Integrating child rights standards in contraceptive and abortion care for minors in Africa
- Kangaude, Godfrey D, Macleod, Catriona I, Coast, Ernestina, Fetters, Tamara
- Authors: Kangaude, Godfrey D , Macleod, Catriona I , Coast, Ernestina , Fetters, Tamara
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441242 , vital:73869 , xlink:href="https://doi.org/10.1002/ijgo.14502"
- Description: Minor girls in Africa face challenges in accessing high-quality contraceptive and abortion services because laws and policies are not child-friendly. Many countries maintain restrictive laws, policies, or hospital practices that make it difficult for minors to access contraception and safe abortion even when the pregnancy would risk their life or health. Further, the clinical guidelines on contraceptive and abortion care are silent, vague, or ambiguous regarding minors' consent. African states should remedy the situation by ensuring that clinical guidelines integrate child rights principles and standards articulated in child rights treaties to enable health providers to facilitate full, unencumbered access to contraceptive and abortion care for minor girls. A sample of clinical guidelines is analyzed to demonstrate the importance of explicit, consistent, and unambiguous language about children's consent to ensure that healthcare workers provide sexual and reproductive health care in a manner that respects child rights.
- Full Text:
- Date Issued: 2022
- Authors: Kangaude, Godfrey D , Macleod, Catriona I , Coast, Ernestina , Fetters, Tamara
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441242 , vital:73869 , xlink:href="https://doi.org/10.1002/ijgo.14502"
- Description: Minor girls in Africa face challenges in accessing high-quality contraceptive and abortion services because laws and policies are not child-friendly. Many countries maintain restrictive laws, policies, or hospital practices that make it difficult for minors to access contraception and safe abortion even when the pregnancy would risk their life or health. Further, the clinical guidelines on contraceptive and abortion care are silent, vague, or ambiguous regarding minors' consent. African states should remedy the situation by ensuring that clinical guidelines integrate child rights principles and standards articulated in child rights treaties to enable health providers to facilitate full, unencumbered access to contraceptive and abortion care for minor girls. A sample of clinical guidelines is analyzed to demonstrate the importance of explicit, consistent, and unambiguous language about children's consent to ensure that healthcare workers provide sexual and reproductive health care in a manner that respects child rights.
- Full Text:
- Date Issued: 2022
Contradictions in womxn’s experiences of pre-abortion counselling in South Africa: Implications for client‐centred practice
- Mavuso, Jabulile M-J J, Macleod, Catriona I
- Authors: Mavuso, Jabulile M-J J , Macleod, Catriona I
- Date: 2020
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/443638 , vital:74140 , xlink:href="https://doi.org/10.1111/nin.12330"
- Description: Pre-abortion counselling may play a key role in abortion seekers’ understanding of their decision to terminate a pregnancy and the subsequent emotions that they feel. In this paper, we report on a study conducted in the Eastern Cape province of South Africa concerning womxn's experiences of the pre-abortion counselling offered as part of the implementation of the Choice of Termination Act that governs the provision of legal abortion in the country. Using a narrative-discursive lens, the analysis revealed four micro-narratives in which participants appreciated non-directive and empathic counselling, as well as being provided with information. They also indicated that the counselling was upsetting and hurtful, particularly when providers drew on the awfulisation of abortion discourse to suggest that abortion leads to terrible consequences, and foetal personhood discourse to intimate that terminating the pregnancy is wrong and other alternatives (adoption, parenting) are better. The connection between these broadly positive and negative responses may lie in the dominance of anti-abortion discourses coupled with the powerful positioning of healthcare providers as experts. The attendant disempowerment of clients within the health clinic setting may constrain pregnant people's ability to question such ‘expert’ information. The implications for feminist client-centred pre-abortion counselling are discussed.
- Full Text:
- Date Issued: 2020
- Authors: Mavuso, Jabulile M-J J , Macleod, Catriona I
- Date: 2020
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/443638 , vital:74140 , xlink:href="https://doi.org/10.1111/nin.12330"
- Description: Pre-abortion counselling may play a key role in abortion seekers’ understanding of their decision to terminate a pregnancy and the subsequent emotions that they feel. In this paper, we report on a study conducted in the Eastern Cape province of South Africa concerning womxn's experiences of the pre-abortion counselling offered as part of the implementation of the Choice of Termination Act that governs the provision of legal abortion in the country. Using a narrative-discursive lens, the analysis revealed four micro-narratives in which participants appreciated non-directive and empathic counselling, as well as being provided with information. They also indicated that the counselling was upsetting and hurtful, particularly when providers drew on the awfulisation of abortion discourse to suggest that abortion leads to terrible consequences, and foetal personhood discourse to intimate that terminating the pregnancy is wrong and other alternatives (adoption, parenting) are better. The connection between these broadly positive and negative responses may lie in the dominance of anti-abortion discourses coupled with the powerful positioning of healthcare providers as experts. The attendant disempowerment of clients within the health clinic setting may constrain pregnant people's ability to question such ‘expert’ information. The implications for feminist client-centred pre-abortion counselling are discussed.
- Full Text:
- Date Issued: 2020
Pregnancy Decision Making: Abortion and Adoption
- Mavuso, Jabulile M-J J, Macleod, Catriona I
- Authors: Mavuso, Jabulile M-J J , Macleod, Catriona I
- Date: 2019
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434145 , vital:73034 , ISBN 9781119161899 , https://onlinelibrary.wiley.com/doi/book/10.1002/9781119171492
- Description: Pregnancy decision making encompasses a large range of interactions, including decisions and actions to avoid pregnancy or to become pregnant. This entry addresses the question of decision making regarding the outcome of a pregnancy: abortion or taking the pregnancy to term, with the latter resulting in parenting or adoption placement. Adolescents' pregnancy decision making has been a special area of focus for some decades now, particularly regarding whether adolescents are capable of making termination-of-pregnancy decisions. This entry highlights controversies concerning, first, teenage pregnancy as a social problem; second, risk research that seeks to outline the consequences of various reproductive decisions; third, questions around adolescents' maturity regarding making reproductive decisions; fourth, the reasons provided for various reproductive decisions; and, finally, issues surrounding the autonomy of young pregnant women in their reproductive decisions.
- Full Text:
- Date Issued: 2019
- Authors: Mavuso, Jabulile M-J J , Macleod, Catriona I
- Date: 2019
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434145 , vital:73034 , ISBN 9781119161899 , https://onlinelibrary.wiley.com/doi/book/10.1002/9781119171492
- Description: Pregnancy decision making encompasses a large range of interactions, including decisions and actions to avoid pregnancy or to become pregnant. This entry addresses the question of decision making regarding the outcome of a pregnancy: abortion or taking the pregnancy to term, with the latter resulting in parenting or adoption placement. Adolescents' pregnancy decision making has been a special area of focus for some decades now, particularly regarding whether adolescents are capable of making termination-of-pregnancy decisions. This entry highlights controversies concerning, first, teenage pregnancy as a social problem; second, risk research that seeks to outline the consequences of various reproductive decisions; third, questions around adolescents' maturity regarding making reproductive decisions; fourth, the reasons provided for various reproductive decisions; and, finally, issues surrounding the autonomy of young pregnant women in their reproductive decisions.
- Full Text:
- Date Issued: 2019
Lesbian, gay, and bisexual (LGB) people's experiences of nursing health care: An emancipatory nursing practice integrative review
- Nhamo-Murire, Mercy, Macleod, Catriona I
- Authors: Nhamo-Murire, Mercy , Macleod, Catriona I
- Date: 2018
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444357 , vital:74222 , xlink:href="https://doi.org/10.1111/ijn.12606"
- Description: To review current research on lesbian, gay, and bisexual (LGB) individuals' experience of nursing services from an emancipatory nursing practice framework.
- Full Text:
- Date Issued: 2018
- Authors: Nhamo-Murire, Mercy , Macleod, Catriona I
- Date: 2018
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444357 , vital:74222 , xlink:href="https://doi.org/10.1111/ijn.12606"
- Description: To review current research on lesbian, gay, and bisexual (LGB) individuals' experience of nursing services from an emancipatory nursing practice framework.
- Full Text:
- Date Issued: 2018
The emancipatory potential of nursing practice in relation to sexuality: a systematic literature review of nursing research 2009–2014
- Macleod, Catriona I, Nhamo-Murire, Mercy
- Authors: Macleod, Catriona I , Nhamo-Murire, Mercy
- Date: 2016
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/446312 , vital:74489 , xlink:href="https://doi.org/10.1111/nin.12131"
- Description: Nurses play a key role in the provision of services in relation to sexuality in both primary and sexual and reproductive health-care. Given the intersection of sexualities with a range of social injustices, this study reviews research on nursing practice concerning sexuality from an emancipatory/social justice perspective. A systematic review of English articles published in nursing journals appearing on the Web of Science database from 2009 to 2014 was conducted. Thirty-eight articles met the inclusion criteria. Analysis consisted of a descriptive phase (types and location of studies, aspects of sexualities focused on, target health users and aspects of nursing practice focused on) and a critical/emancipatory phase. In terms of practice, our analysis revealed that: barriers exist to the integration of issues relating to sexuality in nursing practice; the social location of nurses and their personal feelings regarding sexuality influence their practice; content that addresses gendered norms and media that assist in communication underpin some emancipatory practices. Few studies locate analyses of nursing practice within gendered, cultural and social norms; consider advocacy as part of the practice of nurses; or analyse the promotion of health user participation in health services and structures. The implications for emancipatory practice are drawn out.
- Full Text:
- Date Issued: 2016
- Authors: Macleod, Catriona I , Nhamo-Murire, Mercy
- Date: 2016
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/446312 , vital:74489 , xlink:href="https://doi.org/10.1111/nin.12131"
- Description: Nurses play a key role in the provision of services in relation to sexuality in both primary and sexual and reproductive health-care. Given the intersection of sexualities with a range of social injustices, this study reviews research on nursing practice concerning sexuality from an emancipatory/social justice perspective. A systematic review of English articles published in nursing journals appearing on the Web of Science database from 2009 to 2014 was conducted. Thirty-eight articles met the inclusion criteria. Analysis consisted of a descriptive phase (types and location of studies, aspects of sexualities focused on, target health users and aspects of nursing practice focused on) and a critical/emancipatory phase. In terms of practice, our analysis revealed that: barriers exist to the integration of issues relating to sexuality in nursing practice; the social location of nurses and their personal feelings regarding sexuality influence their practice; content that addresses gendered norms and media that assist in communication underpin some emancipatory practices. Few studies locate analyses of nursing practice within gendered, cultural and social norms; consider advocacy as part of the practice of nurses; or analyse the promotion of health user participation in health services and structures. The implications for emancipatory practice are drawn out.
- Full Text:
- Date Issued: 2016
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