Experiences of Hearing Parents Following the Diagnosis of Their Child's Hearing Loss

Author(s):  
Ronel Sanet Davids ◽  
Mariana De Jager

An estimated 90 per cent of children with a hearing loss are born to hearing parents. Most parents are unprepared for the diagnosis, leaving them shocked, confused, sad and bewildered. This article reports on a study aimed at exploring and describing the experiences of hearing parents regarding their child’s hearing loss. The study was conducted in Cape Town, South Africa. The study applied a qualitative methodology with a phenomenological design. Purposive sampling was implemented and data were collected by means of unstructured in-depth interviews. Data were analysed using thematic analysis. Ethical considerations were adhered to. The main findings of the study indicated that hearing parents experience a myriad of emotions when their child is diagnosed with a hearing loss. This study advocates for various stakeholders in the helping profession to collaborate in the best interest of hearing parents and a child with hearing loss. Furthermore, these findings serve as guidelines for professionals working with these families.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Lorrein Shamiso Muhwava ◽  
Katherine Murphy ◽  
Christina Zarowsky ◽  
Naomi Levitt

Abstract Background The diagnosis of gestational diabetes mellitus (GDM) may affect women’s mental wellbeing, functioning and quality of life, with potentially negative effects on treatment adherence. Identifying and addressing the psychological and emotional needs of women with GDM, could have benefits for sustainable long-term behavioural change following the affected pregnancy. This study explored the lived experiences of women with GDM and the impact of GDM on their experience of pregnancy and sense of well-being. Methods Purposive sampling was used to recruit women who had been diagnosed with GDM in their previous pregnancy and received antenatal care at a tertiary hospital in Cape Town, South Africa. This was a descriptive qualitative study using a combination of focus groups and in-depth interviews for an in- depth exploration of women’s lived experiences of GDM, their context and perceived needs. Data analysis followed an iterative thematic analysis approach. Results Thirty-five women participated in nine focus groups and five in-depth interviews. Women discussed the emotional and psychological burden of having GDM, highlighting (i) their initial emotional reactions to receiving a GDM diagnosis, (ii) their experience of adjusting to the constraints of living with GDM (iii) their feelings of apprehension about childbirth and their maternal role and (iv) their feelings of abandonment in the post-partum period once the intensive support from both health system and family ends. Conclusions The current biomedical model used in the management of GDM, is highly foetal-centric and fails to acknowledge important psychological factors that contribute to women’s overall wellbeing and experience of pregnancy. These results demonstrate the importance of incorporating mental health support in the management and care for women with GDM in public health services, along with facilitating emotional support from partners and family members. Based on our findings, we recommend routine mental health and psychosocial vulnerability screening and monitoring for women diagnosed with GDM throughout pregnancy and postpartum to improve prognoses.


2019 ◽  
pp. 1354067X1989493
Author(s):  
Subaita Zubair ◽  
Urwah Ali

The present psychological anthropological study tends to explore the perception of single men and their understanding of cultural role regarding post-marriage body between both genders. A qualitative methodology of in-depth interviews and one focus group discussion were employed. The sample included late adolescents (aged 18–24) and early adults (24–34) from Islamabad and Rawalpindi (Pakistan). Purposive sampling was applied and thematic analysis was used as a qualitative paradigm. The number of respondents comprised of 17 males of which each 7 were gym-goers. Results highlighted that Pakistani culture has its biased and paradoxical ways when it comes to expectations genders face with regard to body after marriage. Overall, males have an upper hand when it comes to body image both pre and post marriage. With the female body, men associate modesty and role of spouse and with their own body its supremacy. Expectations are not much held for men with regard to body image, but if they are looking after their body, it is all out of their own will, needs, reason and to some extent on spouse demand.


2014 ◽  
Vol 653 (1) ◽  
pp. 183-201 ◽  
Author(s):  
Chandré Gould

This article examines the complex arrangements within which women working in prostitution in South Africa find themselves, and documents their resilience in a hazardous work environment. Findings are drawn from a survey and in-depth interviews with sex workers in Cape Town that investigated the nature and extent of human trafficking in the sex industry, and from a separate survey of sex workers during the World Cup in South Africa in 2010. The findings provide the basis for a critique of Western rescue missions and the larger antitrafficking movement.


Multilingua ◽  
2017 ◽  
Vol 36 (5) ◽  
Author(s):  
Justin Brown ◽  
Ana Deumert

AbstractIn this article we provide a discussion of present-day Khoisan activism in Cape Town, South Africa. The main actors in this movement are people whose heritage is complex: their history can be traced back to the early days of the colonial settlement, reflecting the interactions and cohabitation of the indigenous Khoisan, slaves and the European settlers. Currently, their main languages are English and Afrikaans; yet, efforts are also made by activists to learn Khoekhoegwab. In discussing the Khoisan resurgence we draw on a wide range of sources. The data include: in-depth interviews with language activists; video and audio recordings of ceremonies and other cultural events; discussions and performance of language and identity on blogs and tweets; newspapers; linguistic landscapes; and, finally, artistic performances (with particular focus on the hiphop opera


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elzette Rousseau ◽  
Linda-Gail Bekker ◽  
Robin F. Julies ◽  
Connie Celum ◽  
Jennifer Morton ◽  
...  

Abstract Background Daily doses of pre-exposure prophylaxis (PrEP) can reduce the risk of acquiring HIV by more than 95 %. In sub-Saharan Africa, adolescent girls and young women (AGYW) are at disproportionately high risk of acquiring HIV, accounting for 25 % of new infections. There are limited data available on implementation approaches to effectively reach and deliver PrEP to AGYW in high HIV burden communities. Methods We explored the feasibility and acceptability of providing PrEP to AGYW (aged 16–25 years) via a community-based mobile health clinic (CMHC) known as the Tutu Teen Truck (TTT) in Cape Town, South Africa. The TTT integrated PrEP delivery into its provision of comprehensive sexual and reproductive health services (SRHS). We analyzed data from community meetings and in-depth interviews with 30 AGYW PrEP users to understand the benefits and challenges of PrEP delivery in this context. Results A total of 585 young women started PrEP at the TTT between July 2017 – October 2019. During in-depth interviews a subset of 30 AGYW described the CMHC intervention for PrEP delivery as acceptable and accessible. The TTT provided services at times and in neighborhood locations where AGYW organically congregate, thus facilitating service access and generating peer demand for PrEP uptake. The community-based nature of the CMHC, in addition to its adolescent friendly health providers, fostered a trusting provider-community-client relationship and strengthened AGYW HIV prevention self-efficacy. The integration of PrEP and SRHS service delivery was highly valued by AGYW. While the TTT’s integration in the community facilitated acceptability of the PrEP delivery model, challenges faced by the broader community (community riots, violence and severe weather conditions) also at times interrupted PrEP delivery. Conclusions PrEP delivery from a CMHC is feasible and acceptable to young women in South Africa. However, to effectively scale-up PrEP it will be necessary to develop diverse PrEP delivery locations and modalities to meet AGYW HIV prevention needs.


2020 ◽  
pp. 1097184X2098202
Author(s):  
esethu monakali ◽  
Dennis A. Francis

This research extends our understanding of trans masculinity in South Africa. Drawing on in-depth interviews with seven trans masculine-identified individuals, we analyze the discourses that trans masculine individuals draw on to make sense of their experiences of gender and their embodiment and performance of masculinity. There are three key findings. First, we found that trans masculine people deploy competing discourses of gender to make sense of their gender performativity. Second, participants drew on discourses of sexism, genderism, and transphobia to illustrate the complexity of constructing counter-normative masculine subject positions. Finally, while trans masculine individuals discursively positioned their masculinities as caring, their constructions of masculinity simultaneously contained complicity with dominant discourses about hegemonic masculinity. The findings highlight the diversity and complexity of masculine subject positions taken up by trans masculine individuals.


2016 ◽  
Vol 2 (1) ◽  
pp. 67-83 ◽  
Author(s):  
Livhuhani Manyatshe ◽  
Mzikazi Nduna

Children who grow up not knowing their biological fathers blame their mothers for being secretive and alienating them from their fathers. Research on undisclosed fathers has not shed light on why mothers would not inform the children of their fathers’ identities. This study, set in South Africa, explored maternal non-disclosure with the specific aim of creating an understanding of women’s motivations for withholding information or not introducing a child to his/her father. The research employed an exploratory qualitative approach and used an interpretive approach to garner from narratives of mothers and guardians their experiences of living with non-disclosure. Eight, one-on-one in-depth interviews were conducted with participants aged 33 to 60. Through thematic analysis, women’s first-hand accounts could be described and the essence of the phenomenon for all the participants collated. The findings suggest a supposition that there were broader challenges for mothers on how to go about the disclosure in terms of what to say to the child, and at what age it would be appropriate to start discussing the father. The fleeting discussions that did at times occur around the father indicate that disclosure is not a static event, but rather a fluid and an ongoing process. Based on the findings of our research this article provides insight into supportive strategies that may be devised to aid mothers who wish to disclose


2017 ◽  
Vol 18 (1) ◽  
Author(s):  
Laura J. Heathfield ◽  
Sairita Maistry ◽  
Lorna J. Martin ◽  
Raj Ramesar ◽  
Jantina de Vries

2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
Sphiwe Madiba ◽  
Mathildah Mokgatle

Background.There is limited research on the disclosure experiences of adolescents with perinatal acquired HIV (PAH). The study explores how adolescents with PAH experience living with HIV and examined their perceptions and experiences regarding disclosure and onward self-disclosure to friends and sexual partners.Methods.Thematic analysis was used to analyze in-depth interviews conducted with 37 adolescents.Findings.Adolescents received disclosure about their status at mean age of 12 years. They perceived disclosure as necessary and appreciated the truthful communication they received. Adolescents have learned to accept and live with HIV, and they desired to be healthy and normal like other people. After receiving disclosure, they found their treatment meaningful, and they adhered to medication. However, they also expressed a strong message that their HIV status was truly their secret and that self-disclosure to others will take the feeling of being normal away from them because they will be treated differently.Conclusion.Adolescents maintained secrecy in order to be accepted by their peers but also to protect themselves from stigma and isolation. Given that adolescents want to be informed of their HIV status but desire controlling self-disclosure of their HIV status, these should form the basis for development of disclosure interventions.


2015 ◽  
Vol 16 (2) ◽  
pp. 44-56 ◽  
Author(s):  
Jane Kerr ◽  
P Brysiewicz ◽  
B R Bhengu

Managing a workforce suffering from HIV and TB leads to management and administrative issues for nurse managers to deal with. The purpose of this study is to describe the experiences in the management of a nursing workforce suffering from HIV and TB in selected hospitals in South Africa. An interpretive constructionist ethnography using qualitative research methods in selected hospitals in KwaZulu-Natal, South Africa was conducted. In depth interviews were conducted with 17 participants in 5 hospitals; the interviews were transcribed verbatim and analysed using thematic analysis. The nurse managers described administrative, emotional, employee personal protection and the burden of death as the categories which emerged from the data.  A theme emerged regarding the ambivalence between making decisions which are best for the patients and those which are best for the ill nurse. The burden experienced by nurse managers need to be understood and these require organizational support. Understanding the human resource management experiences of nurse managers managing HIV and TB infected nurses in a workforce may guide nurse managers working in similar contexts, with similar HIV and TB prevalence to that of Southern Africa.


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