Perceptions of adolescents regarding induced abortion in two public hospitals in East London, South Africa
- Authors: Sidloyi, Nozitulele
- Date: 2017
- Subjects: Abortion -- South Africa -- Eastern Cape , Teenage pregnancy -- South Africa -- Eastern Cape , Teenagers -- Sexual behavior
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/4428 , vital:28339
- Description: Adolescent pregnancy is a concern worldwide and has risen at an alarming rate in South African societies. Many teenage pregnancies end up being aborted. Despite the availability of contraceptives free of charge in public institutions, unintended pregnancies among adolescents still persist. These unintended pregnancies result in a high rate of induced abortion, both safe and unsafe. The study was conducted to explore and describe the perceptions of adolescents regarding induced abortion in two public hospitals in East London, South Africa. This was a qualitative, phenomenological research study to explore the perceptions of adolescents regarding the induced abortion. Participants were purposively selected to participate in the study. Data were collected by means of individual interviews using interview guide in order to allow the participants to express their perceptions freely because of the sensitivity of the issue. Data were collected until saturation was reached. Saturation was reached after 24 participants were interviewed by the researcher. Data analysis used Tech’s (1990) steps as outlined by Creswell (2014:198). Themes, categories, and subcategories were identified following the data analysis. All adolescents admitted having consensual unprotected sex. Engagement in early sexual behaviour by the adolescents was evident as their sexual debut was between the ages of fifteen and sixteen years. Adolescents emphasised that they had abortions because they had no choice. Adolescents cited poor-socio economic status as their main reason for having abortions. Some findings were that adolescent men were against abortion and they had to be persuaded by their female counter parts. A recurrent factor in the results was the infrequent use of contraceptives, including condoms by the adolescents. This indicated that adolescents practised unsafe sex, with little or no regard for sexual transmitted diseases including Human Immune Deficiency Virus and Acquired Immune Deficiency Syndrome (HIV and AIDS). The results also indicated poor treatment by the nursing staff at the family planning clinics. This poor treatment resulted in adolescents not attending family planning clinics. This led to adolescents using abortion as the only method of contraception. Shortage of staff was a contributing factor to the poor treatment of adolescents in the family planning clinics. Adolescents cited that contraception at the clinics is not prioritised. The participants suggested that they should be reminded when to come to the clinic for family planning. Perceptions of reasons for adolescents choosing induced abortion ranges from psychosocial to socio-economic reasons. The knowledge of participants of what was happening to them and what they were doing seemed adequate. The perceptions of the adolescents regarding induced abortion were that abortion is wrong, against their morals as they are Christians; they use abortion because they have no choice due to their poor socio-economic status. The strategies to reduce the unintended pregnancy through the proper management of the contraception programmes, including the change in negative attitudes of health care providers in the family planning clinics could yield positive results.
- Full Text:
- Date Issued: 2017
- Authors: Sidloyi, Nozitulele
- Date: 2017
- Subjects: Abortion -- South Africa -- Eastern Cape , Teenage pregnancy -- South Africa -- Eastern Cape , Teenagers -- Sexual behavior
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/4428 , vital:28339
- Description: Adolescent pregnancy is a concern worldwide and has risen at an alarming rate in South African societies. Many teenage pregnancies end up being aborted. Despite the availability of contraceptives free of charge in public institutions, unintended pregnancies among adolescents still persist. These unintended pregnancies result in a high rate of induced abortion, both safe and unsafe. The study was conducted to explore and describe the perceptions of adolescents regarding induced abortion in two public hospitals in East London, South Africa. This was a qualitative, phenomenological research study to explore the perceptions of adolescents regarding the induced abortion. Participants were purposively selected to participate in the study. Data were collected by means of individual interviews using interview guide in order to allow the participants to express their perceptions freely because of the sensitivity of the issue. Data were collected until saturation was reached. Saturation was reached after 24 participants were interviewed by the researcher. Data analysis used Tech’s (1990) steps as outlined by Creswell (2014:198). Themes, categories, and subcategories were identified following the data analysis. All adolescents admitted having consensual unprotected sex. Engagement in early sexual behaviour by the adolescents was evident as their sexual debut was between the ages of fifteen and sixteen years. Adolescents emphasised that they had abortions because they had no choice. Adolescents cited poor-socio economic status as their main reason for having abortions. Some findings were that adolescent men were against abortion and they had to be persuaded by their female counter parts. A recurrent factor in the results was the infrequent use of contraceptives, including condoms by the adolescents. This indicated that adolescents practised unsafe sex, with little or no regard for sexual transmitted diseases including Human Immune Deficiency Virus and Acquired Immune Deficiency Syndrome (HIV and AIDS). The results also indicated poor treatment by the nursing staff at the family planning clinics. This poor treatment resulted in adolescents not attending family planning clinics. This led to adolescents using abortion as the only method of contraception. Shortage of staff was a contributing factor to the poor treatment of adolescents in the family planning clinics. Adolescents cited that contraception at the clinics is not prioritised. The participants suggested that they should be reminded when to come to the clinic for family planning. Perceptions of reasons for adolescents choosing induced abortion ranges from psychosocial to socio-economic reasons. The knowledge of participants of what was happening to them and what they were doing seemed adequate. The perceptions of the adolescents regarding induced abortion were that abortion is wrong, against their morals as they are Christians; they use abortion because they have no choice due to their poor socio-economic status. The strategies to reduce the unintended pregnancy through the proper management of the contraception programmes, including the change in negative attitudes of health care providers in the family planning clinics could yield positive results.
- Full Text:
- Date Issued: 2017
Pregnant teenagers' readiness for motherhood: a quantitative investigation in Nkonkobe Municipality, Eastern Cape
- Authors: Pitso, Tsolo Joseph
- Date: 2013
- Subjects: Teenage mothers -- South Africa -- Eastern Cape , Teenage parents -- South Africa -- Eastern Cape , Teenage pregnancy -- South Africa -- Eastern Cape , Motherhood -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , M Soc Sc (Psych)
- Identifier: vital:11614 , http://hdl.handle.net/10353/d1006289 , Teenage mothers -- South Africa -- Eastern Cape , Teenage parents -- South Africa -- Eastern Cape , Teenage pregnancy -- South Africa -- Eastern Cape , Motherhood -- South Africa -- Eastern Cape
- Description: The issue of teenage motherhood has been a concern, globally, continentally and locally. The quantitative study assessed whether the pregnant teenagers were ready for motherhood. This report analysed the current positions of women whose first child was to be born when they were teenagers in the rural Eastern Cape setting. The structured questionnaires were given to 106 pregnant teenagers who visited the War Memorial clinic for pregnancy check-up and convenient sampling was used to select these respondents. The items of the questionnaire were divided into the following sub-topics: prenatal and postnatal challenges and roles and responsibilities of motherhood. The study found that most of the pregnant teenagers were aware of the prenatal and postnatal challenges but they were not ready to perform the roles and responsibilities associated with motherhood. The analysis of data was divided in terms of descriptive and inferential statistics. The binary regression model was used to assess the factors affecting the pregnant teenagers’ readiness for motherhood. The finding of this study indicated that most (about 79 percent) of the pregnant teenagers were not aware of the roles and responsibilities of motherhood In addition to being not ready to face the psycho-social challenges of motherhood. Hence they indicated low level of readiness to motherhood. The psycho-social theory of Erikson posited that children who had strong and intact psycho-social relationships with the caregivers might have a high possibility of acquiring their identity during adolescent stage and this will help them to interact both effectively and efficiently with their peers and the society at large. While those do had negative psycho-social development have a high chance of facing identity crisis/confusion. As a result, they might lead them to being victims of psycho-social interaction such as early pregnancy.
- Full Text:
- Date Issued: 2013
- Authors: Pitso, Tsolo Joseph
- Date: 2013
- Subjects: Teenage mothers -- South Africa -- Eastern Cape , Teenage parents -- South Africa -- Eastern Cape , Teenage pregnancy -- South Africa -- Eastern Cape , Motherhood -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , M Soc Sc (Psych)
- Identifier: vital:11614 , http://hdl.handle.net/10353/d1006289 , Teenage mothers -- South Africa -- Eastern Cape , Teenage parents -- South Africa -- Eastern Cape , Teenage pregnancy -- South Africa -- Eastern Cape , Motherhood -- South Africa -- Eastern Cape
- Description: The issue of teenage motherhood has been a concern, globally, continentally and locally. The quantitative study assessed whether the pregnant teenagers were ready for motherhood. This report analysed the current positions of women whose first child was to be born when they were teenagers in the rural Eastern Cape setting. The structured questionnaires were given to 106 pregnant teenagers who visited the War Memorial clinic for pregnancy check-up and convenient sampling was used to select these respondents. The items of the questionnaire were divided into the following sub-topics: prenatal and postnatal challenges and roles and responsibilities of motherhood. The study found that most of the pregnant teenagers were aware of the prenatal and postnatal challenges but they were not ready to perform the roles and responsibilities associated with motherhood. The analysis of data was divided in terms of descriptive and inferential statistics. The binary regression model was used to assess the factors affecting the pregnant teenagers’ readiness for motherhood. The finding of this study indicated that most (about 79 percent) of the pregnant teenagers were not aware of the roles and responsibilities of motherhood In addition to being not ready to face the psycho-social challenges of motherhood. Hence they indicated low level of readiness to motherhood. The psycho-social theory of Erikson posited that children who had strong and intact psycho-social relationships with the caregivers might have a high possibility of acquiring their identity during adolescent stage and this will help them to interact both effectively and efficiently with their peers and the society at large. While those do had negative psycho-social development have a high chance of facing identity crisis/confusion. As a result, they might lead them to being victims of psycho-social interaction such as early pregnancy.
- Full Text:
- Date Issued: 2013
School stakeholders’ perceptions on the mainstreaming of pregnant learners in two East London secondary schools
- Mahlambeni, Ntombikayise Sylvia
- Authors: Mahlambeni, Ntombikayise Sylvia
- Date: 2013
- Subjects: Education, Secondary -- South Africa -- Eastern Cape , Teenage pregnancy -- South Africa -- Eastern Cape , Pregnant teenagers -- South Africa -- Eastern Cape , Education and state -- South Africa -- Eastern Cape , School management and organization -- South Africa -- Eastern Cape , Mainstreaming in education -- South Africa -- Eastern Cape , Eastern Cape -- South Africa
- Language: English
- Type: Thesis , Masters , M Ed
- Identifier: vital:16181 , http://hdl.handle.net/10353/d1006236 , Education, Secondary -- South Africa -- Eastern Cape , Teenage pregnancy -- South Africa -- Eastern Cape , Pregnant teenagers -- South Africa -- Eastern Cape , Education and state -- South Africa -- Eastern Cape , School management and organization -- South Africa -- Eastern Cape , Mainstreaming in education -- South Africa -- Eastern Cape , Eastern Cape -- South Africa
- Description: Teenage pregnancy is one of the major factors leading to girls dropping out of school especially in developing countries such as South Africa. To address the problem, the South African government has put forward policies which allow for the continued enrolment of learners who could fall pregnant while at school. However, there is evidence that pregnant learners drop out of school even though these policies are in place. Hence this study investigated the perceptions of the school stakeholders on the mainstreaming of pregnant learners and one of the stakeholders is the pregnant learners themselves. This study also aimed to investigate the way pregnant learners were perceived and treated in their schools and the views of the stakeholders on supporting the pregnant learners academically. It also aimed to explore leadership and management implications of the school stakeholders’ perceptions. This study revealed that some of the stakeholders were not aware of the existence of the policy that allows for the mainstreaming of pregnant learners in public schools. Those that indicated that they were aware of it reported to have a fuzzy idea of the policy. It seemed there was no shared understanding of the policy among the stakeholders; as a result the policy was not effectively implemented in the schools. This could also be the reason for the negative attitude shown by some of the school stakeholders to the policy. However, all stakeholders voiced out their opinions about this policy. With regards to the policy implementation they expressed fears that the educators may not be capacitated enough to deal with learner pregnancy and also that the pregnant learners may have a negative influence on other learners. Cultural beliefs and stereotypes seemed to play a role on how the stakeholders perceived the policy that legislated the mainstreaming of pregnant learners.
- Full Text:
- Date Issued: 2013
- Authors: Mahlambeni, Ntombikayise Sylvia
- Date: 2013
- Subjects: Education, Secondary -- South Africa -- Eastern Cape , Teenage pregnancy -- South Africa -- Eastern Cape , Pregnant teenagers -- South Africa -- Eastern Cape , Education and state -- South Africa -- Eastern Cape , School management and organization -- South Africa -- Eastern Cape , Mainstreaming in education -- South Africa -- Eastern Cape , Eastern Cape -- South Africa
- Language: English
- Type: Thesis , Masters , M Ed
- Identifier: vital:16181 , http://hdl.handle.net/10353/d1006236 , Education, Secondary -- South Africa -- Eastern Cape , Teenage pregnancy -- South Africa -- Eastern Cape , Pregnant teenagers -- South Africa -- Eastern Cape , Education and state -- South Africa -- Eastern Cape , School management and organization -- South Africa -- Eastern Cape , Mainstreaming in education -- South Africa -- Eastern Cape , Eastern Cape -- South Africa
- Description: Teenage pregnancy is one of the major factors leading to girls dropping out of school especially in developing countries such as South Africa. To address the problem, the South African government has put forward policies which allow for the continued enrolment of learners who could fall pregnant while at school. However, there is evidence that pregnant learners drop out of school even though these policies are in place. Hence this study investigated the perceptions of the school stakeholders on the mainstreaming of pregnant learners and one of the stakeholders is the pregnant learners themselves. This study also aimed to investigate the way pregnant learners were perceived and treated in their schools and the views of the stakeholders on supporting the pregnant learners academically. It also aimed to explore leadership and management implications of the school stakeholders’ perceptions. This study revealed that some of the stakeholders were not aware of the existence of the policy that allows for the mainstreaming of pregnant learners in public schools. Those that indicated that they were aware of it reported to have a fuzzy idea of the policy. It seemed there was no shared understanding of the policy among the stakeholders; as a result the policy was not effectively implemented in the schools. This could also be the reason for the negative attitude shown by some of the school stakeholders to the policy. However, all stakeholders voiced out their opinions about this policy. With regards to the policy implementation they expressed fears that the educators may not be capacitated enough to deal with learner pregnancy and also that the pregnant learners may have a negative influence on other learners. Cultural beliefs and stereotypes seemed to play a role on how the stakeholders perceived the policy that legislated the mainstreaming of pregnant learners.
- Full Text:
- Date Issued: 2013
Teenage fathers as learners in a Butterworth Secondary School: implications for sex education
- Authors: Njambatwa, Mluleki
- Date: 2013
- Subjects: Teenage pregnancy -- South Africa -- Eastern Cape , Teenagers -- South Africa -- Eastern Cape , High schools -- South Africa -- Eastern Cape , Sex instruction -- South Africa -- Eastern Cape , Teenage fathers -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , M Ed
- Identifier: vital:16195 , http://hdl.handle.net/10353/d1006294 , Teenage pregnancy -- South Africa -- Eastern Cape , Teenagers -- South Africa -- Eastern Cape , High schools -- South Africa -- Eastern Cape , Sex instruction -- South Africa -- Eastern Cape , Teenage fathers -- South Africa -- Eastern Cape
- Description: Teenage pregnancy is one of the social and health problems in many communities of South Africa and is escalating (Richter, 2005). Teenage pregnancy is also a global health problem as it affects the whole world and has been a concern to health workers like medical doctors, nurses, community developers, educators and parents (Maholo, 2009). In addition, the risk of dropping out of school due to pregnancy is considerable to teenagers as it results in a lack of qualifications and future unemployment.The purpose of this study was to determine the perceptions and experience of teenage fathers who are both learners and fathers and their views on the effects of teenage pregnancy. Furthermore, this investigation was undertaken to investigate the implications of teenage fathers‘ experiences on sex education. This study followed qualitative research approach as it is based on male teenage pregnancy which is a real consequence of teenagers engaging in sexual activities (Silverman, 2006). In this study the data collected through in depth interviews and personal journals were analyzed.This study revealed that all the teenage fathers interviewed were not happy that they were teenage fathers instead they were disappointed, shocked, and regretful and did not believe that they could become fathers at their respective ages. They also regretted themselves for becoming teenage fathers as it delays them in their studies. They have been taught about sex education at school in a learning area called life orientation so they do not blame school but themselves for their actions.
- Full Text:
- Date Issued: 2013
- Authors: Njambatwa, Mluleki
- Date: 2013
- Subjects: Teenage pregnancy -- South Africa -- Eastern Cape , Teenagers -- South Africa -- Eastern Cape , High schools -- South Africa -- Eastern Cape , Sex instruction -- South Africa -- Eastern Cape , Teenage fathers -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , M Ed
- Identifier: vital:16195 , http://hdl.handle.net/10353/d1006294 , Teenage pregnancy -- South Africa -- Eastern Cape , Teenagers -- South Africa -- Eastern Cape , High schools -- South Africa -- Eastern Cape , Sex instruction -- South Africa -- Eastern Cape , Teenage fathers -- South Africa -- Eastern Cape
- Description: Teenage pregnancy is one of the social and health problems in many communities of South Africa and is escalating (Richter, 2005). Teenage pregnancy is also a global health problem as it affects the whole world and has been a concern to health workers like medical doctors, nurses, community developers, educators and parents (Maholo, 2009). In addition, the risk of dropping out of school due to pregnancy is considerable to teenagers as it results in a lack of qualifications and future unemployment.The purpose of this study was to determine the perceptions and experience of teenage fathers who are both learners and fathers and their views on the effects of teenage pregnancy. Furthermore, this investigation was undertaken to investigate the implications of teenage fathers‘ experiences on sex education. This study followed qualitative research approach as it is based on male teenage pregnancy which is a real consequence of teenagers engaging in sexual activities (Silverman, 2006). In this study the data collected through in depth interviews and personal journals were analyzed.This study revealed that all the teenage fathers interviewed were not happy that they were teenage fathers instead they were disappointed, shocked, and regretful and did not believe that they could become fathers at their respective ages. They also regretted themselves for becoming teenage fathers as it delays them in their studies. They have been taught about sex education at school in a learning area called life orientation so they do not blame school but themselves for their actions.
- Full Text:
- Date Issued: 2013
An exploratory study of the experiences of black teenage mothers
- Authors: Mpetshwa, Nomonde
- Date: 2001 , 2012-06-20
- Subjects: Teenage pregnancy , Teenage pregnancy -- South Africa -- Eastern Cape , Black teenage mothers -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:704 , http://hdl.handle.net/10962/d1006470 , Teenage pregnancy , Teenage pregnancy -- South Africa -- Eastern Cape , Black teenage mothers -- South Africa -- Eastern Cape
- Description: An exploratory descriptive design was used to explore the experiences of a sample of black teenage mothers of Libode, Ngqeleni and Port St Johns. A St Barnabas Hospital birth record register was used to select seven Xhosa speaking black teenage mothers, with children under a year old who have kept their children and are staying with their extended families. Qualitative interview was used to collect data from the abovementioned respondents. The data one want to use may not feasibly be available in any other form, so that asking people for their accounts, talking and listening to them, may be the only way to get at what you are interested in (Mason 1998:39). Qualitative interview was therefore used to collect data from the abovementioned respondents. Qualitative interview according to Mason (1998:38) involve one to one interaction as in this study, or a larger group, and it carries more advantages in data collection compared to other research tools. Some interesting information, which drew the researcher's attention, was gathered. Information such as the reaction by family members, community and its structures, and peers including teenage fathers, made the research more challenging. The anger showed by brothers of one of respondents raised the researcher's curiosity. Another interesting piece of information that was gathered was the negative reaction by the church. The researcher had no idea that the church can negatively involve itself in community affairs, but one of the respondents reported to have been encouraged by one of the church members to go on with her studies despite her pregnancy. The same applied to some schools, where pregnant teenagers were not allowed to continue schooling, while in other schools the same situation was allowed. The major findings were that, respondents have forfeited some of their favorite hobbies such as extra mural school activities, teenage activities and their lives have been negatively affected by their teenage motherhood in areas such as education, family relations, peer relations including their boyfriends and community. Again lack of support by people close to these young mothers including different professionals has also been identified. It has also transpired during this study that, teenagers can indeed be good mothers, but socioeconomic stress and lack of social support often prevent them from giving their babies a reasonable start in life. Amongst the recommendations made undertaking a bigger study has been suggested
- Full Text:
- Date Issued: 2001
- Authors: Mpetshwa, Nomonde
- Date: 2001 , 2012-06-20
- Subjects: Teenage pregnancy , Teenage pregnancy -- South Africa -- Eastern Cape , Black teenage mothers -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:704 , http://hdl.handle.net/10962/d1006470 , Teenage pregnancy , Teenage pregnancy -- South Africa -- Eastern Cape , Black teenage mothers -- South Africa -- Eastern Cape
- Description: An exploratory descriptive design was used to explore the experiences of a sample of black teenage mothers of Libode, Ngqeleni and Port St Johns. A St Barnabas Hospital birth record register was used to select seven Xhosa speaking black teenage mothers, with children under a year old who have kept their children and are staying with their extended families. Qualitative interview was used to collect data from the abovementioned respondents. The data one want to use may not feasibly be available in any other form, so that asking people for their accounts, talking and listening to them, may be the only way to get at what you are interested in (Mason 1998:39). Qualitative interview was therefore used to collect data from the abovementioned respondents. Qualitative interview according to Mason (1998:38) involve one to one interaction as in this study, or a larger group, and it carries more advantages in data collection compared to other research tools. Some interesting information, which drew the researcher's attention, was gathered. Information such as the reaction by family members, community and its structures, and peers including teenage fathers, made the research more challenging. The anger showed by brothers of one of respondents raised the researcher's curiosity. Another interesting piece of information that was gathered was the negative reaction by the church. The researcher had no idea that the church can negatively involve itself in community affairs, but one of the respondents reported to have been encouraged by one of the church members to go on with her studies despite her pregnancy. The same applied to some schools, where pregnant teenagers were not allowed to continue schooling, while in other schools the same situation was allowed. The major findings were that, respondents have forfeited some of their favorite hobbies such as extra mural school activities, teenage activities and their lives have been negatively affected by their teenage motherhood in areas such as education, family relations, peer relations including their boyfriends and community. Again lack of support by people close to these young mothers including different professionals has also been identified. It has also transpired during this study that, teenagers can indeed be good mothers, but socioeconomic stress and lack of social support often prevent them from giving their babies a reasonable start in life. Amongst the recommendations made undertaking a bigger study has been suggested
- Full Text:
- Date Issued: 2001
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