Social and structural barriers related to menstruation across diverse schools in the Eastern Cape
- Macleod, Catriona I, Du Toit, Ryan, Paphitis, Sharli A, Kelland, Lindsay
- Authors: Macleod, Catriona I , Du Toit, Ryan , Paphitis, Sharli A , Kelland, Lindsay
- Date: 2020
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444385 , vital:74224 , xlink:href="https://hdl.handle.net/10520/ejc-educat-v40-n3-a9"
- Description: The barriers to education associatedwith menstruation vary from country to countryand within countries. We report on a cross-sectional survey conducted in diverse schools in 2districts of the Eastern Cape, South Africa. Using multi-stage sampling(stratified random sampling of schools, and purposive sampling of Grade 11 female-identifiediilearners), we accessed1,035 respondents with an average age of 17.2 years. Respondents completed a questionnaire developed from previous questionnaires and our readings of the literature. We report here on results pertaining to the social and structural barriers relatedto menstruation. Just over one fifth of young womeniiiacross the whole sample reported missing an average of 1.8 days of school per menstrual cycle, while a significant minority reportedrestrictions related to sporting and classroom activities. Results show, contrary to expectations, that young womenattending under-resourced schools report missing fewer days than young womenattending resourced schools, despite young womenin under-resourced schools experiencing inadequate sanitationfacilities and feeling unsafeusingthese facilities. This research indicates the importance of recognising social as well as structural features when considering the gendered barriers to education that menstruation may represent.
- Full Text:
- Date Issued: 2020
- Authors: Macleod, Catriona I , Du Toit, Ryan , Paphitis, Sharli A , Kelland, Lindsay
- Date: 2020
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444385 , vital:74224 , xlink:href="https://hdl.handle.net/10520/ejc-educat-v40-n3-a9"
- Description: The barriers to education associatedwith menstruation vary from country to countryand within countries. We report on a cross-sectional survey conducted in diverse schools in 2districts of the Eastern Cape, South Africa. Using multi-stage sampling(stratified random sampling of schools, and purposive sampling of Grade 11 female-identifiediilearners), we accessed1,035 respondents with an average age of 17.2 years. Respondents completed a questionnaire developed from previous questionnaires and our readings of the literature. We report here on results pertaining to the social and structural barriers relatedto menstruation. Just over one fifth of young womeniiiacross the whole sample reported missing an average of 1.8 days of school per menstrual cycle, while a significant minority reportedrestrictions related to sporting and classroom activities. Results show, contrary to expectations, that young womenattending under-resourced schools report missing fewer days than young womenattending resourced schools, despite young womenin under-resourced schools experiencing inadequate sanitationfacilities and feeling unsafeusingthese facilities. This research indicates the importance of recognising social as well as structural features when considering the gendered barriers to education that menstruation may represent.
- Full Text:
- Date Issued: 2020
Alcohol use during pregnancy: prevalence and patterns in selected Buffalo City areas, South Africa
- Macleod, Catriona I, Young, Charles S, Molokoe, Katlego C
- Authors: Macleod, Catriona I , Young, Charles S , Molokoe, Katlego C
- Date: 2021
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/443611 , vital:74137 , xlink:href="https://www.ajol.info/index.php/ajrh/article/view/205539"
- Description: The high rate of foetal alcohol spectrum disorders, which results from alcohol consumption during pregnancy, is of concern in South Africa. The aims of this research were to establish the prevalence, patterns and factors associated with alcohol use amongst pregnant women attending antenatal clinics in two former township areas of Buffalo City, South Africa. A survey was conducted using a structured questionnaire that included socio-demographic questions, and the Alcohol Use Test (AUDIT). The questionnaire was administered in English, Afrikaans or isiXhosa by healthcare providers trained in its administration. Consecutive sampling was used, with all willing women presenting at public clinics offering antenatal care in the two townships being invited to participate. Of the 18 clinics operating in the two townships, 16 were willing to participate, resulting in a sample of 1028 women over a nine-month period. Data were analysed in Medcalc using descriptive statistics, one-way analysis of variance, independent samples t-test and a multivariable binary logistic regression analysis. Two-thirds of the sample did not drink alcohol, but results showed high levels of risky alcohol use: 20.1% on the total AUDIT scale, and 16.8% on the AUDIT-C scale. The following variables were found to be significantly associated with risky drinking: age; race; report of intimate partner violence (IPV); and other regular drinker in the home. Employment status, education status, relationship status, parity and gestation were not associated with risky drinking. Interventions aimed at reducing alcohol use during pregnancy should address: drinking youth cultures; drinking norms within the home; and intimate partner violence. Future studies should include additional mental and physical health variables.
- Full Text:
- Date Issued: 2021
- Authors: Macleod, Catriona I , Young, Charles S , Molokoe, Katlego C
- Date: 2021
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/443611 , vital:74137 , xlink:href="https://www.ajol.info/index.php/ajrh/article/view/205539"
- Description: The high rate of foetal alcohol spectrum disorders, which results from alcohol consumption during pregnancy, is of concern in South Africa. The aims of this research were to establish the prevalence, patterns and factors associated with alcohol use amongst pregnant women attending antenatal clinics in two former township areas of Buffalo City, South Africa. A survey was conducted using a structured questionnaire that included socio-demographic questions, and the Alcohol Use Test (AUDIT). The questionnaire was administered in English, Afrikaans or isiXhosa by healthcare providers trained in its administration. Consecutive sampling was used, with all willing women presenting at public clinics offering antenatal care in the two townships being invited to participate. Of the 18 clinics operating in the two townships, 16 were willing to participate, resulting in a sample of 1028 women over a nine-month period. Data were analysed in Medcalc using descriptive statistics, one-way analysis of variance, independent samples t-test and a multivariable binary logistic regression analysis. Two-thirds of the sample did not drink alcohol, but results showed high levels of risky alcohol use: 20.1% on the total AUDIT scale, and 16.8% on the AUDIT-C scale. The following variables were found to be significantly associated with risky drinking: age; race; report of intimate partner violence (IPV); and other regular drinker in the home. Employment status, education status, relationship status, parity and gestation were not associated with risky drinking. Interventions aimed at reducing alcohol use during pregnancy should address: drinking youth cultures; drinking norms within the home; and intimate partner violence. Future studies should include additional mental and physical health variables.
- Full Text:
- Date Issued: 2021
Why decolonialising feminist psychology may fail, and why it mustn't: The politics of signification and the case of' teenage pregnancy'
- Macleod, Catriona I, Masuko, Diemo, Feltham-King, Tracey
- Authors: Macleod, Catriona I , Masuko, Diemo , Feltham-King, Tracey
- Date: 2021
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/446327 , vital:74490
- Description: The calls to decolonise psychology and feminisms are a demand for action in overcoming past and current (neo) colonial injustices. Decolonisation has, however, been complex owing to the plurality, mutation, and masking of (neo)colonial systems. Within this context, decolonialising feminist psychology may fail. Homing in on the politics of signification, we argue that the colonial roots of many signifiers that serve to perpetuate gendered power relations are masked through their taken-for-granted status within psychology. We illustrate the latter through discussion of "adolescence", a signifier premised on colonialist thinking regarding individual and societal development. While gross forms of colonialist thinking regarding adolescence have disappeared, the "threat of degeneration" implicit in the concept remains. Drawing on critical work on "teenage pregnancy" in South Africa, we show how young womxn's reproductive health is impacted by the entrenchment of the threat of degeneration in educational and health responses. This discussion illustrates why decolonising feminist psychology must not fail. Alternative signifiers that serve the purpose of social justice and care should be foregrounded. These joint tasks (critique of (neo)colonialist signifiers and the enactment of transformation through foregrounding alternative signifiers) should underpin decolonising feminist psychology praxis.
- Full Text:
- Date Issued: 2021
- Authors: Macleod, Catriona I , Masuko, Diemo , Feltham-King, Tracey
- Date: 2021
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/446327 , vital:74490
- Description: The calls to decolonise psychology and feminisms are a demand for action in overcoming past and current (neo) colonial injustices. Decolonisation has, however, been complex owing to the plurality, mutation, and masking of (neo)colonial systems. Within this context, decolonialising feminist psychology may fail. Homing in on the politics of signification, we argue that the colonial roots of many signifiers that serve to perpetuate gendered power relations are masked through their taken-for-granted status within psychology. We illustrate the latter through discussion of "adolescence", a signifier premised on colonialist thinking regarding individual and societal development. While gross forms of colonialist thinking regarding adolescence have disappeared, the "threat of degeneration" implicit in the concept remains. Drawing on critical work on "teenage pregnancy" in South Africa, we show how young womxn's reproductive health is impacted by the entrenchment of the threat of degeneration in educational and health responses. This discussion illustrates why decolonising feminist psychology must not fail. Alternative signifiers that serve the purpose of social justice and care should be foregrounded. These joint tasks (critique of (neo)colonialist signifiers and the enactment of transformation through foregrounding alternative signifiers) should underpin decolonising feminist psychology praxis.
- Full Text:
- Date Issued: 2021
Reproductive health systems analyses and the reparative reproductive justice approach: a case study of unsafe abortion in Lesotho
- Macleod, Catriona I, Reynolds, John H
- Authors: Macleod, Catriona I , Reynolds, John H
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441288 , vital:73874 , xlink:href="https://doi.org/10.1080/17441692.2021.1887317"
- Description: Health systems analyses are touted as mechanisms through which health policy and planning may be implemented. An example is the WHO health systems approach that connects people (needs, rights, perspectives) with services and technologies (equitable access, quality of care, mix of interventions) and with policies and institutional capacities (laws, regulations, human/physical resources, management and financing). The approach is comprehensive and multi-faceted, which is a strength. We argue, however, that health systems analyses should be supplemented with a focus on reproductive justice. Using the WHO health systems approach as an exemplar, we show how the reparative reproductive justice approach outlined by the first author and colleagues assists with outlining comprehensive remedies to the inequities identified in the systems analysis. We argue for attention to remedies at individual and collective, material and symbolic levels. We illustrate our argument using unsafe abortion, legal abortion services and post-abortion care in Lesotho as a case study. We outline the policies, services and people components of abortion in Lesotho using the WHO systems model, followed by a reparative justice analysis of remedies.
- Full Text:
- Date Issued: 2022
- Authors: Macleod, Catriona I , Reynolds, John H
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441288 , vital:73874 , xlink:href="https://doi.org/10.1080/17441692.2021.1887317"
- Description: Health systems analyses are touted as mechanisms through which health policy and planning may be implemented. An example is the WHO health systems approach that connects people (needs, rights, perspectives) with services and technologies (equitable access, quality of care, mix of interventions) and with policies and institutional capacities (laws, regulations, human/physical resources, management and financing). The approach is comprehensive and multi-faceted, which is a strength. We argue, however, that health systems analyses should be supplemented with a focus on reproductive justice. Using the WHO health systems approach as an exemplar, we show how the reparative reproductive justice approach outlined by the first author and colleagues assists with outlining comprehensive remedies to the inequities identified in the systems analysis. We argue for attention to remedies at individual and collective, material and symbolic levels. We illustrate our argument using unsafe abortion, legal abortion services and post-abortion care in Lesotho as a case study. We outline the policies, services and people components of abortion in Lesotho using the WHO systems model, followed by a reparative justice analysis of remedies.
- Full Text:
- Date Issued: 2022
Comparative situational analysis of comprehensive abortion care in four Southern African countries
- Macleod, Catriona I, Reuvers, Megan, Reynolds, John H, Lavelanet, Antonella, Delate, Richard
- Authors: Macleod, Catriona I , Reuvers, Megan , Reynolds, John H , Lavelanet, Antonella , Delate, Richard
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441199 , vital:73865 , xlink:href="https://doi.org/10.1080/17441692.2023.2217442"
- Description: We report on a comparative situational analysis of comprehensive abortion care (CAC) in Botswana, Eswatini, Lesotho and Namibia. We conducted systematic literature searches and country consultations and used a reparative health justice approach (with four dimensions) for the analysis. The following findings pertain to all four countries, except where indicated. Individual material dimension: pervasive gender-based violence (GBV); unmet need for contraception (15−17%); high HIV prevalence; poor abortion access for rape survivors; fees for sexual and reproductive health (SRH) services (Eswatini). Collective material dimension: no clear national budgeting for SRH; over-reliance on donor funding (Eswatini; Lesotho); no national CAC guidelines or guidance on legal abortion access; poor data collection and management systems; shortage and inequitable distribution of staff; few facilities providing abortion care. Individual symbolic dimension: gender norms justify GBV; stigma attached to both abortion and unwed or early pregnancies. Collective symbolic dimension: policy commitments to reducing unsafe abortion and to post-abortion care, but not to increasing access to legal abortion; inadequate research; contradictions in abortion legislation (Botswana); inadequate staff training in CAC. Political will to ensure CAC within the country’s legislation is required. Reparative health.
- Full Text:
- Date Issued: 2023
- Authors: Macleod, Catriona I , Reuvers, Megan , Reynolds, John H , Lavelanet, Antonella , Delate, Richard
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441199 , vital:73865 , xlink:href="https://doi.org/10.1080/17441692.2023.2217442"
- Description: We report on a comparative situational analysis of comprehensive abortion care (CAC) in Botswana, Eswatini, Lesotho and Namibia. We conducted systematic literature searches and country consultations and used a reparative health justice approach (with four dimensions) for the analysis. The following findings pertain to all four countries, except where indicated. Individual material dimension: pervasive gender-based violence (GBV); unmet need for contraception (15−17%); high HIV prevalence; poor abortion access for rape survivors; fees for sexual and reproductive health (SRH) services (Eswatini). Collective material dimension: no clear national budgeting for SRH; over-reliance on donor funding (Eswatini; Lesotho); no national CAC guidelines or guidance on legal abortion access; poor data collection and management systems; shortage and inequitable distribution of staff; few facilities providing abortion care. Individual symbolic dimension: gender norms justify GBV; stigma attached to both abortion and unwed or early pregnancies. Collective symbolic dimension: policy commitments to reducing unsafe abortion and to post-abortion care, but not to increasing access to legal abortion; inadequate research; contradictions in abortion legislation (Botswana); inadequate staff training in CAC. Political will to ensure CAC within the country’s legislation is required. Reparative health.
- Full Text:
- Date Issued: 2023
The nexus between COVID-19 and sexual and reproductive health of adolescents: Bringing adolescents ‘home’
- Kangaude, Godfrey, Macleod, Catriona I
- Authors: Kangaude, Godfrey , Macleod, Catriona I
- Date: 2024
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434171 , vital:73036 , ISBN 9781032671420 , https://www.routledge.com/COVID-19-and-the-Right-to-Health-in-Africa/Durojaye-Mahadew/p/book/9781032671420?_ga=1281847179.1711584000
- Description: The devastating impact of the COVID-19 virus is well-documented. The disease was less severe among young people than in the older population. The effect on adolescents was primarily due to government measures to curb the pandemic, including lockdowns that disrupted social, education, and health services and diverted resources away from sexual and reproductive health. Young people lost or had limited access to sexual and reproductive health services and comprehensive sexuality education. They experienced the loss of financial and emotional support and parental care because of sick adults and caregivers. Young persons also lost time with friends and in developmental tasks associated with adolescence, such as exploring intimate relationships and forming identities outside the home. Government-imposed lockdowns and isolation measures revealed how being home can be problematic for young people, despite the concept of ‘home’ suggesting safety, security, and nurturance. Of particular concern were sexual and gender-based violence in the home and the increase in teenage pregnancies. In this chapter, we engage with the notion of home and how all institutions with which the adolescent interacts, especially family and school, should be a ‘home’: A place of belonging and acceptance because adolescence is a critical time for the emergence of sexual identity.
- Full Text:
- Date Issued: 2024
- Authors: Kangaude, Godfrey , Macleod, Catriona I
- Date: 2024
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434171 , vital:73036 , ISBN 9781032671420 , https://www.routledge.com/COVID-19-and-the-Right-to-Health-in-Africa/Durojaye-Mahadew/p/book/9781032671420?_ga=1281847179.1711584000
- Description: The devastating impact of the COVID-19 virus is well-documented. The disease was less severe among young people than in the older population. The effect on adolescents was primarily due to government measures to curb the pandemic, including lockdowns that disrupted social, education, and health services and diverted resources away from sexual and reproductive health. Young people lost or had limited access to sexual and reproductive health services and comprehensive sexuality education. They experienced the loss of financial and emotional support and parental care because of sick adults and caregivers. Young persons also lost time with friends and in developmental tasks associated with adolescence, such as exploring intimate relationships and forming identities outside the home. Government-imposed lockdowns and isolation measures revealed how being home can be problematic for young people, despite the concept of ‘home’ suggesting safety, security, and nurturance. Of particular concern were sexual and gender-based violence in the home and the increase in teenage pregnancies. In this chapter, we engage with the notion of home and how all institutions with which the adolescent interacts, especially family and school, should be a ‘home’: A place of belonging and acceptance because adolescence is a critical time for the emergence of sexual identity.
- Full Text:
- Date Issued: 2024
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
Male Peer Talk About Menstruation: Discursively Bolstering Hegemonic Masculinities Among Young Men in South Africa
- Macleod, Catriona I, Glover, Jonathan M, Makusem, Manase, Kelland, Lindsay, Paphitis, Sharli A
- Authors: Macleod, Catriona I , Glover, Jonathan M , Makusem, Manase , Kelland, Lindsay , Paphitis, Sharli A
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/426502 , vital:72358 , xlink:href="https://doi.org/10.1080/23293691.2022.2057830"
- Description: In this paper, we show how male peer talk about menstruating women may be used to discursively bolster hegemonic masculinities and denigrate women. Focus group discussions among 37 young isiXhosa-speaking men from two South African schools were facilitated by two young men; statements garnered from a sexuality education class about menstruation conducted in the same schools were used as cues. Data were analyzed using discourse analysis. The interactive talk constructed a bifurcation: “disgusting” menstruating women versus “reasonable” non-menstruating women who abide by idealized feminine behavior and are available sexually. We argue that as the non-menstruating woman cyclically become the other (menstruating woman) in women of particular ages, the trace of disgust inhabits the signifier “woman” for these men. Menstruation also disrupted a core identity strategy of local hegemonic masculinities: virile (hetero)sexuality. Given this, discursive distancing of the self from the very topic of menstruation is necessary. Small moments of resistance to these constructions were quickly closed down, and caring masculinity emerged only in the context of negotiating sex during menstruation. Involving men in menstrual hygiene management programs may provide spaces for resistance to denigrating discourses about menstruation.
- Full Text:
- Date Issued: 2022
- Authors: Macleod, Catriona I , Glover, Jonathan M , Makusem, Manase , Kelland, Lindsay , Paphitis, Sharli A
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/426502 , vital:72358 , xlink:href="https://doi.org/10.1080/23293691.2022.2057830"
- Description: In this paper, we show how male peer talk about menstruating women may be used to discursively bolster hegemonic masculinities and denigrate women. Focus group discussions among 37 young isiXhosa-speaking men from two South African schools were facilitated by two young men; statements garnered from a sexuality education class about menstruation conducted in the same schools were used as cues. Data were analyzed using discourse analysis. The interactive talk constructed a bifurcation: “disgusting” menstruating women versus “reasonable” non-menstruating women who abide by idealized feminine behavior and are available sexually. We argue that as the non-menstruating woman cyclically become the other (menstruating woman) in women of particular ages, the trace of disgust inhabits the signifier “woman” for these men. Menstruation also disrupted a core identity strategy of local hegemonic masculinities: virile (hetero)sexuality. Given this, discursive distancing of the self from the very topic of menstruation is necessary. Small moments of resistance to these constructions were quickly closed down, and caring masculinity emerged only in the context of negotiating sex during menstruation. Involving men in menstrual hygiene management programs may provide spaces for resistance to denigrating discourses about menstruation.
- Full Text:
- Date Issued: 2022
Abortion Services and Reproductive Justice in Rural South Africa
- du Plessis, Ulandi, Macleod, Catriona I
- Authors: du Plessis, Ulandi , Macleod, Catriona I
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , book
- Identifier: http://hdl.handle.net/10962/434081 , vital:73030 , ISBN 9781776148738 , https://www.witspress.co.za/page/detail/Abortion-Services-and-Reproductive-Justice-in-Rural-South-Africa/?K=9781776148776
- Description: Despite progressive legislation, abortion service implementa-tion and access in South Africa’s rural areas is challenging and directly affects low-income communities. This book urges an intervention for safe and accessible abortion services that does not compromise costs or confidentiality within a repara-tive reproductive justice framework. South Africa’s progressive abortion legislation was hailed as transformative in terms of reproductive health and rights. Despite this promise, many challenges persist resulting in a lack of services, especially in rural areas where distances and transport costs are a factor.
- Full Text:
- Date Issued: 2023
- Authors: du Plessis, Ulandi , Macleod, Catriona I
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , book
- Identifier: http://hdl.handle.net/10962/434081 , vital:73030 , ISBN 9781776148738 , https://www.witspress.co.za/page/detail/Abortion-Services-and-Reproductive-Justice-in-Rural-South-Africa/?K=9781776148776
- Description: Despite progressive legislation, abortion service implementa-tion and access in South Africa’s rural areas is challenging and directly affects low-income communities. This book urges an intervention for safe and accessible abortion services that does not compromise costs or confidentiality within a repara-tive reproductive justice framework. South Africa’s progressive abortion legislation was hailed as transformative in terms of reproductive health and rights. Despite this promise, many challenges persist resulting in a lack of services, especially in rural areas where distances and transport costs are a factor.
- Full Text:
- Date Issued: 2023
Governing pregnancy in the Global South: the case of post-apartheid South Africa
- du Plessis, Ulandi, Macleod, Catriona I
- Authors: du Plessis, Ulandi , Macleod, Catriona I
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441212 , vital:73867 , xlink:href="https://doi.org/10.1080/13698575.2023.2249943"
- Description: Women who sell sex (WSS) are vulnerable to violence. We present a scoping review of the last decade of research on the prevalence and incidence of, factors associated with, and services regarding violence against WSS in Eastern and Southern African (ESA). A systematic search of various databases resulted in 20 papers being reviewed. Inclusion criteria, applied by the first two authors, were as follows: empirical papers, key research problem is violence against WSS, and conducted in ESA countries. The lifetime prevalence of violence revealed in the studies ranged from 21% to 82%. A pattern of generalized violence against WSS from paying clients, male partners, strangers, family members, friends/acquaintances, and the authorities emerged. Factors associated with violence included the context within which the sex work occurs, alcohol use, type of sex exchange interactions, and personal factors (low education, low income, marriage, youth, high client volume, time in sex work, forced sexual debut, and internalized sex work stigma). WSS seldom access services after violence. Evaluations of two programs, a woman-focused HIV intervention, and the Diagonal Interventions to Fast-Forward Reproductive Health project, showed improvements in gender-based violence services. Findings suggest that targeted programmes should be paired with improving general health services and focus on promoting collective agency among WSS.
- Full Text:
- Date Issued: 2023
- Authors: du Plessis, Ulandi , Macleod, Catriona I
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441212 , vital:73867 , xlink:href="https://doi.org/10.1080/13698575.2023.2249943"
- Description: Women who sell sex (WSS) are vulnerable to violence. We present a scoping review of the last decade of research on the prevalence and incidence of, factors associated with, and services regarding violence against WSS in Eastern and Southern African (ESA). A systematic search of various databases resulted in 20 papers being reviewed. Inclusion criteria, applied by the first two authors, were as follows: empirical papers, key research problem is violence against WSS, and conducted in ESA countries. The lifetime prevalence of violence revealed in the studies ranged from 21% to 82%. A pattern of generalized violence against WSS from paying clients, male partners, strangers, family members, friends/acquaintances, and the authorities emerged. Factors associated with violence included the context within which the sex work occurs, alcohol use, type of sex exchange interactions, and personal factors (low education, low income, marriage, youth, high client volume, time in sex work, forced sexual debut, and internalized sex work stigma). WSS seldom access services after violence. Evaluations of two programs, a woman-focused HIV intervention, and the Diagonal Interventions to Fast-Forward Reproductive Health project, showed improvements in gender-based violence services. Findings suggest that targeted programmes should be paired with improving general health services and focus on promoting collective agency among WSS.
- Full Text:
- Date Issued: 2023
Violence against women who sell sex in eastern and southern Africa: a scoping review
- Macleod, Catriona I, Reynolds, John H, Delate, Richard
- Authors: Macleod, Catriona I , Reynolds, John H , Delate, Richard
- Date: 2024
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441380 , vital:73881 , xlink:href="https://doi.org/10.1177/15248380231160847"
- Description: Women who sell sex (WSS) are vulnerable to violence. We present a scoping review of the last decade of research on the prevalence and incidence of, factors associated with, and services regarding violence against WSS in Eastern and Southern African (ESA). A systematic search of various databases resulted in 20 papers being reviewed. Inclusion criteria, applied by the first two authors, were as follows: empirical papers, key research problem is violence against WSS, and conducted in ESA countries. The lifetime prevalence of violence revealed in the studies ranged from 21% to 82%. A pattern of generalized violence against WSS from paying clients, male partners, strangers, family members, friends/acquaintances, and the authorities emerged. Factors associated with violence included the context within which the sex work occurs, alcohol use, type of sex exchange interactions, and personal factors (low education, low income, marriage, youth, high client volume, time in sex work, forced sexual debut, and internalized sex work stigma). WSS seldom access services after violence. Evaluations of two programs, a woman-focused HIV intervention, and the Diagonal Interventions to Fast-Forward Reproductive Health project, showed improvements in gender-based violence services. Findings suggest that targeted programmes should be paired with improving general health services and focus on promoting collective agency among WSS.
- Full Text:
- Date Issued: 2024
- Authors: Macleod, Catriona I , Reynolds, John H , Delate, Richard
- Date: 2024
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441380 , vital:73881 , xlink:href="https://doi.org/10.1177/15248380231160847"
- Description: Women who sell sex (WSS) are vulnerable to violence. We present a scoping review of the last decade of research on the prevalence and incidence of, factors associated with, and services regarding violence against WSS in Eastern and Southern African (ESA). A systematic search of various databases resulted in 20 papers being reviewed. Inclusion criteria, applied by the first two authors, were as follows: empirical papers, key research problem is violence against WSS, and conducted in ESA countries. The lifetime prevalence of violence revealed in the studies ranged from 21% to 82%. A pattern of generalized violence against WSS from paying clients, male partners, strangers, family members, friends/acquaintances, and the authorities emerged. Factors associated with violence included the context within which the sex work occurs, alcohol use, type of sex exchange interactions, and personal factors (low education, low income, marriage, youth, high client volume, time in sex work, forced sexual debut, and internalized sex work stigma). WSS seldom access services after violence. Evaluations of two programs, a woman-focused HIV intervention, and the Diagonal Interventions to Fast-Forward Reproductive Health project, showed improvements in gender-based violence services. Findings suggest that targeted programmes should be paired with improving general health services and focus on promoting collective agency among WSS.
- Full Text:
- Date Issued: 2024
Teaching comprehensive sexuality education in a traumatized society: recognizing teachers as sexual, reproductive, and mental health frontline workers
- Macleod, Catriona I, du Plesis, Ulandi
- Authors: Macleod, Catriona I , du Plesis, Ulandi
- Date: 2024
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441316 , vital:73876 , xlink:href=" https://doi.org/10.3389/feduc.2024.1276299"
- Description: Research on school-based sexuality education in South Africa, taught within Life Orientation (LO), has mainly focused on learners’ responses, how teachers approach the subject, and the curriculum content. Critiques have included heteronormative biases, an emphasis on danger, disease and damage, a reinforcement of gendered binaries, and the lack of pleasure or well-being discourses. In contrast, our research focused on the unexpected moments teachers experience, i.e., the ethical, emotional or psychological challenges they encounter in their interactions with learners.
- Full Text:
- Date Issued: 2024
- Authors: Macleod, Catriona I , du Plesis, Ulandi
- Date: 2024
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441316 , vital:73876 , xlink:href=" https://doi.org/10.3389/feduc.2024.1276299"
- Description: Research on school-based sexuality education in South Africa, taught within Life Orientation (LO), has mainly focused on learners’ responses, how teachers approach the subject, and the curriculum content. Critiques have included heteronormative biases, an emphasis on danger, disease and damage, a reinforcement of gendered binaries, and the lack of pleasure or well-being discourses. In contrast, our research focused on the unexpected moments teachers experience, i.e., the ethical, emotional or psychological challenges they encounter in their interactions with learners.
- Full Text:
- Date Issued: 2024
‘Adolescent’ sexual and reproductive health: Controversies, rights, and justice
- Authors: Macleod, Catriona I
- Date: 2017
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434348 , vital:73050 , ISBN 978-3-319-40741-8 , https://doi.org/10.1007/978-3-319-40743-2_9
- Description: Adolescent sexual and reproductive health (SRH) is a field beset with a number of controversies, e.g. whether and to what kind of sexuality education young people should be exposed and whether teenagers should be able to decide on abortion without parental consent. It is within these controversies as well as local social dynamics that public SRH interventions aimed at adolescents take place. I start this chapter with an outline of the major global public health approach to adolescent SRH: the health and human rights framework. I then briefly overview some of the key issues concerning sexuality education, contraception, pregnancy, abortion, HIV, and lesbian, gay, bisexual (LGB) issues among adolescents, concentrating on questions surrounding taken-for-granted assumptions and health injustices. With this as a backdrop, I argue for a sexual and reproductive justice approach that draws from transnational feminism. Such an approach would focus on health injustices, analyze gendered power relations that cohere around sexuality and reproduction among adolescents, highlight the intersectionality of race, class, location, religion, ability and sexual orientation in health outcomes, and deconstruct normative frameworks and taken-for-granted assumptions.
- Full Text:
- Date Issued: 2017
- Authors: Macleod, Catriona I
- Date: 2017
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434348 , vital:73050 , ISBN 978-3-319-40741-8 , https://doi.org/10.1007/978-3-319-40743-2_9
- Description: Adolescent sexual and reproductive health (SRH) is a field beset with a number of controversies, e.g. whether and to what kind of sexuality education young people should be exposed and whether teenagers should be able to decide on abortion without parental consent. It is within these controversies as well as local social dynamics that public SRH interventions aimed at adolescents take place. I start this chapter with an outline of the major global public health approach to adolescent SRH: the health and human rights framework. I then briefly overview some of the key issues concerning sexuality education, contraception, pregnancy, abortion, HIV, and lesbian, gay, bisexual (LGB) issues among adolescents, concentrating on questions surrounding taken-for-granted assumptions and health injustices. With this as a backdrop, I argue for a sexual and reproductive justice approach that draws from transnational feminism. Such an approach would focus on health injustices, analyze gendered power relations that cohere around sexuality and reproduction among adolescents, highlight the intersectionality of race, class, location, religion, ability and sexual orientation in health outcomes, and deconstruct normative frameworks and taken-for-granted assumptions.
- Full Text:
- Date Issued: 2017
Cultural De-colonization versus Liberal approaches to abortion in Africa: The politics of representation and voice
- Chiweshe, Malvern T, Macleod, Catriona I
- 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
- 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
Expanding reproductive justice through a supportability reparative justice framework: the case of abortion in South Africa
- Authors: Macleod, Catriona I
- Date: 2016
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/443680 , vital:74143 , xlink:href="https://doi.org/10.1080/13691058.2018.1447687"
- Description: Theoretical refinement of the concept of reproductive justice has been called for. In this paper, I propose the use of a supportability reparative justice approach. Drawing on intra-categorical intersectionality, the supportability aspect starts from the event of a pregnancy to unravel the interwoven embodied and social realities implicated in women experiencing pregnancy as personally supportable/unsupportable, and socially supported/unsupported. The reparative justice aspect highlights the need for social repair in the case of unsupportable pregnancies and relies on Ernesto Verdeja’s critical theory of reparative justice in which he outlines four reparative dimensions. Using abortion within the South African context, I show how this framework may be put to use: (1) the facilitation of autonomous decision-making (individual material dimension) requires understanding women within context, and less emphasis on individual-driven ‘choice’; (2) the provision of legal, safe state-sponsored healthcare resources (collective material dimension) demands political will and abortion service provision to be regarded as a moral as well as a healthcare priority; (3) overcoming stigma and the spoiled identities (collective symbolic dimension) requires significant feminist action to deconstruct negative discourses and to foreground positive narratives; and (4) understanding individual lived experiences (individual symbolic dimension) means deep listening within the social dynamics of particular contexts.
- Full Text:
- Date Issued: 2016
- Authors: Macleod, Catriona I
- Date: 2016
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/443680 , vital:74143 , xlink:href="https://doi.org/10.1080/13691058.2018.1447687"
- Description: Theoretical refinement of the concept of reproductive justice has been called for. In this paper, I propose the use of a supportability reparative justice approach. Drawing on intra-categorical intersectionality, the supportability aspect starts from the event of a pregnancy to unravel the interwoven embodied and social realities implicated in women experiencing pregnancy as personally supportable/unsupportable, and socially supported/unsupported. The reparative justice aspect highlights the need for social repair in the case of unsupportable pregnancies and relies on Ernesto Verdeja’s critical theory of reparative justice in which he outlines four reparative dimensions. Using abortion within the South African context, I show how this framework may be put to use: (1) the facilitation of autonomous decision-making (individual material dimension) requires understanding women within context, and less emphasis on individual-driven ‘choice’; (2) the provision of legal, safe state-sponsored healthcare resources (collective material dimension) demands political will and abortion service provision to be regarded as a moral as well as a healthcare priority; (3) overcoming stigma and the spoiled identities (collective symbolic dimension) requires significant feminist action to deconstruct negative discourses and to foreground positive narratives; and (4) understanding individual lived experiences (individual symbolic dimension) means deep listening within the social dynamics of particular contexts.
- Full Text:
- Date Issued: 2016
Breaking the silence on abortion: the role of adult community abortion education in fostering resistance to norms
- Bloomer, Fiona, O'Dowd, Kellie, Macleod, Catriona I
- Authors: Bloomer, Fiona , O'Dowd, Kellie , Macleod, Catriona I
- Date: 2017
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444250 , vital:74210 , xlink:href="https://doi.org/10.1080/13691058.2016.1257740"
- Description: Meanings of abortion in society are constructed within sociohistorical and gendered spaces and manifested through myriad discourses that impact on the perception and treatment of the issue in that society. In societies with powerful oppressive anti-abortion norms, such as Northern Ireland, little is known as to how these norms are resisted by the adult population. This study uses a Foucauldian feminist approach to show how resistance to religious and patriarchal norms can be fostered through adult community abortion education. This resistance is multi-faceted and bolstered by a lived experience discourse, which does not necessarily involve eschewing religious notions held within society.
- Full Text:
- Date Issued: 2017
- Authors: Bloomer, Fiona , O'Dowd, Kellie , Macleod, Catriona I
- Date: 2017
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444250 , vital:74210 , xlink:href="https://doi.org/10.1080/13691058.2016.1257740"
- Description: Meanings of abortion in society are constructed within sociohistorical and gendered spaces and manifested through myriad discourses that impact on the perception and treatment of the issue in that society. In societies with powerful oppressive anti-abortion norms, such as Northern Ireland, little is known as to how these norms are resisted by the adult population. This study uses a Foucauldian feminist approach to show how resistance to religious and patriarchal norms can be fostered through adult community abortion education. This resistance is multi-faceted and bolstered by a lived experience discourse, which does not necessarily involve eschewing religious notions held within society.
- Full Text:
- Date Issued: 2017
Abortion embedded and embodied in social relations: Challenges for feminist psychology
- Marecek, Jeanne, Macleod, Catriona I, Hoggart, Lesley
- Authors: Marecek, Jeanne , Macleod, Catriona I , Hoggart, Lesley
- Date: 2017
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444223 , vital:74208 , xlink:href="https://doi.org/10.1177/0959353517704877"
- Description: Public health and rights-based approaches to abortion advocacy are well established. Feminists are, however, increasingly using a broader framework of ‘reproductive justice’, which considers the intersecting conditions that serve to enhance or hinder women’s reproductive freedoms, including their capacities to decide about the outcome of their pregnancies. Nonetheless, reproductive justice approaches to abortion are, conceptually, relatively under-developed. We introduce a reparative justice approach as a method of further articulating the concept of reproductive justice. We first explain how this approach can be used to conceptualise safe, accessible and supportive abortion as a key element of reproductive justice in relation to the injustice of unwanted or unsupportable pregnancies. Using Ernesto Verdeja’s critical theory of reparative justice and case studies of two countries (South Africa and Great Britain) where abortion is legal, we show how such an approach enables an analysis of reproductive justice within the specificities of particular contexts. We argue that both the rights-based legal framework adopted in South Africa and the medicalised approach of British law have, in practice, limited reparative justice in these contexts. We discuss the implications of reparative justice for abortion advocacy.
- Full Text:
- Date Issued: 2017
- Authors: Marecek, Jeanne , Macleod, Catriona I , Hoggart, Lesley
- Date: 2017
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444223 , vital:74208 , xlink:href="https://doi.org/10.1177/0959353517704877"
- Description: Public health and rights-based approaches to abortion advocacy are well established. Feminists are, however, increasingly using a broader framework of ‘reproductive justice’, which considers the intersecting conditions that serve to enhance or hinder women’s reproductive freedoms, including their capacities to decide about the outcome of their pregnancies. Nonetheless, reproductive justice approaches to abortion are, conceptually, relatively under-developed. We introduce a reparative justice approach as a method of further articulating the concept of reproductive justice. We first explain how this approach can be used to conceptualise safe, accessible and supportive abortion as a key element of reproductive justice in relation to the injustice of unwanted or unsupportable pregnancies. Using Ernesto Verdeja’s critical theory of reparative justice and case studies of two countries (South Africa and Great Britain) where abortion is legal, we show how such an approach enables an analysis of reproductive justice within the specificities of particular contexts. We argue that both the rights-based legal framework adopted in South Africa and the medicalised approach of British law have, in practice, limited reparative justice in these contexts. We discuss the implications of reparative justice for abortion advocacy.
- Full Text:
- Date Issued: 2017
From deviant choice to feminist issue: An historical analysis of scholarship on voluntary childlessness (1920–2013)
- Lynch, Ingrid, Morison, Tracy, Macleod, Catriona I, Mijas, Magdalena, du Toit, Ryan, Shivakumar, Seemanthini T
- Authors: Lynch, Ingrid , Morison, Tracy , Macleod, Catriona I , Mijas, Magdalena , du Toit, Ryan , Shivakumar, Seemanthini T
- Date: 2018
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434319 , vital:73048 , ISBN 978-1-78754-361-4 , https://www.emerald.com/insight/content/doi/10.1108/978-1-78754-361-420181002/full/html
- Description: Existing reviews of research on voluntary childlessness generally take the form of narrative summaries, focusing on main topics investigated over time. In this chapter, the authors extend previous literature reviews to conduct a systematic review and content analysis of socio-historical and geopolitical aspects of knowledge production about voluntary childlessness. The dataset comprised 195 peer-reviewed articles that were coded and analysed to explore, inter alia: the main topic under investigation; country location of authors; sample characteristics; theoretical framework and methodology. The findings are discussed in relation to the socio-historical contexts of knowledge production, drawing on theoretical insights concerned with the politics of location, representation and research practice. The shifts in the topics of research from the 1970s, when substantial research first emerged, uphold the view of voluntary childlessness as non-normative. With some regional variation, knowledge is dominated by quantitative, hard science methodologies and mostly generated about privileged, married women living in the global North. The implications of this for future research concerned with reproductive freedom are outlined.
- Full Text:
- Date Issued: 2018
- Authors: Lynch, Ingrid , Morison, Tracy , Macleod, Catriona I , Mijas, Magdalena , du Toit, Ryan , Shivakumar, Seemanthini T
- Date: 2018
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434319 , vital:73048 , ISBN 978-1-78754-361-4 , https://www.emerald.com/insight/content/doi/10.1108/978-1-78754-361-420181002/full/html
- Description: Existing reviews of research on voluntary childlessness generally take the form of narrative summaries, focusing on main topics investigated over time. In this chapter, the authors extend previous literature reviews to conduct a systematic review and content analysis of socio-historical and geopolitical aspects of knowledge production about voluntary childlessness. The dataset comprised 195 peer-reviewed articles that were coded and analysed to explore, inter alia: the main topic under investigation; country location of authors; sample characteristics; theoretical framework and methodology. The findings are discussed in relation to the socio-historical contexts of knowledge production, drawing on theoretical insights concerned with the politics of location, representation and research practice. The shifts in the topics of research from the 1970s, when substantial research first emerged, uphold the view of voluntary childlessness as non-normative. With some regional variation, knowledge is dominated by quantitative, hard science methodologies and mostly generated about privileged, married women living in the global North. The implications of this for future research concerned with reproductive freedom are outlined.
- Full Text:
- Date Issued: 2018
Contesting the nature of young pregnant and mothering women: Critical healthcare nexus research, ethics committees, and healthcare institutions
- Feltham-King, Tracey, Bomela, Yolisa, Macleod, Catriona I
- Authors: Feltham-King, Tracey , Bomela, Yolisa , Macleod, Catriona I
- Date: 2018
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434199 , vital:73038 , ISBN 978-3-319-74720-0 , https://link.springer.com/chapter/10.1007/978-3-319-74721-7_5
- Description: In this chapter we describe how systemic contradictions complicate ethical site entry and data collection in critical research. We present our ethnographic research within South African antenatal and postnatal clinics as an example. Pregnant and mothering young women are subject to diverging views of minors in different state-produced policies and legislation. In addition, we encountered discrepancies between our research aims and assumptions made by the University Ethical Standards Committee, managers, healthcare providers, teenaged participants, and other service users. These complexities have implications for ethical engagement of researchers and call for nuanced means of data collection and analysis. We discuss how critical researchers can mitigate social injustice by questioning entrenched ways of thinking about participants and negotiating the contradictory positionings of self and others.
- Full Text:
- Date Issued: 2018
- Authors: Feltham-King, Tracey , Bomela, Yolisa , Macleod, Catriona I
- Date: 2018
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434199 , vital:73038 , ISBN 978-3-319-74720-0 , https://link.springer.com/chapter/10.1007/978-3-319-74721-7_5
- Description: In this chapter we describe how systemic contradictions complicate ethical site entry and data collection in critical research. We present our ethnographic research within South African antenatal and postnatal clinics as an example. Pregnant and mothering young women are subject to diverging views of minors in different state-produced policies and legislation. In addition, we encountered discrepancies between our research aims and assumptions made by the University Ethical Standards Committee, managers, healthcare providers, teenaged participants, and other service users. These complexities have implications for ethical engagement of researchers and call for nuanced means of data collection and analysis. We discuss how critical researchers can mitigate social injustice by questioning entrenched ways of thinking about participants and negotiating the contradictory positionings of self and others.
- Full Text:
- Date Issued: 2018
"The man can use that power", "she got courage" and "inimba": discursive resources in counsellors' talk of intimate partner violence: implications for practice
- Fleischack, Anne, Macleod, Catriona I, Böhmke, Werner
- Authors: Fleischack, Anne , Macleod, Catriona I , Böhmke, Werner
- Date: 2017
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/67498 , vital:29103 , http://dx.doi.org/10.15270/52-2-550
- Description: Publisher version , Given the high rate of intimate partner violence (IPV), understanding how counsellors talk about IPV and their interventions is important. The authors conducted narrative interviews with eight counsellors from non-governmental organisations (NGOs) working with IPV. Using narrative-discursive methodology, this qualitative study paid attention to the discursive resources that the participants drew upon. Two broad clusters of discursive resources and one contradictory (‘nurturing femininity’) discourse emerged. The first cluster engenders a sense of helplessness in the face of overwhelming power relations; the second enables the counsellors to foresee positive outcomes for their counselling. Implications for counselling include emphasising enabling discourses, highlighting multiplicities of gender, and wider-scale interventions.
- Full Text:
- Date Issued: 2017
- Authors: Fleischack, Anne , Macleod, Catriona I , Böhmke, Werner
- Date: 2017
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/67498 , vital:29103 , http://dx.doi.org/10.15270/52-2-550
- Description: Publisher version , Given the high rate of intimate partner violence (IPV), understanding how counsellors talk about IPV and their interventions is important. The authors conducted narrative interviews with eight counsellors from non-governmental organisations (NGOs) working with IPV. Using narrative-discursive methodology, this qualitative study paid attention to the discursive resources that the participants drew upon. Two broad clusters of discursive resources and one contradictory (‘nurturing femininity’) discourse emerged. The first cluster engenders a sense of helplessness in the face of overwhelming power relations; the second enables the counsellors to foresee positive outcomes for their counselling. Implications for counselling include emphasising enabling discourses, highlighting multiplicities of gender, and wider-scale interventions.
- Full Text:
- Date Issued: 2017