Vulnerable Youth or Vulnerabilising Contexts? A Critical Review of Youth Sexual and Reproductive Health and Rights (SRHR) Policies in Eastern and Southern Africa
- Authors: Lynch, Ingrid , Macleod, Catriona I , Chiweshe, Malvern T , Moore, Sarah A
- Date: 2024
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/461035 , vital:76075 , https://doi.org/10.1007/s13178-024-01018-y
- Description: Policy decisions about young people’s sexual and reproductive health and rights (SRHR) have far-reaching implications for their well-being. Few SRHR policies, however, focus specifically on youth. Rather, youth SRHR tends to be subsumed within national policies of Health, Youth, Education and Development Ministries, particularly in the Eastern and Southern Africa (ESA) region, complicating an assessment of the overall state of youth SRHR policies. Given the fact that youth SRHR policies focus on a particular segment of the population—youth, teenagers or adolescents—how policies depict these subjects has implications for how policy objectives, programmes and interventions are conceptualised and the kind of sexual and reproductive health concerns that are prioritised.
- Full Text:
- Date Issued: 2024
'Choice' in women's abortion decision-making narratives: Introducing a supportability approach
- Authors: Mavuso, Jabulile M-J J , Chiweshe, Malvern T , Macleod, Catriona I
- Date: 2020
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/446220 , vital:74482
- Description: Liberal abortion legislation emphasises pregnant persons' autonomous choices in abortion decision-making. Within psychological theories, decision-making is understood as largely individual, rational and cognitive, with various factors affecting women's1 abortion decision-making. In this study, purposively recruited from three sites in South Africa and three sites in Zimbabwe, 25 and 18 women, respectively, participated in narrative interviews which were analysed using thematic analysis and a supportability framework. Participants' narratives constructed continuation of the pregnancy as a 'non-option, abortion emerging as the only solution. Economic resources, gender norms and partnerships, and the undesirability of the pregnancy meant the pregnancy was unsupportable at micro- and macro-levels, and sometimes despite parenting being desired by the women. A supportability framework offers opportunities to understand reproductive decision-making as imbricated in the circumstances of the pregnancy which render it (un)supportable, therefore opening up or closing down particular decisions. This framework enables a necessary shift, towards systemic understandings of decision-making, and a possible reduction in abortion-related stigma.
- Full Text:
- Date Issued: 2020
Overcoming essentialism in community psychology: The use of a narrative-discursive approach within African feminisms
- Authors: Mavuso, Jabulile M-J J , Chiweshe, Malvern T , Macleod, Catriona I
- Date: 2019
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434131 , vital:73033 , ISBN 978-3-030-20000-8 , https://doi.org/10.1007/978-3-030-20001-5_2
- Description: A decolonial feminist community psychology approach understands individual experience as being embedded in, enabled and shaped by discursive and social power relations, and that transformative change is only possible through this contextualised understanding of individual experiences. African feminisms have been concerned with the challenging task of exploring and producing accounts of the complexity and multiplicity in womxn’s (and mxn’s) experiences of localised, multiple forms of oppression and the resistances enacted against them. We demonstrate how the utilisation of a narrative-discursive method in research that is guided by poststructural and postcolonial African feminist theorising may be a useful tool in realising the goals and aims of both decolonial feminist community psychology, and African feminist theorising. In this chapter, we draw on research that explored Zimbabwean womxn’s narratives of abortion decision-making and South African womxn’s and healthcare providers’ narratives of their experiences of the pre-abortion counselling healthcare encounter in the Eastern Cape public health sector. We also draw on our own intervention, a policy brief that had been developed into pre-abortion counselling guidelines which were informed by womxn’s narrated experiences. We argue that applying a narrative-discursive approach to African feminist theorising enables understandings of African womxn’s experiences and resistances which are informed by definitions of racial identity and culture, womxnhood, and social reality as dynamic social concepts and practices. These kinds of understandings facilitate community psychology interventions that are relevant and ‘emancipatory’ as they stem from the multiplicity of participants’ narrated experiences and the social and discursive power relations implicit in these narratives.
- Full Text:
- Date Issued: 2019
Psychological knowledge production about abortion: the politics of location and representation
- Authors: Macleod, Catriona I , Mavuso, Jabulile M-J J , Chiweshe, Malvern T , du Toit, Ryan
- Date: 2019
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/443734 , vital:74148 , xlink:href="https://doi.org/10.1136/bmjsrh-2018-200208"
- Description: Despite considerable psychology research being conducted on abortion, there has been no study of the history of psychological knowledge production on the topic. The aim of our research was to analyse journal articles published in English language psychology journals using a politics of location and of representation analytical lens.
- Full Text:
- Date Issued: 2019
A critical review of sanctioned knowledge production concerning abortion in Africa: Implications for feminist health psychology
- Authors: Macleod, Catriona I , Chiweshe, Malvern T , Mavuso, Jabulile M-J J
- Date: 2018
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444212 , vital:74207 , xlink:href="https://doi.org/10.1177/1359105316644294"
- Description: Taking a feminist health psychology approach, we conducted a systematic review of published research on abortion featured in PsycINFO over a 7-year period. We analysed the 39 articles included in the review in terms of countries in which the research was conducted, types of research, issues covered, the way the research was framed and main findings. Despite 97per cent of abortions performed in Africa being classifiable as unsafe, there has been no engagement in knowledge production about abortion in Africa from psychologists, outside of South Africa. Given this, we outline the implications of the current knowledge base for feminism, psychology and feminist health psychology in Africa.
- Full Text:
- Date Issued: 2018
African men and feminism: Reflections on using African feminism in research
- Authors: Chiweshe, Malvern T
- Date: 2018
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/453293 , vital:75243 , https://doi.org/10.1080/10130950.2018.1460088
- Description: The role of African men in African feminism is a precarious one. At the core are debates on whether African men can be feminist. Using my personal experiences as a starting point I navigate these debates. I delve into the politics of the term feminist and conclude, as Ratele and Botha (2013) did, that African men cannot be feminists but pro-feminists. The use of the identifier pro-feminist assists in not silencing African women’s voices. The adaptation of the identifier does not mean African men have no role to play in African feminism; in these spaces African men, acting as collaborators, can apply African feminist methods in their work as it provides rich analysis on the postcolonial position of women in Africa. I use my experiences of doing a PhD on abortion (a highly stigmatised research area in Africa) to illustrate how African feminist methods can enrich our analysis when researching Africa. I propose that it is only through collaborations between African women and men that issues of gender can continue to be addressed on the continent. African feminist methods provide useful tools for African men to challenge and problematise masculinities. I also warn against the danger of not reflecting on male privilege within the research space and how this can lead to a silencing of women’s voices.
- Full Text:
- Date Issued: 2018
Contesting sexual violence policies in higher education: the case of Rhodes University
- Authors: Macleod, Catriona I , Böhmke, Werner , Barker, Kim , Mavuso, Jabulile M-J J , Chiweshe, Malvern T
- Date: 2018
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444275 , vital:74212 , xlink:href="https://www.emerald.com/insight/content/doi/10.1108/JACPR-05-2017-0295/full/html"
- Description: – In April 2016, students at Rhodes University brought the institution to a standstill as they protested the University’s sexual violence policies and procedures, as well as the “rape culture” that pervades social structures. In response, a Sexual Violence Task Team (SVTT) was formed in an open, participatory, and transparent process. Members of the University community were invited to comment on drafts of the SVTT document. The purpose of this paper is to outline the contestations – arising from both the establishment of the task team and the inputs from University members to drafts of the document – that surfaced concerning managing sexual violence on campuses and sexual offences policies.
- Full Text:
- Date Issued: 2018
Cultural De-colonization versus Liberal approaches to abortion in Africa: The politics of representation and voice
- Authors: Chiweshe, Malvern T , Macleod, Catriona I
- Date: 2018
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/443661 , vital:74142 , xlink:href="DOI/Handle/URL https://www.ajol.info/index.php/ajrh/article/view/175092"
- Description: Political discussions on abortion in Africa take place in the context of most countries having restrictive abortion legislation and high levels of unsafe abortion. In this paper two major political positions regarding abortion in Africa: a de-colonisation approach based on a homogenized view of ―culture‖, and a liberal approach based on ―choice‖ and rights are outlined. Using the Questions and Answers sessions of a United Nations event on maternal health in Africa as an exemplar of these positions, the paper argues that neither approach is emancipatory in the African context. A de-colonisation approach that uses static and homogenized understanding of ''culture'' risks engaging in a politics of representation that potentially silences the ―Other‖ (in this case women who terminate their pregnancies) and glosses over complexities and multiple power relations that exist on the continent. A liberal approach, premised on choice and reproductive rights, risks foregrounding individual women‘s agency at the expense of contextual dynamics, including the conditions that create unsupportable pregnancies. The paper argues for a grounded reproductive justice perspective that draws on the insights of the reproductive justice movement, but grounds these notions within the African philosophy of Hunhu/Ubuntu.
- Full Text:
- Date Issued: 2018
Reproductive justice in context: South African and Zimbabwean women’s narratives of their abortion decision
- Authors: Chiweshe, Malvern T , Mavuso, Jabulile M-J J , Macleod, Catriona I
- Date: 2017
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444371 , vital:74223 , xlink:href="https://doi.org/10.1177/0959353517699234"
- Description: The abortion decision-making process is embedded within overlapping power relations. Using a post-colonial feminist framework, we analyse South African and Zimbabwean women’s narratives regarding their abortion decision. As neighbouring countries, South Africa and Zimbabwe provide a useful counterpoint as they have common and differing social histories and very different abortion legislation. In our analysis, we unpick transversal commonalities and divergences in the discursive resources deployed by the women in their narratives in the two sites. Commonalities included the women feeling compelled to justify their abortion decision in the interactive interview space, an absence of a reproductive rights discourse, and the deployment of relationship embedded discourses in the justificatory work performed by the women. The ‘‘conjugalisation of reproduction’’, ‘‘imperative of good mothering’’, and ‘‘unstable partner relationships’’ discourses featured across both sites but the manner in which these were deployed differed. These discursive resources allowed the women to position themselves as making responsible decisions. The Zimbabwean women spoke of shame and hiding, a discursive resource that was explicitly absent in the South African women’s accounts. We conclude by arguing that our post-colonial feminist approach allows for a contextualised reproductive justice stance to abortion decision-making that identifies both transnational and context-specific power relations.
- Full Text:
- Date Issued: 2017
‘If you choose to abort, you have acted as an instrument of Satan’: Zimbabwean health service Providers’ negative constructions of women presenting for post abortion care
- Authors: Chiweshe, Malvern T , Macleod, Catriona I
- Date: 2017
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444200 , vital:74205 , xlink:href="https://doi.org/10.1007/s12529-017-9694-8"
- Description: Health service providers play a crucial role in providing post abortion care in countries where abortion legislation is restrictive and abortion is stigmatised. Research in countries where these factors apply has shown that health service providers can be barriers to women accessing post abortion services. Much of this research draws from attitude theory. In this paper, we utilise positioning theory to show how the ways in which Zimbabwean health service providers’ position women and themselves are rooted in cultural and social power relations. In light of recent efforts by the Zimbabwean Ministry of Health and foreign organisations to improve post abortion care, we explore the implications that these positionings have for post abortion care.
- Full Text:
- Date Issued: 2017
A narrative-discursive analysis of abortion decision making in Zimbabwe:
- Authors: Chiweshe, Malvern T , Macleod, Catriona I
- Date: 2015
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/143882 , vital:38291 , https://ischp.files.wordpress.com/2015/08/ischp_2015_abstract_booklet.pdf
- Description: The available research on abortion-decision-making tends to focus on the ‘factors’ or ‘influences’ that are seen to affect abortion decision-making. This approach is rarely able to account for the complex, multi-faceted nature of abortion decision-making, and is often not located within a framework that can unpick the complex array of power relations that underpin the ‘process’ of abortion decision-making. Data reported on in this paper were collected from three sites in Zimbabwe. Narrative interviews were conducted with 18 women who had terminated pregnancies (six at each site) and semi-structured interviews were conducted with six service providers. The women employed discursive resources around stigma, religion, health and culture in telling stories around abortion shame, abortion as justified and the fearful, secretive act of abortion. Comparisons of the way women positioned themselves and how they were positioned by health service providers point to the availability and embeddedness of social discourses and power relations that work to enable/constrain reproductive justice.
- Full Text:
- Date Issued: 2015
Health Psychology and the framing of abortion in Africa: a critical review of the literature
- Authors: Macleod, Catriona I , Chiweshe, Malvern T , Mavuso, Jabulile M-J J
- Date: 2015
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/143871 , vital:38290 , https://ischp.files.wordpress.com/2015/08/ischp_2015_abstract_booklet.pdf
- Description: Despite 97% of abortions performed in Africa being classifiable as unsafe, there has been virtually no engagement in knowledge production about abortion in Africa from psychologists, outside of South Africa. Taking a feminist health psychology approach, we conducted a systematic review of published research on this topic featured in PsycINFO over a six year period. We analysed the 39 articles included in the review in terms of countries in which the research was conducted, types of research, issues covered, framings, and main findings. The results show that apart from a public health framing, perspectives that foreground contextual, social, cultural, gendered perspectives dominate. While abortion services, unsafe abortion and the incidence of abortion were well researched, so too were attitudes and public discourses on abortion. Clinical psychological, reproductive justice or rights and medical framings received little attention. We outline the implications of this knowledge base for feminist health psychology in Africa.
- Full Text:
- Date Issued: 2015