured interviews conducted two months after the training with five of the providers. A grounded theory analysis was used to generate themes that highlighted different aspects that enabled or hindered access to quality abortion services. In accordance with prior research, it was revealed that nurses undergo abortion training but there is limited content on abortion counselling training. Findings from this study reveal the modifications of practice and understanding of quality abortion services of nurses who participated in the client-centred abortion counselling training course. Themes of change that emerged from the nurses’ experiences were rendering counselling services in a non- judgemental, non-directive way, being acknowledged and recognized for the services they offer as abortion providers, and accepting that abortion is a reproductive legal right that can be accessed whenever a woman in need of the service requests it. The findings of this research also indicate that, despite the controversy and stigma attached to providing abortion services, the participants were motivated to continue offering abortion services because they felt equipped since undergoing abortion counselling training. The training course improved reported abortion counselling practices, but systematic issues such as lack of managerial support, space for individual counselling and procedure equipment continue to undermine services. , Thesis (MA) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-03-30
- Authors: Mogonong, Laurah Carolina
- Date: 2023-03-30
- Subjects: Abortion counseling , Abortion Psychological aspects , Nurses Attitudes , Abortion services South Africa Eastern Cape , Grounded theory , Person-centered therapy
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/408862 , vital:70532
- Description: This research study focuses on nurses’ experiences of participating in an abortion counselling training programme in the Eastern Cape Province (E.C), using a grounded theory and symbolic interactionism framework. The study aims to investigate how participating in a women-centred abortion counselling training course offered through the Critical Studies in Sexualities and Reproduction research unit may modify or improve nurses’ practice of abortion counselling and understanding of quality abortion services. Through purposive sampling, nine research participants working as abortion providers in EC health care facilities were recruited. Research data were produced using discussions around prior abortion counselling experiences, a reflective activity, power point case presentations conducted within the counselling training, and semi-structured interviews conducted two months after the training with five of the providers. A grounded theory analysis was used to generate themes that highlighted different aspects that enabled or hindered access to quality abortion services. In accordance with prior research, it was revealed that nurses undergo abortion training but there is limited content on abortion counselling training. Findings from this study reveal the modifications of practice and understanding of quality abortion services of nurses who participated in the client-centred abortion counselling training course. Themes of change that emerged from the nurses’ experiences were rendering counselling services in a non- judgemental, non-directive way, being acknowledged and recognized for the services they offer as abortion providers, and accepting that abortion is a reproductive legal right that can be accessed whenever a woman in need of the service requests it. The findings of this research also indicate that, despite the controversy and stigma attached to providing abortion services, the participants were motivated to continue offering abortion services because they felt equipped since undergoing abortion counselling training. The training course improved reported abortion counselling practices, but systematic issues such as lack of managerial support, space for individual counselling and procedure equipment continue to undermine services. , Thesis (MA) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-03-30
“How do you feel about the abortion?”: pre-termination of pregnancy counselling in the public health sector in the Eastern Cape
- Authors: Du Toit, Ryan Rudolph
- Date: 2023-10-13
- Subjects: Abortion counseling South Africa Eastern Cape , Conversation analysis , Discursive psychology , Public health South Africa , Reproductive justice , Abortion Psychological aspects
- Language: English
- Type: Academic theses , Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/437238 , vital:73355 , DOI 10.21504/10962/437239
- Description: Pre-abortion counselling, as an aspect of abortion provision, has received growing research interest in various contexts. Much of the research has primarily focused on whether abortion counselling takes place, the experiences of women and/or counsellors (usually through retrospective interviews and surveys), and the content discussed during the counselling session (often policy regulated). Such research has proven vital to addressing the various reproductive issues facing women seeking an abortion worldwide. However, little research has focused on how pre-abortion counselling as an everyday institutional practice is conducted at a conversational level in the medical setting. By drawing on both conversation analysis and discursive psychology, this study explored how pre-abortion counselling was conducted in the public health sector in South Africa. The study involved recording the conversation during pre-abortion counselling and analysing it in terms of its content, in particular, the discourses drawn on by all parties involved, and its structure and delivery. The data were collected from three public hospitals in the Eastern Cape of South Africa and involved the audio recording of pre-abortion counselling sessions as part of abortion services. In total, 28 counselling sessions were recorded: 21 were individual sessions, and 7 were group counselling sessions. At two of the sites, counselling was conducted by registered midwives who worked at the hospital. At one site, an external Christian organisation volunteered trained counsellors to counsel women at the hospital free of charge. Using conversation analysis, counselling sessions were analysed in terms of the main projects. Seven key projects were identified: (1) Context setting, (2) History taking, (3) Establishing reason for abortion, (4) Presenting options, (5) Providing procedural information, (6) Obtaining verbal informed consent, and (7) Discussion of family planning. Each project is explored in terms of what discourses and subject positions featured when speakers were orienting to a specific project. This process highlighted how the conversational projects and their respective goals enable the deployment of certain problematic discourses and interactive/reflexive positionings. Discourse analysis revealed a clustering of discourses around two central themes. In the first clustering, the discourses were primarily used to discuss the (1) medically related issues underpinning the abortion procedure [medical discourse, responsibilization discourse, risk discourse, and discourse of support]. Talk using these discourses positioned women as patients needing medical intervention, responsibilised women for conceiving, playing an active role in their termination, and navigating all the psychological and physical risks “associated” with abortion. The discourse of support illustrates how support was spoken about in the interaction whereby patients were constructed as subjects who required support and nurses/counsellors as the ones who offered the support. In the second clustering, the discourses (2) focused on women and the foetus. These discourses [reproductive choice, religious, pronatalist, and foetal personhood discourses] positioned women as being responsible for making a choice regarding their pregnancy and the consequences that may result. In addition, a religious discourse coupled with a pronatalist discourse was used to construct the pregnancy and motherhood as desirable and part of “God’s plan”, whereas the foetus was spoken about as a “gift from God”. The foetal personhood discourse was used to construct the foetus as a living and functional human. This research provides evidence of how abortion counselling is problematic at various levels. At a practical level, there is a lack of standardisation in the delivery of abortion counselling (e.g., variation in key projects, where the counselling is mandated, time taken, nurse/counsellor training, content and format – group vs. individual counselling). At a discursive level, the use of certain discourses works to render the counselling directive through : (1) awfulizing abortion by providing misinformation about the abortion procedure, foetus and post-abortion psychological distress, (2) chastising and responsibilising women for conceiving, (3) constructing abortion as immoral, the ending of life and not in line with God’s plan, (4) constructing parenthood as the preferred choice, (5) delegitimising abortion as a resolution for pregnancy when compared to the other options (e.g., parenting or adoption), and finally (6) providing counselling that does not take into account the broader socio-political contexts. Recommendations for future research are put forward, and a call to move to a reparative justice framework is made by highlighting how it can be used to identify and understand reproductive injustices as they occur along four intersecting dimensions: (1) Individual material, (2) Collective material, (3) Individual symbolic, and (4) Collective symbolic. , Thesis (PhD) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-10-13
- Authors: Du Toit, Ryan Rudolph
- Date: 2023-10-13
- Subjects: Abortion counseling South Africa Eastern Cape , Conversation analysis , Discursive psychology , Public health South Africa , Reproductive justice , Abortion Psychological aspects
- Language: English
- Type: Academic theses , Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/437238 , vital:73355 , DOI 10.21504/10962/437239
- Description: Pre-abortion counselling, as an aspect of abortion provision, has received growing research interest in various contexts. Much of the research has primarily focused on whether abortion counselling takes place, the experiences of women and/or counsellors (usually through retrospective interviews and surveys), and the content discussed during the counselling session (often policy regulated). Such research has proven vital to addressing the various reproductive issues facing women seeking an abortion worldwide. However, little research has focused on how pre-abortion counselling as an everyday institutional practice is conducted at a conversational level in the medical setting. By drawing on both conversation analysis and discursive psychology, this study explored how pre-abortion counselling was conducted in the public health sector in South Africa. The study involved recording the conversation during pre-abortion counselling and analysing it in terms of its content, in particular, the discourses drawn on by all parties involved, and its structure and delivery. The data were collected from three public hospitals in the Eastern Cape of South Africa and involved the audio recording of pre-abortion counselling sessions as part of abortion services. In total, 28 counselling sessions were recorded: 21 were individual sessions, and 7 were group counselling sessions. At two of the sites, counselling was conducted by registered midwives who worked at the hospital. At one site, an external Christian organisation volunteered trained counsellors to counsel women at the hospital free of charge. Using conversation analysis, counselling sessions were analysed in terms of the main projects. Seven key projects were identified: (1) Context setting, (2) History taking, (3) Establishing reason for abortion, (4) Presenting options, (5) Providing procedural information, (6) Obtaining verbal informed consent, and (7) Discussion of family planning. Each project is explored in terms of what discourses and subject positions featured when speakers were orienting to a specific project. This process highlighted how the conversational projects and their respective goals enable the deployment of certain problematic discourses and interactive/reflexive positionings. Discourse analysis revealed a clustering of discourses around two central themes. In the first clustering, the discourses were primarily used to discuss the (1) medically related issues underpinning the abortion procedure [medical discourse, responsibilization discourse, risk discourse, and discourse of support]. Talk using these discourses positioned women as patients needing medical intervention, responsibilised women for conceiving, playing an active role in their termination, and navigating all the psychological and physical risks “associated” with abortion. The discourse of support illustrates how support was spoken about in the interaction whereby patients were constructed as subjects who required support and nurses/counsellors as the ones who offered the support. In the second clustering, the discourses (2) focused on women and the foetus. These discourses [reproductive choice, religious, pronatalist, and foetal personhood discourses] positioned women as being responsible for making a choice regarding their pregnancy and the consequences that may result. In addition, a religious discourse coupled with a pronatalist discourse was used to construct the pregnancy and motherhood as desirable and part of “God’s plan”, whereas the foetus was spoken about as a “gift from God”. The foetal personhood discourse was used to construct the foetus as a living and functional human. This research provides evidence of how abortion counselling is problematic at various levels. At a practical level, there is a lack of standardisation in the delivery of abortion counselling (e.g., variation in key projects, where the counselling is mandated, time taken, nurse/counsellor training, content and format – group vs. individual counselling). At a discursive level, the use of certain discourses works to render the counselling directive through : (1) awfulizing abortion by providing misinformation about the abortion procedure, foetus and post-abortion psychological distress, (2) chastising and responsibilising women for conceiving, (3) constructing abortion as immoral, the ending of life and not in line with God’s plan, (4) constructing parenthood as the preferred choice, (5) delegitimising abortion as a resolution for pregnancy when compared to the other options (e.g., parenting or adoption), and finally (6) providing counselling that does not take into account the broader socio-political contexts. Recommendations for future research are put forward, and a call to move to a reparative justice framework is made by highlighting how it can be used to identify and understand reproductive injustices as they occur along four intersecting dimensions: (1) Individual material, (2) Collective material, (3) Individual symbolic, and (4) Collective symbolic. , Thesis (PhD) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-10-13
South African women’s experience of the decision, procedure and recovery from “feticide” and late termination of pregnancy due to the presence of severe fetal abnormality: women’s and health service providers’ perspectives
- Authors: Vorster, Angela Carol
- Date: 2023-10-13
- Subjects: Feticide , Abortion , Late-term abortion , Fetus Abnormalities , Psychological trauma , Grief , Pregnancy loss
- Language: English
- Type: Academic theses , Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/432359 , vital:72864 , DOI 10.21504/10962/432359
- Description: Routine antenatal care, including sonography and genetic testing, assist healthcare providers in identifying the presence of severe fetal abnormality. In countries where it is legal, the option to abort such a pregnancy may be presented to the pregnant person. When abortion takes place after the thirteenth week of gestation, it is generally referred to as a late termination of pregnancy and may entail the induction of labour or caesarean section. In cases where termination of the pregnancy is decided upon, and the gestation is further than 21 weeks and six days, the feticide procedure is recommended in order to ensure stillbirth. The feticide procedure entails the injection of potassium chloride directly into the fetal heart in order to ensure fetal demise. Existing literature on “feticide” and late termination of pregnancy (LTOP) owing to fetal abnormalities mostly takes a medical or psychological perspective in researching these procedures. Within the South African context, there are very few studies on feticide and LTOP, with none of these studies (to date – 8 January 2023) taking a feminist approach. This paucity of research that takes into account power relations, structural inequality and factors that affect decision-making and choice is one of the reasons that this study was undertaken. The main research question focused on in this study is: What are South African women’s experiences of feticide and late termination of pregnancy due to the presence of severe fetal abnormality, as related by the women themselves and the health service providers who perform the procedure or provide care? The sub-questions that initially drove the study were: How do the women relate their experience of the process of coming to the decision, undergoing and recovering from the procedure, and how do health service providers relate the experiences of these women? The methodological and theoretical framework employed in this research was a Feminist Social Constructionist approach to Grounded Theory. This reflexive, subjectivist, feminist lens encouraged awareness of the influence of gender, race, class and other structural and systemic factors on women’s experiences within the two healthcare systems. Data collection entailed semi-structured interviews conducted with 12 women, who had undergone feticide and LTOP procedures between one and five years prior to the interviews, in either the public or private healthcare system in South Africa. Semi-structured interviews were also conducted with 13 healthcare providers. The providers included medical specialists and participants from the fields of clinical psychology, genetic counselling and nursing and were employed in public or private healthcare in South Africa. Data relevant to public healthcare users and providers were collected from one tertiary (academic) public healthcare hospital and data regarding private healthcare users and providers were collected from across South Africa. Women’s constructions of their experiences of feticide and LTOP included stark contrasts between public and private healthcare users in South Africa, as well as women experiencing “no choice” and their voices being ignored or silenced. Healthcare providers’ constructions were frequently contradictory, referring to women as having freedom of choice and their needs largely prioritised within the healthcare system, while the providers within the public healthcare system relayed their own frustrations and emotional burden due to systemic failures. Findings from women and providers’ constructions were synthesised into a theoretical understanding of women’s experiences of feticide and LTOP in South Africa, which is grounded in, and emergent from, the data. Women’s experiences of feticide and LTOP in South Africa were conceptualised by framing the three phases of these experiences, namely the decision-making phase (I), undergoing the procedures and in-hospital recovery (phase II) and the recovery phase (III). The most prominent themes emerging in these phases included the schism between the public and private healthcare systems in South Africa, the lack of real choice women experience, as well as the silencing of women and providers with regard to feticide and LTOP. Underlying the three phases, and directly influencing the three prominent themes affecting women’s experiences, were the underlying and insidious structural inequality that undermined reproductive justice with regard to women’s decision-making, experiences of and recovery from feticide and LTOP. , Thesis (PhD) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-10-13
- Authors: Vorster, Angela Carol
- Date: 2023-10-13
- Subjects: Feticide , Abortion , Late-term abortion , Fetus Abnormalities , Psychological trauma , Grief , Pregnancy loss
- Language: English
- Type: Academic theses , Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/432359 , vital:72864 , DOI 10.21504/10962/432359
- Description: Routine antenatal care, including sonography and genetic testing, assist healthcare providers in identifying the presence of severe fetal abnormality. In countries where it is legal, the option to abort such a pregnancy may be presented to the pregnant person. When abortion takes place after the thirteenth week of gestation, it is generally referred to as a late termination of pregnancy and may entail the induction of labour or caesarean section. In cases where termination of the pregnancy is decided upon, and the gestation is further than 21 weeks and six days, the feticide procedure is recommended in order to ensure stillbirth. The feticide procedure entails the injection of potassium chloride directly into the fetal heart in order to ensure fetal demise. Existing literature on “feticide” and late termination of pregnancy (LTOP) owing to fetal abnormalities mostly takes a medical or psychological perspective in researching these procedures. Within the South African context, there are very few studies on feticide and LTOP, with none of these studies (to date – 8 January 2023) taking a feminist approach. This paucity of research that takes into account power relations, structural inequality and factors that affect decision-making and choice is one of the reasons that this study was undertaken. The main research question focused on in this study is: What are South African women’s experiences of feticide and late termination of pregnancy due to the presence of severe fetal abnormality, as related by the women themselves and the health service providers who perform the procedure or provide care? The sub-questions that initially drove the study were: How do the women relate their experience of the process of coming to the decision, undergoing and recovering from the procedure, and how do health service providers relate the experiences of these women? The methodological and theoretical framework employed in this research was a Feminist Social Constructionist approach to Grounded Theory. This reflexive, subjectivist, feminist lens encouraged awareness of the influence of gender, race, class and other structural and systemic factors on women’s experiences within the two healthcare systems. Data collection entailed semi-structured interviews conducted with 12 women, who had undergone feticide and LTOP procedures between one and five years prior to the interviews, in either the public or private healthcare system in South Africa. Semi-structured interviews were also conducted with 13 healthcare providers. The providers included medical specialists and participants from the fields of clinical psychology, genetic counselling and nursing and were employed in public or private healthcare in South Africa. Data relevant to public healthcare users and providers were collected from one tertiary (academic) public healthcare hospital and data regarding private healthcare users and providers were collected from across South Africa. Women’s constructions of their experiences of feticide and LTOP included stark contrasts between public and private healthcare users in South Africa, as well as women experiencing “no choice” and their voices being ignored or silenced. Healthcare providers’ constructions were frequently contradictory, referring to women as having freedom of choice and their needs largely prioritised within the healthcare system, while the providers within the public healthcare system relayed their own frustrations and emotional burden due to systemic failures. Findings from women and providers’ constructions were synthesised into a theoretical understanding of women’s experiences of feticide and LTOP in South Africa, which is grounded in, and emergent from, the data. Women’s experiences of feticide and LTOP in South Africa were conceptualised by framing the three phases of these experiences, namely the decision-making phase (I), undergoing the procedures and in-hospital recovery (phase II) and the recovery phase (III). The most prominent themes emerging in these phases included the schism between the public and private healthcare systems in South Africa, the lack of real choice women experience, as well as the silencing of women and providers with regard to feticide and LTOP. Underlying the three phases, and directly influencing the three prominent themes affecting women’s experiences, were the underlying and insidious structural inequality that undermined reproductive justice with regard to women’s decision-making, experiences of and recovery from feticide and LTOP. , Thesis (PhD) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-10-13
Participation in the anti-sexual violence silent protest: a sexual citizenship perspective
- Authors: Chitiki, Elizabeth
- Date: 2018
- Subjects: Sex crimes Campus violence -- South Africa -- Prevention Rape victims -- Services for -- Political aspects -- South Africa Anti-rape movement Rape -- Case studies Sexual orientation
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/62917 , vital:28310
- Description: There is a growing body of research on sexual citizenship that focuses attention on gender and which bridges the gap between public and private life in order to rethink citizenship from a feminist perspective. This is in contrast to understandings of citizenship that promote policies of sexual regulation and a heteronormative ideal of citizenship. My research takes the form of a qualitative case study. Using data from two focus group discussions, fifteen personal diaries, as well as social media posts, I analyse participation in the Silent Protest, an annual anti-rape protest, through the lens of sexual citizenship. I look at how participation in the protest promotes or inhibits inclusive and process-based understandings of sexual violence and sexualities issues. Data were analysed using thematic analysis and the results of the analysis are presented into two parts. The first part of the analysis discusses the politics of affect and witnessing as two processes through which allies’ understandings of sexual violence are shaped. The second part of analysis shows that the Silent Protest contributes to people’s knowledge and understandings of sexual violence in relation to sexualities in a range of ways. Examples of inclusive understandings are: (1) insights about rape in relation to gender and heteronormative inequalities, culture and patriarchal dominance; (2) understanding of critical sexual citizenship in relation to sexual violence; and (3) understanding of politics of recognition (the need for recognition of the importance of safe spaces for formal and informal support for victim-survivors and recognition of victim-survivors’ identities). However, some of the understandings are limited to emotion and affect dynamics. In some ways, therefore, the Silent Protest fails to promote understandings significant to inclusive citizenship, including understandings of entitlements to non-discriminatory sexual health care services and legal services.
- Full Text:
- Date Issued: 2018
- Authors: Chitiki, Elizabeth
- Date: 2018
- Subjects: Sex crimes Campus violence -- South Africa -- Prevention Rape victims -- Services for -- Political aspects -- South Africa Anti-rape movement Rape -- Case studies Sexual orientation
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/62917 , vital:28310
- Description: There is a growing body of research on sexual citizenship that focuses attention on gender and which bridges the gap between public and private life in order to rethink citizenship from a feminist perspective. This is in contrast to understandings of citizenship that promote policies of sexual regulation and a heteronormative ideal of citizenship. My research takes the form of a qualitative case study. Using data from two focus group discussions, fifteen personal diaries, as well as social media posts, I analyse participation in the Silent Protest, an annual anti-rape protest, through the lens of sexual citizenship. I look at how participation in the protest promotes or inhibits inclusive and process-based understandings of sexual violence and sexualities issues. Data were analysed using thematic analysis and the results of the analysis are presented into two parts. The first part of the analysis discusses the politics of affect and witnessing as two processes through which allies’ understandings of sexual violence are shaped. The second part of analysis shows that the Silent Protest contributes to people’s knowledge and understandings of sexual violence in relation to sexualities in a range of ways. Examples of inclusive understandings are: (1) insights about rape in relation to gender and heteronormative inequalities, culture and patriarchal dominance; (2) understanding of critical sexual citizenship in relation to sexual violence; and (3) understanding of politics of recognition (the need for recognition of the importance of safe spaces for formal and informal support for victim-survivors and recognition of victim-survivors’ identities). However, some of the understandings are limited to emotion and affect dynamics. In some ways, therefore, the Silent Protest fails to promote understandings significant to inclusive citizenship, including understandings of entitlements to non-discriminatory sexual health care services and legal services.
- Full Text:
- Date Issued: 2018
Sistering and sexual socialisation: a psychosocial study of Xhosa women’s ‘sex and reproduction talk’ with their sisters
- Authors: Ndabula, Yanela
- Date: 2017
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/35055 , vital:24313
- Description: While much work has been put into understanding parent-child talk about sex, less is known about how sisters discuss sex. Using a psychosocial framework, in this study, I explore how women report talking about sex and reproduction in their sister-sister relationships, the subject positions within the talk and how the talk restricts or shores up particular ways of ‘doing sex and reproduction’ in society. Moreover, I examine why these women emotionally invest in certain discourses over others in their sisterly sex talk. The psychosocial framework combines discursive psychology with a psychoanalytic approach to explore both ‘inner’ and ‘outer’ processes involved in sexual socialisation within sistering. Psychoanalytic concepts were used to ‘thicken’ the discursive reading of the text. Five isiXhosa-speaking, middle aged and working class women were the participants of the study. The Free Associated Narrative Interview was used to collect the data thus participants were encouraged to convey their experiences of sex talk and reproduction within their sisterly relationships with minimal interruptions from the interviewer. Analysis suggests that the women drew on two broad interpretative repertoires in order to construct their sisters as sexual subjects: a repertoire of secrecy, and a repertoire of responsibilisation and risk. Furthermore, sisterly sex talk was constructed as a complex interchange of shifting positions of openness and power due to two coinciding identities - that of mother and of peer taken up by the participants. A psychoanalytic reading of the data suggests an emotional investment in exemplifying responsibility. The participants experienced anxiety in negotiating a sexualised femininity and projected their sexual desire onto their sister to defend against anxiety in their talk; this enabled them to feel as though they were ‘doing’ sex better than their sisters.
- Full Text:
- Date Issued: 2017
- Authors: Ndabula, Yanela
- Date: 2017
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/35055 , vital:24313
- Description: While much work has been put into understanding parent-child talk about sex, less is known about how sisters discuss sex. Using a psychosocial framework, in this study, I explore how women report talking about sex and reproduction in their sister-sister relationships, the subject positions within the talk and how the talk restricts or shores up particular ways of ‘doing sex and reproduction’ in society. Moreover, I examine why these women emotionally invest in certain discourses over others in their sisterly sex talk. The psychosocial framework combines discursive psychology with a psychoanalytic approach to explore both ‘inner’ and ‘outer’ processes involved in sexual socialisation within sistering. Psychoanalytic concepts were used to ‘thicken’ the discursive reading of the text. Five isiXhosa-speaking, middle aged and working class women were the participants of the study. The Free Associated Narrative Interview was used to collect the data thus participants were encouraged to convey their experiences of sex talk and reproduction within their sisterly relationships with minimal interruptions from the interviewer. Analysis suggests that the women drew on two broad interpretative repertoires in order to construct their sisters as sexual subjects: a repertoire of secrecy, and a repertoire of responsibilisation and risk. Furthermore, sisterly sex talk was constructed as a complex interchange of shifting positions of openness and power due to two coinciding identities - that of mother and of peer taken up by the participants. A psychoanalytic reading of the data suggests an emotional investment in exemplifying responsibility. The participants experienced anxiety in negotiating a sexualised femininity and projected their sexual desire onto their sister to defend against anxiety in their talk; this enabled them to feel as though they were ‘doing’ sex better than their sisters.
- Full Text:
- Date Issued: 2017
The narratives of women in South Africa who use social media to talk about gender-based violence
- Authors: Walton, Donica Jasmin
- Date: 2022-04-07
- Subjects: Women Violence against South Africa , Social media and society South Africa , Internet and activism South Africa , Discourse analysis, Narrative , Internet and women South Africa , Subject positions
- Language: English
- Type: Master's thesis , text
- Identifier: http://hdl.handle.net/10962/232590 , vital:50005
- Description: There has been research conducted, both globally and in South Africa, on social media activism against gender-based violence (GBV). However, most research on the topic is based on participants in other parts of the world. Not much has been published on Black, African women. More specifically, not much is known about how women in South Africa experience using social media to talk about GBV. This research project draws on critical feminism and a narrative-discursive approach to explore the narratives of women in South Africa who use social media to talk about GBV. This is done by identifying the discourses women draw on to construct narratives, the subject positions utilised within these discourses, and how “trouble” and “repair” features in the narratives and positioning of women. Twelve interviews were conducted with women who volunteered and fit the inclusion criteria. The analysis of data was presented in two parts. The first set of discourses (discourses of ‘efficacy’, ‘convenience’, and ‘education’) were focused on what the use of social media achieves irrespective of the topic being discussed. These discourses speak to the idea that social media is powerful and useful because of its reach, speed, immediacy, and ability to be used to educate and be educated. The second set of discourses (discourses of ‘community and solidarity’, ‘validation’, and ‘vulnerability’) were focused on what the use of social media does for the people participating. Women have found a community and solidarity, and their experiences and thoughts have been validated on social media. Overall, the women in this research project justified their use of social media for activism against GBV, and acknowledged the tension that exists because despite its potential, there are limitations. , Thesis (MSocSci) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
- Authors: Walton, Donica Jasmin
- Date: 2022-04-07
- Subjects: Women Violence against South Africa , Social media and society South Africa , Internet and activism South Africa , Discourse analysis, Narrative , Internet and women South Africa , Subject positions
- Language: English
- Type: Master's thesis , text
- Identifier: http://hdl.handle.net/10962/232590 , vital:50005
- Description: There has been research conducted, both globally and in South Africa, on social media activism against gender-based violence (GBV). However, most research on the topic is based on participants in other parts of the world. Not much has been published on Black, African women. More specifically, not much is known about how women in South Africa experience using social media to talk about GBV. This research project draws on critical feminism and a narrative-discursive approach to explore the narratives of women in South Africa who use social media to talk about GBV. This is done by identifying the discourses women draw on to construct narratives, the subject positions utilised within these discourses, and how “trouble” and “repair” features in the narratives and positioning of women. Twelve interviews were conducted with women who volunteered and fit the inclusion criteria. The analysis of data was presented in two parts. The first set of discourses (discourses of ‘efficacy’, ‘convenience’, and ‘education’) were focused on what the use of social media achieves irrespective of the topic being discussed. These discourses speak to the idea that social media is powerful and useful because of its reach, speed, immediacy, and ability to be used to educate and be educated. The second set of discourses (discourses of ‘community and solidarity’, ‘validation’, and ‘vulnerability’) were focused on what the use of social media does for the people participating. Women have found a community and solidarity, and their experiences and thoughts have been validated on social media. Overall, the women in this research project justified their use of social media for activism against GBV, and acknowledged the tension that exists because despite its potential, there are limitations. , Thesis (MSocSci) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
Policy responses to the sexual and reproductive health of queer youth in the global south: a systematic review
- Authors: Moore, Sarah-Ann
- Date: 2018
- Subjects: Sexual minorities -- Africa , Sexual minorities -- Asia , Sexual minorities -- Caribbean Area , Sexual health -- Developing countries , Reproductive health -- Developing countries , Reproductive health services -- Developing countries , Communication in reproductive health -- Developing countries , Sexual minorities -- Youth -- Developing countries , Medical policy -- Developing countries , Homophobia -- Developing countries
- Language: English
- Type: text , Thesis , Masters , MSocSc
- Identifier: http://hdl.handle.net/10962/63021 , vital:28355
- Description: Concerns surrounding youth sexual and reproduction health (SRH) are deeply embedded within systems of heteronormativity and ciscentrism. Resultantly, youth SRH is filtered through a lens of heterosexual and cisgender experience, rendering invisible the SRH needs of queer youth. Importantly, a failure to recognise queer experiences of SRH has implications for normative subject positions, which enjoy stronger institutional support and constitute legitimate ways of being. As such, the failure to recognise queer youth as health care subjects within policy has far reaching consequences for their sexual and reproductive health. Within this research, a sexual and reproductive justice (SRJ) framework is adopted as a backdrop for exploring policy documents related to youth SRH within selected global South countries in Africa, Asia, and the Caribbean. The final data set comprises of 1035 policy excerpts extracted from 152 policies across these three regions. Research takes the form of a systematic review utilising a deductive framing and positioning thematic analysis. Analysis identifies framings of youth SRH and explores the subject positions assigned to queer youth in relation to these identified framings, with the understanding that the manner in which youth SRH concerns are framed and queer youth are positioned within policies provides an important foundation for the implementation of SRH-related policy. Findings demonstrate that policy responses to youth SRH are most often framed in terms of a public health approach. As a result, dominant understandings of youth SRH serve to reduce youth sexuality to notions of infections and impact, which may speak to an overreliance on biomedical and population-level health models. Themes emerging within human rights framings demonstrate a presumption that rights are equally afforded to, and freely exercised by, all individuals once legally secured, failing to engage with the creation of enabling conditions to realise these rights. Although context and culture framings were by no means exhaustive examples of SRJ, they provide an interesting insight into how such SRJ concerns might be integrated into policy. Importantly, policy responses demonstrate a general pattern hypervisibility of men who have sex with men (MSM) standing in marked contrast to the invisibility of queer youth and other adult queer populations. Within policy extracts, both youth and „MSM‟ are positioned as particularly prone to poor SRH outcomes. By virtue of their inclusion within both populations, queer youth may be considered as especially at risk for, or vulnerable to, such outcomes. Relatedly, these populations (and by extension queer youth) are positioned as in need of correction, containment, and/or protection by those occupying „gatekeeping‟ positions (e.g. health care providers). The positioning of „MSM‟ solely within the context of HIV/AIDS serves to link same-sex sexualities (and at times gender non-conformity) with harmful consequences, suggesting that the positioning of queer youth could similarly serve to conflate their SRH needs with concerns around HIV/AIDS. Many of the subject positions deployed in policies serve to deny the potential for youth and „MSM‟ agency, strength, and resilience. Thus, queer youth subjects are unlikely to be positioned as empowered, autonomous, and agentic. Across both framing and positioning themes, a number of key shortcomings were observed. For the most part, policy responses fail to acknowledge the influence of social, economic, political, and cultural forces that may serve to hinder SRH outcomes according to particular contexts and the intersection of multiple and varied social identities. By obscuring these broader contextual factors and power relations, policy responses may serve to hold individual youth responsible for poor SRH outcomes. In failing to engage with the potential for diversity within youth populations, these populations are largely homogenised. Finally, the need for the creation of an enabling environment in order to secure sexual and reproductive health is largely unacknowledged within policy responses.
- Full Text:
- Date Issued: 2018
- Authors: Moore, Sarah-Ann
- Date: 2018
- Subjects: Sexual minorities -- Africa , Sexual minorities -- Asia , Sexual minorities -- Caribbean Area , Sexual health -- Developing countries , Reproductive health -- Developing countries , Reproductive health services -- Developing countries , Communication in reproductive health -- Developing countries , Sexual minorities -- Youth -- Developing countries , Medical policy -- Developing countries , Homophobia -- Developing countries
- Language: English
- Type: text , Thesis , Masters , MSocSc
- Identifier: http://hdl.handle.net/10962/63021 , vital:28355
- Description: Concerns surrounding youth sexual and reproduction health (SRH) are deeply embedded within systems of heteronormativity and ciscentrism. Resultantly, youth SRH is filtered through a lens of heterosexual and cisgender experience, rendering invisible the SRH needs of queer youth. Importantly, a failure to recognise queer experiences of SRH has implications for normative subject positions, which enjoy stronger institutional support and constitute legitimate ways of being. As such, the failure to recognise queer youth as health care subjects within policy has far reaching consequences for their sexual and reproductive health. Within this research, a sexual and reproductive justice (SRJ) framework is adopted as a backdrop for exploring policy documents related to youth SRH within selected global South countries in Africa, Asia, and the Caribbean. The final data set comprises of 1035 policy excerpts extracted from 152 policies across these three regions. Research takes the form of a systematic review utilising a deductive framing and positioning thematic analysis. Analysis identifies framings of youth SRH and explores the subject positions assigned to queer youth in relation to these identified framings, with the understanding that the manner in which youth SRH concerns are framed and queer youth are positioned within policies provides an important foundation for the implementation of SRH-related policy. Findings demonstrate that policy responses to youth SRH are most often framed in terms of a public health approach. As a result, dominant understandings of youth SRH serve to reduce youth sexuality to notions of infections and impact, which may speak to an overreliance on biomedical and population-level health models. Themes emerging within human rights framings demonstrate a presumption that rights are equally afforded to, and freely exercised by, all individuals once legally secured, failing to engage with the creation of enabling conditions to realise these rights. Although context and culture framings were by no means exhaustive examples of SRJ, they provide an interesting insight into how such SRJ concerns might be integrated into policy. Importantly, policy responses demonstrate a general pattern hypervisibility of men who have sex with men (MSM) standing in marked contrast to the invisibility of queer youth and other adult queer populations. Within policy extracts, both youth and „MSM‟ are positioned as particularly prone to poor SRH outcomes. By virtue of their inclusion within both populations, queer youth may be considered as especially at risk for, or vulnerable to, such outcomes. Relatedly, these populations (and by extension queer youth) are positioned as in need of correction, containment, and/or protection by those occupying „gatekeeping‟ positions (e.g. health care providers). The positioning of „MSM‟ solely within the context of HIV/AIDS serves to link same-sex sexualities (and at times gender non-conformity) with harmful consequences, suggesting that the positioning of queer youth could similarly serve to conflate their SRH needs with concerns around HIV/AIDS. Many of the subject positions deployed in policies serve to deny the potential for youth and „MSM‟ agency, strength, and resilience. Thus, queer youth subjects are unlikely to be positioned as empowered, autonomous, and agentic. Across both framing and positioning themes, a number of key shortcomings were observed. For the most part, policy responses fail to acknowledge the influence of social, economic, political, and cultural forces that may serve to hinder SRH outcomes according to particular contexts and the intersection of multiple and varied social identities. By obscuring these broader contextual factors and power relations, policy responses may serve to hold individual youth responsible for poor SRH outcomes. In failing to engage with the potential for diversity within youth populations, these populations are largely homogenised. Finally, the need for the creation of an enabling environment in order to secure sexual and reproductive health is largely unacknowledged within policy responses.
- Full Text:
- Date Issued: 2018