- Title
- A critical discourse analysis of the construction of adolescent-friendly services within training documents used by the National Adolescent-friendly Clinic Initiative in South Africa
- Creator
- Ferrucci, Daniella
- Subject
- Discourse analysis Teenagers Reproductive health
- Date Issued
- 2018
- Date
- 2018
- Type
- Thesis
- Type
- Masters
- Type
- MSoc
- Identifier
- http://hdl.handle.net/10353/12722
- Identifier
- vital:39315
- Description
- The objective of this study was to critically explore the construction of adolescent and youth sexual and reproductive health and services within the South African National Adolescent-Friendly Clinic Initiative (NAFCI), by examining the training manuals and information booklets used to train the health service providers working within this programme. This was completed through the use of Foucauldian discourse analysis (FDA) and positioning theory. FDA was used to look for themes or discourses that emerged in the text, and to examine the role that power and language played in the talk around adolescent sexual and reproductive health. Positioning theory was used to explore the manner in which the young woman and health service provider were positioned within the documents, and the implications this had in relation to sexual and reproductive health and services. The discourses that emerged included discourses of risk, namely the “adolescent-in-transition” and the “sex-as-danger-and-disease” discourse; followed by the empowering discourse, the discourse of rights and responsibility, expert advice, and management and surveillance. These discourses generally depicted adolescent sexual and reproductive health in a mostly negative and problematic manner, which needed to be managed and governed by the more powerful and dominant medical expert. These discourses also positioned the young woman and the health care provider in contradictory ways. The young woman was either positioned as risk-seeking and problematic, due to her sexual behaviour, leaving her vulnerable in terms of her health and power; or she was positioned in a positive, healthy and responsible light. The health service provider was also positioned in contradictory ways. First she was positioned as an advisor and expert, due to her knowledge and skills; but then her position shifts into that a problem and a hindrance to accessing sexual and reproductive health services. The implications of these discourses serve to make sexual and reproductive healthcare a problem located within the individual. It fails to acknowledge the structural imbalances that are known to South Africa, but rather tries to construct it as a problem that needs to be managed by placing responsibility on the young woman and the health service providers.
- Format
- 94 leaves
- Format
- Publisher
- University of Fort Hare
- Publisher
- Faculty of Social Sciences and Humanities
- Language
- English
- Rights
- University of Fort Hare
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