scholarly journals Experiences Leading to the Choice of Termination of Pregnancy Amongst Teenagers at a Regional Hospital in Mpumalanga Province, South Africa

2020 ◽  
Vol 13 (1) ◽  
pp. 489-496
Author(s):  
Tebogo M. Mothiba ◽  
Livhuwani Muthelo ◽  
Khatazile Mabaso
Keyword(s):  
South Africa ◽  
Unplanned Pregnancy ◽  
Family Members ◽  
Termination Of Pregnancy ◽  
Structured Interviews ◽  
Mpumalanga Province ◽  
Supportive Environment ◽  
Department Of Health ◽  
Unwanted Pregnancies ◽  
Post Abortion

Background: In order to promote women’s rights relating to their sexual and reproductive health, termination of pregnancy in South Africa was introduced. Health professionals are expected to assist women in realizing their wishes if they want to terminate unwanted pregnancies. Unfortunately, women still experience challenges relating to the Termination of Pregnancy, more specifically, pregnant teenagers. Aim: The purpose of this study was to describe and explore the occurrences leading to the termination of pregnancy amongst teenagers. Methods: The qualitative research method was adopted to determine occurrences related to the Choice of Termination of Pregnancy amongst teenagers in Mpumalanga Province. Data were collected by conducting semi-structured interviews with teenagers to gain insight into the phenomenon studied. Permission to conduct the study at the hospital was obtained from the Department of Health Mpumalanga Province and written informed consent was obtained from participants prior to the sessions. Teenagers between the ages of 13-19 years who opted for, or had already, terminated their pregnancy participated in the study. Results The study revealed that the termination of unplanned pregnancy amongst teenagers was influenced by different life experiences. Those experiences are 1) the concern of being rejected by parents and other family members, 2) fear of being ridiculed by peers and the entire community, 3) feelings of embarrassment and shame, and 4) how the teen’s parents are likely to react when they are made aware of the pregnancy. Conclusions and Recommendations: The study revealed different circumstances, which contributed to the decision of some pregnant teenagers to opt for the termination of their pregnancy. It is of vital importance that support services be available continuously for the teenagers who opted for termination of pregnancy. More importantly, the supportive environment created by family members and close friends is of the utmost importance, because they are better placed to see the changes or see how the teens are coping pre- and post-abortion. This will enable teenagers to feel that they are not alone and enable them to cope in both pre-and-post phases.

scholarly journals NATURE-BASED TOURISM ENTERPRISE ADAPTIVE RESPONSES TO COVID-19 IN SOUTH AFRICA

2021 ◽  
Vol 36 (2spl) ◽  
pp. 698-707
Author(s):  
Julia K. GIDDY ◽  
◽  
Jayne M. ROGERSON ◽  
Keyword(s):  
South Africa ◽  
Domestic Market ◽  
Government Support ◽  
Adaptive Responses ◽  
Structured Interviews ◽  
Mpumalanga Province ◽  
Tourism Product ◽  
Negative Impacts ◽  
Direct Government ◽  
Wage Cuts

COVID-19 is forcing a re-orientation of tourism research agendas. Emerging themes relate to ramification, transformation and adaptation. The aim of this paper is to contribute to the research cluster on adaptation by examining tourism business adaptive responses to COVID-19 through the lens of a case study destination in the global South, namely Bushbuckridge in Mpumalanga Province, South Africa. The methods implemented were qualitative, using semi-structured interviews. Data was analysed from 20 interviews conducted with enterprise owners or managers in a nature tourism destination which is one of South Africa’s tourism-dependent areas and thus most exposed to the negative impacts of COVID-19. The results show that adaptation to the crisis has been challenging because of the financial impacts experienced by these enterprises in the wake of minimal government support. The enterprise adaptive responses included staff reductions and wage cuts, adjustments towards the domestic market through price cutting and changes in marketing as well as adjusted tourism product offerings towards an emerging Black middle class domestic market. Of critical importance is the finding that these adaptive measures cannot replace the revenues formerly generated from the international tourism market. Accordingly, without a change in government policy and the availability of direct government financial support, there is a danger that in the short term the tourism product base will be diminished as many lodges and other tourism businesses are in danger of permanent closure.

scholarly journals Psychological ailments and their treatment protocols: a case study of Swati traditional healers in Mpumalanga Province, South Africa

2021 ◽  
Vol 21 (2) ◽  
pp. 884-895
Author(s):  
Anastasia Ngobe ◽  
Sebua Semenya ◽  
Tholene Sodi
Keyword(s):  
South Africa ◽  
Mental Illness ◽  
South African ◽  
Health Sector ◽  
Treatment Protocol ◽  
Traditional Healers ◽  
Integrated Treatment ◽  
Structured Interviews ◽  
Treatment Protocols ◽  
Mpumalanga Province

Background: Evidence suggests that South African traditional healers (THs) treat various mental complaints. However, there is little literature on Swati THs’ accounts on this subject. The current study therefore, sought to address this gap. Methods: Data was gathered using qualitative research methods, namely semi-structured interviews with 10 purposely sampled Swati THs practicing in the Kanyamazane peri-urban township (Mpumalanga Province, South Africa). Data was thematically analysed. Results: Results showed that THs treat seven psychological aliments, viz. adjustment disorders, depression, mental illness due to ancestral calling, mental illness due to bewitchment, mental illness due to breaking of taboos, psychotic disturbance and substance induced mental illness. Generally, an integrated treatment protocol was utilised by THs to treat and manage these disorders. Most of these procedures are acceptable from either folkloric or scientific viewpoint, and have demonstrat- ed certain level of efficacy in treating mental illness. Conclusion: Taken together, the evidence presented indicates that Swati THs use different traditional methods to manage various mental complaints. In doing so, they carry a large share of the community caseload for mental health, whilst admit- ting patients in their homes for extended periods of time, and also referring some (patients) for additional care within the Western health sector. Keywords: Mental illness; Mpumalanga; Swati; traditional healers; treatment methods; psychological ailments.

scholarly journals Contraceptive practices among women seeking termination of pregnancy in one public hospital in Eastern Cape, South Africa

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Ebenezer O. Oluwole ◽  
Linda Skaal
Keyword(s):  
South Africa ◽  
South African ◽  
Public Hospital ◽  
Unplanned Pregnancy ◽  
Cross Sectional Study ◽  
Termination Of Pregnancy ◽  
Eastern Cape ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

Background: There is significantly high contraceptive knowledge in South Africa, but the uptake of contraceptives is average to low with resultant soaring of unplanned pregnancy and rising statistics of termination of pregnancy (TOP) services. This study aimed to establish the contraceptive practices among women in the South African population seeking TOP in one public hospital in Eastern Cape, South Africa.Methods: A cross-sectional study was carried out among women seeking TOP in a women’s clinic. Self-administered questionnaires were used as data collection tool, and the data collected were entered into SPSS software for analysis, using descriptive statistics to calculate frequencies and percentages while chi-square test was used to determine the associations between the socio-demography and contraceptive practices of the participants.Results: Majority of the women were aged between 20 and 29 years, had secondary education, unemployed, single and resided in townships. Contraceptive uptake prior to termination of pregnancy (CTOP) among them was 44.1%, but 85.8% had good contraceptives knowledge. Their contraceptive practices are determined by partner’s opinion, source and availability of contraceptives, previous CTOP, side effect of contraceptives and having children. Age group, educational level and employment status were found to be related to the contraceptive practices of the participants but were not statistically significant.Conclusion: To reduce unplanned pregnancies and subsequent number of women seeking CTOP, the socio-economic factors associated with contraceptive practices as well as the programmes, policies and guidelines of contraceptives need to be improved on for any improvement on the factors determining contraceptive practices.

scholarly journals Contraceptive challenges experienced by women who requested termination of pregnancy services in the Mpumalanga Province

2006 ◽  
Vol 11 (1) ◽  
Author(s):  
A N Mbokane ◽  
V J Ehlers
Keyword(s):  
South Africa ◽  
Full Text ◽  
Termination Of Pregnancy ◽  
Mpumalanga Province

Although contraceptives are available free of charge throughout South Africa, the number of requests for termination of pregnancy (TOP) services continues to increase. Opsomming Alhoewel voorbehoedmiddels gratis dwarsdeur Suid-Afrika beskikbaar is, word die aanvraag vir dienste vir die beeïndiging van swangerskap al groter. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

scholarly journals The Impact of Xenophobic Attacks on the Livelihoods of Migrants in Selected Provinces of South Africa

2020 ◽  
Vol 10 ◽  
pp. 254-259
Author(s):  
Enoch Rabotata ◽  
◽  
Jabulani Makhubele ◽  
Themba Baloyi ◽  
Prudence Mafa ◽  
...  
Keyword(s):  
South Africa ◽  
Rural Areas ◽  
Sampling Technique ◽  
Undocumented Migrants ◽  
Snowball Sampling ◽  
Structured Interviews ◽  
North West ◽  
Mpumalanga Province ◽  
The Impact

Migration and xenophobia are realities that cannot be ignored globally. Recently, there has been a plethora of xenophobic attacks as a result of structural and socio-economic conditions in South Africa. This paper aimed to establish the impact of xenophobic attacks on the livelihoods of migrants in selected provinces of South Africa. Researchers opted for a qualitative study using a case study design. Participants were drawn from the population in Limpopo, North-West and Mpumalanga Province. A snowball sampling technique was used to sample seven migrants from Zimbabwe, India, and Ethiopia using semi-structured interviews. Data were analysed thematically. The study revealed that most migrants who reside in the rural areas of South Africa seldom experience xenophobic attacks, and therefore their livelihoods are not always negatively affected. The study concluded that displacement, deportation, and loss of income due to xenophobic attacks are experiences of undocumented migrants in the cities and not in the rural areas. This study also makes recommendations that migration management policies be implemented fully in the rural areas because this is where undocumented migrants find comfort.

scholarly journals FACTORS CONTRIBUTING TO POOR LEARNER PERFORMANCE IN MATHEMATICS: A CASE OF SELECTED SCHOOLS IN MPUMALANGA PROVINCE, SOUTH AFRICA

2021 ◽  
Vol 79 (3) ◽  
pp. 451-466
Author(s):  
Nomsa Mabena ◽  
Patricia Namayammu Mokgosi ◽  
Selina Serole Ramapela
Keyword(s):  
South Africa ◽  
Study Design ◽  
Professional Training ◽  
School Management ◽  
Mathematics Performance ◽  
Structured Interviews ◽  
Mpumalanga Province ◽  
Learner Performance ◽  
Case Study Design

Learners’ mathematics performance globally and locally has been a major concern. Learners are generally not performing well in mathematics. This is also true of learners in Kwagga West Circuit, Nkangala district in Mpumalanga province of South Africa. Performing badly in the subject negatively affects them, preventing them from progressing to the next grades. This research employed a qualitative case study design with observation and semi-structured interviews with a sample of three school management team (SMT) members, six teachers, nine learners, and three parent component members of the school governing body (SGB) to determine factors affecting learner performance in mathematics in the senior phase. The results showed that numerous factors influenced learners’ confidence and performance. The factors found to have an impact on mathematics performance were learner related, such as ill-discipline, language barriers and learner attitudes. Teachers’ factors included lack of pedagogical content knowledge and skill, and lack of appropriate professional training. Finally, the study offers suggestions for further research and recommendations regarding learners, teachers, schools, school management teams, the parents, as well as for the national education ministry. Keywords: poor performance, senior phase, qualitative research, case study design

CONTRACEPTION IN DIABETIC PATIENTS

1974 ◽  
Vol 77 (3_Suppl) ◽  
pp. S87-S94 ◽  
Author(s):  
J. Wiese ◽  
M. Osler
Keyword(s):  
Side Effects ◽  
Contraceptive Method ◽  
Low Dose ◽  
Unplanned Pregnancy ◽  
Intrauterine Device ◽  
Diabetic Patients ◽  
Intrauterine Contraception ◽  
Unwanted Pregnancies ◽  
Unreliable Method ◽  
Retrospective Investigation

ABSTRACT A retrospective investigation was made of contraception in diabetic women delivered in our department in 1969 and 1970. Seventy-nine (69 per cent) answered the questionnaires. About one third had found the contraceptive instruction insufficient. A shift from conventional to intrauterine contraception and sterilization was seen, but nearly 25% of the patients were still using conventional methods, mainly the condom. The patients consider this an unreliable method. Thirty-three patients were using intrauterine contraception. Although 10 of them had bleeding irregularities, all were satisfied with the method. Sterilization had been performed on 17 patients, all of whom were fully satisfied and had experienced no side effects. Four of 11 insulin-requiring diabetics, who have used combined oestrogen-progesterone medication have had difficulties in the regulation of the diabetes. Of 24 unwanted pregnancies 12 occurred since the hospitalization in 1969 and 1970. In diabetic women the contraceptive method should either be sterilization, intrauterine device or low dose progestagens, and only in a few cases conventional. A thorough contraceptive instruction as well as a close control of the diabetic women are of importance in order to avoid unplanned pregnancy. The best way to achieve this is by having an out-patient clinic in connection with the obstetrical department to supervise contraception in all diabetic women in the area.

VIRGINITY TESTING PRACTICES: THE BEST OF BOTH WORLDS

2016 ◽  
Vol 26 (1) ◽  
Author(s):  
Sheila Mokoboto-Zwane
Keyword(s):  
South Africa ◽  
Cultural Beliefs ◽  
Cultural Practice ◽  
Bodily Integrity ◽  
Sexually Transmitted ◽  
Young Females ◽  
Unwanted Pregnancies ◽  
The Right ◽  
Democratic Elections ◽  
Virginity Testing

Controversy continues to surround the age-old practice of virginity testing, which in South Africa made a visible comeback around the time of the country’s first democratic elections when most South Africans began to feel free to practise their cultural beliefs without fear. It coincided with the period when the HIV pandemic began to take hold. It is practised mainly in some countries of Asia and Africa, and in South Africa it is practised mainly amongst amaZulu. It is believed that this practice prevents unwanted pregnancies and sexually transmitted diseases (STDs), especially HIV/AIDS, as well as engendering a sense of pride in teenage and young females, in particular. However, some individuals, organisations and sectors of the community frown upon the practice because it violates constitutional laws that protect the right to equality, privacy, bodily integrity and sexual autonomy. The purpose of this article is to present current discourse on the cultural practice of virginity testing and the controversies surrounding this discourse. This article draws its arguments from the existing literature on virginity testing.

SUSTAINING FAMILY ROUTINES AFTER TRANSITIONING INTO PARENTHOOD: COUPLES’ PERCEPTIONS OF ASSISTING FACTORS

2016 ◽  
Vol 28 (1) ◽  
pp. 3-17
Author(s):  
Christine De Goede ◽  
Abraham P Greeff
Keyword(s):  
Low Income ◽  
Transition To Parenthood ◽  
Specific Problem ◽  
Family Members ◽  
Major Theme ◽  
Structured Interviews ◽  
Theory Analysis ◽  
Family Routines ◽  
Temporal Complexity ◽  
Context Specific

The aim of this qualitative study was to explore what assists couples in sustaining family routines after the transition to parenthood. Participants were recruited from two day-care centres in Cape Town, South Africa. In-depth, semi-structured interviews were conducted with 10 couples, mostly from low-income households, who had gone through this transition between one and four years previously. Grounded theory analysis revealed one major theme, Factors that decrease task and temporal complexity, with seven subthemes: Support from the wider family network; Couple cooperation and tag-teaming; Planning and pre-empting future problems; Adhering to schedules; Facilitative characteristics and skills of individual family members; Parents’ sense of commitment and responsibility towards family members; and idiosyncratic accommodations. Results underscore the need for professionals to help parents gain support from relatives; strengthen partner teamwork; foster schedule consistency; improve skills such as planning; foster their caretaker self-concepts; and facilitate context-specific problem-solving.

Lived Experiences of Young People who Live with Mental Healthcare Users in Limpopo, South Africa

2020 ◽  
Vol 22 (2) ◽  
Author(s):  
Mamakota Maggie Molepo ◽  
Faniswa Honest Mfidi
Keyword(s):  
South Africa ◽  
Mental Illness ◽  
Young People ◽  
Lived Experiences ◽  
Daily Living ◽  
Support Systems ◽  
Family Members ◽  
Mental Healthcare ◽  
Limpopo Province ◽  
Burden Sharing

Mental illness is more than just the diagnosis to an individual – it also has an impact on the social functioning of the family at large. When a parent or relative has a mental illness, all other family members are affected, even the children. The purpose of the study was to provide insight into the lived experiences of young people who live with mental healthcare users and the way in which their daily coping can be maximised. A qualitative, descriptive, phenomenological research was undertaken to explore and describe the lived experiences of young people who live with mental healthcare users in the Limpopo province, South Africa. Audiotaped, unstructured in-depth interviews were conducted with 10 young people who grew up and lived with a family member who is a mental healthcare user in their homes, until data saturation was reached. A content analysis was used to derive themes from the collected qualitative data. Four major themes emerged as features reflective of the young people’s daily living with mental healthcare user, namely psychological effects, added responsibilities, effects on school performances, and support systems. This study recommends that support networks for young people be established through multidisciplinary team involvement and collaboration and the provision of burden-sharing or a relief system during times of need. With the availability of healthy coping mechanisms and support systems, the daily living situations and coping of young people could be maximised, thereby improving their quality of life while living with their family members with mental illness.

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