Journal articles: 'Teenage pregnancy – South Africa – Vredendal'

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Jewkes, Rachel, Caesar Vundule, Fidelia Maforah, and Esmé Jordaan. "Relationship dynamics and teenage pregnancy in South Africa." Social Science & Medicine 52, no. 5 (March 2001): 733–44. http://dx.doi.org/10.1016/s0277-9536(00)00177-5.

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Morwe, K. G., E. K. Klu, and A. K. Tugli. "Teenage Pregnancy in South Africa: A Challenge to Democracy." Journal of Social Sciences 41, no. 3 (December 2014): 481–85. http://dx.doi.org/10.1080/09718923.2014.11893383.

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Mwaba, Kelvin. "Perceptions of teenage pregnancy among South African adolescents." Health SA Gesondheid 5, no. 3 (October 24, 2000): 30–34. http://dx.doi.org/10.4102/hsag.v5i3.35.

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Teenage pregnancy has been viewed as a social problem that has implications for the development and empowerment of women in South Africa. This study sought to determine the attitudes, perceptions and beliefs of a group of South African adolescents regarding teenage pregnancy. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

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Mkwananzi, Sibusiso. "Teenage pregnancy in South Africa: Setting a new research agenda." South African Review of Sociology 48, no. 1 (January 2, 2017): 42–66. http://dx.doi.org/10.1080/21528586.2016.1216801.

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M. Sefoka, Isaiah, and Kola O. Odeku. "Critical Analysis of the Right to Education for Pregnant School-going Teenage Girls in South Africa." African Journal of Gender, Society and Development (formerly Journal of Gender, Information and Development in Africa) 10, no. 3 (September 1, 2021): 73–85. http://dx.doi.org/10.31920/2634-3622/2021/v10n3a4.

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Most inadvertently, teenage girls in school fall pregnant. Over recent years, South Africa has seen an exponential increase in teenage pregnancy. A significant number of pregnant teenage girls end up dropping out of school as often they are unable to cope with the huge responsibility associated with pregnancy, and some schools are not supportive of pregnant learners. However, pregnant teenage girls still have the right to education. To make it methodologically sound, this study utilized a literature review research approach, mainly sourced from google scholar search engine, to address issues relating to the legal protection of pregnant teenagers. The study found that, in schools, pregnant girls were discriminated against on different grounds, and sometimes expelled. The research presented consequences of teenage pregnancy such as, dropping out of school, loneliness, anxiety/stress, and so on. More importantly, using the jurisprudence of the South African courts, the paper accentuates that pregnant teenagers still have the right to education, and being pregnant cannot be used to deprive or deny them this fundamental human right. It prohibits discrimination in schools on the basis of pregnancy, and presents arguments for continuation of schooling, and all assistance needed to ensure that the right to education is protected at all costs, even during pregnancy.

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Amoo, Emmanuel O., Clifford O. Odimegwu, and Nicole De Wet. "Teenage Pregnancy in South Africa: Where are the young men involved?" South African Journal of Child Health 12, no. 2b (September 4, 2018): 44. http://dx.doi.org/10.7196/sajch.2018.v12i2b.1523.

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Mukuna, Robert Kananga, and Peter J. O. Aloka. "INTERPRETATIVE PHENOMENOLOGICAL ANALYSIS OF TEENAGE MOTHERS RESILIENCY IN OVERCOMING ADVERSITIES IN PREGNANCY AND EARLY MOTHERHOOD IN SOUTH AFRICA." Problems of Education in the 21st Century 79, no. 1 (February 10, 2021): 104–17. http://dx.doi.org/10.33225/pec/21.79.104.

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The phenomenon of teenage motherhood is a major concern worldwide. The teenage mothers endure many challenges that could affect their academic goals and successes if there is insufficient support. However, some teenage mothers manage to develop certain forms of flexibility to manage these adversities. This study explored the teenage mothers' resiliency in overcoming adversities in pregnancy and early motherhood at a rural high school in South Africa. Within the Interpretative Phenomenological qualitative paradigm, an exploratory case study research design was adopted. 10 participants (N=10) were selected from a rural high school district using a purposive sampling technique. The study employed semi-structured interviews to collect data. The findings demonstrated that teenage mothers were resilient to continuing and completing their schooling by adopting self-motivation and school and family support. This study suggested that the South African Department of Education should develop a training programme for teenage mothers on psychosocial adjustment mechanisms to help them cope with their situations. Keywords: interpretative phenomenological analysis, rural high school, teenage motherhood, teenage mother resiliency, teenage pregnancy

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Taylor, Myra, Champak Jinabhai, Siyabonga Dlamini, Reshma Sathiparsad, Matthijs S. Eggers, and Hein De Vries. "Effects of a Teenage Pregnancy Prevention Program in KwaZulu-Natal, South Africa." Health Care for Women International 35, no. 7-9 (June 19, 2014): 845–58. http://dx.doi.org/10.1080/07399332.2014.910216.

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MACLEOD, CATRIONA. "Economic Security and the Social Science Literature on Teenage Pregnancy in South Africa." Gender & Society 16, no. 5 (October 2002): 647–64. http://dx.doi.org/10.1177/089124302236990.

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Odimegwu, Clifford, and Sibusiso Mkwananzi. "Family structure and community connectedness: Their association with teenage pregnancy in South Africa." Journal of Psychology in Africa 28, no. 6 (November 2, 2018): 479–84. http://dx.doi.org/10.1080/14330237.2018.1544390.

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Thobejane, Tsoaledi Daniel. "Factors Contributing to Teenage Pregnancy in South Africa: The Case of Matjitjileng Village." Journal of Sociology and Social Anthropology 6, no. 2 (April 2015): 273–77. http://dx.doi.org/10.1080/09766634.2015.11885667.

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Udjo, Eric O. "The Relationship between the Child Support Grant and Teenage Fertility in Post-Apartheid South Africa." Social Policy and Society 13, no. 4 (August 28, 2013): 505–19. http://dx.doi.org/10.1017/s1474746413000390.

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Governments often provide some form of social assistance to vulnerable groups. The right to social security is enshrined in the South African Constitution and the Social Assistance Act 13 of 2004. The country provides for a child support grant to single parents or caregivers who are low-income earners. The impact of the child support grant on teenage pregnancy in South Africa has aroused interest in the last couple of years, sparking debate that it may be encouraging teenage pregnancy. However, empirical evidence has been produced to confirm this relationship. This study examines the relationship between receiving the child support grant and being pregnant with another child in two national data sets using logistic regression analysis and empirical data. The results indicate that teenagers who receive the child support grant are significantly less likely to be pregnant with another child compared with teenagers who do not receive the child support grant.

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Sathiparsad, Reshma. "Young Rural Males in South Africa Speak on Teenage Pregnancy: “It's Really Her Problem”." Journal of Psychology in Africa 20, no. 4 (January 2010): 537–46. http://dx.doi.org/10.1080/14330237.2010.10820412.

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Udjo, Eric O. "Demographic and Socioeconomic Status, Child Support Grant, and Teenage Pregnancy among Blacks in South Africa." Politics & Policy 41, no. 6 (December 2013): 833–51. http://dx.doi.org/10.1111/polp.12049.

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Mabunda, J. T., R. T. Lebese, M. S. Maputle, and P. K. Chauke. "Perceived Risk Behaviours Related to Teenage Pregnancy among University Students in Limpopo Province, South Africa." Journal of Human Ecology 51, no. 1-2 (July 2015): 66–72. http://dx.doi.org/10.1080/09709274.2015.11906895.

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Masuku, Andile S., Maureen N. Sibiya, and Reggiswindis T. Hlengwa. "Psychosocial challenges associated with teenage pregnancy amongst high school learners at eMondlo Township, KwaZulu Natal, South Africa." African Journal for Physical Activity and Health Sciences (AJPHES) 27, no. 2 (June 2021): 265–83. http://dx.doi.org/10.37597/ajphes.2021.27.2.9.

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Mostert, Karien, Khethiwe M Sethole, Oumiki Khumisi, Dorrica Peu, Julius Thambura, Roinah N Ngunyulu, and Mavis F Mulaudzi. "Sexual knowledge and practice of adolescent learners in a rural South African school." African Health Sciences 20, no. 1 (April 20, 2020): 28–38. http://dx.doi.org/10.4314/ahs.v20i1.6.

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Background: Premature sexual activity has become a norm in South African society, often resulting in teenage pregnancy and sexually transmitted diseases (STD). Occurrence of premature sexual activity is related to insufficient education, gender inequal- ities, household poverty and place of residence. The Stepping Stones project uses a 10-session programme to educate learners about relationships, HIV-prevention and teenage pregnancy. The purpose was to measure and describe learners’ sexual knowl- edge and activities in a rural technical secondary school in North-west Province, South Africa. Methods: A cross-sectional survey. Questionnaires were distributed to learners in grade 8 to 12. Descriptive statistics was used in analysis. Results: Seventy-nine questionnaires were analysed. Despite a young sample, 26.6% were sexually active and 24.1% engaged in sexual activity. The mean age for first-time sexual intercourse was 15.2±2.3 years. The use of contraceptives was low (41.2%) and participants reported difficulty in talking to partners about condom use (54.8%). Almost half (45.5%) of the participants had never heard of STDs. Participants expressed a need to use social media as a sex education tool (12.3%). The primary source of information was from school-based programmes (58.0%). Conclusion: Findings point to unsafe sexual practice of learners at a school in rural South Africa, even from an early age. This concern is accompanied by the occurrence of low levels of sexually-related knowledge. The learners would benefit from contin- ued implementation of the Stepping Stones programme. Implementation could be improved by incorporating social media and emphasising gender equality and negotiation skills in sexually vulnerable situations. Keywords: Sexual knowledge; adolescent learners; South Africa.

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Mukuna, Kananga Robert. "An Interpretative Phenomenological Analysis of Basotho Teenage Mothers’ Experiences in Early Motherhood at a Rural School." Journal of Educational and Social Research 11, no. 3 (May 10, 2021): 151. http://dx.doi.org/10.36941/jesr-2021-0059.

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This study explored Basotho teenage mothers' experiences in early motherhood at a rural school in a district in South Africa. The interpretative phenomenological qualitative approach and the contextual and phenomenological study designs were used in this study. Five participants (N=5) were purposively selected. Semi-structured interviews were employed as a tool for data collection. Interpretative Phenomenological Analysis (IPA) was used to analyse the data. The findings demonstrated that Basotho teenage mothers experience insufficient support from the family and the school management team. They are expelled from the school during their pregnancy and only allowed to return to school after giving birth. They also lack support from their teenage husbands. Thus, Basotho teenage mothers are stigmatised, discriminated against, and lack support from their teenage husbands, peers, and the community during their early motherhood. The study recommended that the School-Based Support Team (SBST) should train teachers on the best support mechanisms for teenage mothers. Received: 24 August 2020 / Accepted: 21 November 2020 / Published: 10 May 2021

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Bengesai, A. V., H. T. A. Khan, and R. Dube. "EFFECT OF EARLY SEXUAL DEBUT ON HIGH SCHOOL COMPLETION IN SOUTH AFRICA." Journal of Biosocial Science 50, no. 1 (April 18, 2017): 124–43. http://dx.doi.org/10.1017/s0021932017000104.

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SummaryEarly sexual debut is of major concern because it is a correlate for health and economic shocks experienced in adulthood. In South Africa, this concern has provided impetus for research directed at the HIV and AIDS epidemic, teenage pregnancy and the effect of adolescent sexual behaviour on persistence in school. Of interest to the present study is high school completion, which is a well-established empirical barometer of adult socioeconomic opportunities. Using data from the five waves of the Cape Area Panel Study (CAPS), this paper examines the association between sexual behaviours initiated in pre- and early adolescence and high school completion rates. The CAPS study is a longitudinal survey that was designed to investigate young people’s (aged 14–22 years) educational attainment and sexual behaviours in Cape Town, South Africa. The sample was constituted from 3213 individuals who had initiated sex during their teenage years and the analysis was undertaken when the youngest cohort was aged 21, an age at which they should have completed high school if they were on time. Logistic regression models were fitted separately for males and females. Overall, the results reveal that early sexual debut is correlated with long-term negative educational outcomes. Individuals who experience early sexual debut are less likely to complete high school than their counterparts who make their sexual debut later on in life. This effect is worse for Africans, who also disproportionately have an earlier sexual debut than other race groups. Apart from race however, the findings also reinforce the effect of other demographic factors on high school completion, namely, place of residence and family socioeconomic status as measured by parental education and household income. Hence, early sexual debut adds another layer of inequality and worsens the plight of Africans, females, those living in rural areas and those who come from low-income families.

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Ngubane, Nokuthula, and Pranitha Maharaj. "Childbearing in the Context of the Child Support Grant in a Rural Area in South Africa." SAGE Open 8, no. 4 (October 2018): 215824401881759. http://dx.doi.org/10.1177/2158244018817596.

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Although teenage pregnancy appears to be on the decline in South Africa, it is still high and a matter of heated debate. Some commentators argue that the child support grant is fuelling the high levels of childbearing among young women in South Africa. To investigate this relationship, qualitative data using in-depth interviews was conducted with women aged 18 to 24 years who were recipients of the child support grant. The study was conducted in Mtubatuba, which is located in northern KwaZulu-Natal in South Africa. The women in the study denied that they had children to access the grant. They pointed out that the grant is minimal and did not cover the cost of raising a child. The women identified a range of factors that contribute to childbearing including inadequate knowledge about sex, gender relations, lack of access to contraceptive services, and risky behaviors. Age appropriate and youth friendly health services should thus be a priority for government in tackling this problem.

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Lebese, R. T., M. S. Maputle, J. T. Mabunda, and P. K. Chauke. "Knowledge, Attitudes and Perception of Students on Teenage Pregnancy: A Case Study of Rural Based University Students in South Africa." Journal of Human Ecology 51, no. 1-2 (July 2015): 55–65. http://dx.doi.org/10.1080/09709274.2015.11906894.

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Ngwakwe, Collins C. "A review of causes of school dropouts in BRICS countries: A South African case." Corporate Ownership and Control 12, no. 1 (2014): 911–14. http://dx.doi.org/10.22495/cocv12i1c9p13.

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This paper presents a review of causes of school dropout in BRICS countries – Brazil, Russia, India, China and South Africa. This review is apposite considering that previous literatures have not closely dwelt on such a comparative stance, but given that this group of countries have some economic interest in common, that also translates to social development, it is thus pertinent to review similarities in their school dropout factors. Insight from the literature indicates that school dropout in BRICS countries is an amalgam of closely related factors that culminate to learners dropping out of school. These factors include inter alia, poverty, disability, family configuration, orphan-hood, teenage pregnancy, drug abuse, lack of effective teaching method, poor academic performance, and child labour. The paper goes beyond the review and evaluates the relationship between school dropout, government education expenditure and poverty in South Africa. The result indicates that a combination of poverty and low government expenditure on education may aggravate school dropout. This thus suggests that government education expenditure should be formulated to effectively accommodate the rural poor communities

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Worku, PhD, Eshetu Bekele, and Selamawit Alemu Woldesenbet, PhD. "Factors that Influence Teenage Antenatal Care Utilization in John Taolo Gaetsewe (JTG) District of Northern Cape Province, South Africa: Underscoring the Need for Tackling Social Determinants of Health." International Journal of Maternal and Child Health and AIDS (IJMA) 5, no. 2 (December 3, 2016): 134–45. http://dx.doi.org/10.21106/ijma.157.

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Background and Objectives: In resource-limited settings, the uptake of antenatal care visits among women, especially teenage pregnant women, is disturbingly low. Factors that infl uence the uptake of ANC services among teenage women is largely understudied and poorly understood in John Taolo Gaetsewe (JTG), a predominantly rural and poor district of South Africa. The aim of this study was to determine the factors that infl uence uptake of ANC services among teenage mothers in JTG district. Methods: A cross-sectional health facility-based study utilising mixed method was conducted in all public health facilities (n=44) at JTG district. Mother-infant pairs (n=383) who brought their infants for six-week first DPT immunisation during the study period were enrolled in the study. Structured questionnaires were used to collect data on demographic, socio-economic and uptake of ANC indicators. Results: Out of 272 respondent mothers, 18.68% were adolescent mothers (13-19 years). The logistic regression analysis shows that mother’s age (OR=2.11; 95%CI = 1.04 - 4.27); distance to the nearest health facility (OR=3.38; 95%CI = 1.45-7.87); and client service satisfaction (OR=8.58; 95%CI =2.10-34.95 are significantly associated with poor uptake of ANC services. Conclusion and Global Health Implications: There is a need to improve the quality of adolescent reproductive health services tailored to their health and developmental needs. Moreover, addressing the social determinants of health that affect individual’s healthy life style and health seeking behavior is critical. Key words: Antenatal Care Visits • Teenage Pregnancy • Social Determinants of Health • John Taolo Gaetsewe Copyright © 2016 Worku and Woldesenbet. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Malga, Pelonomi F., Boitumelo Marilyn Setlalentoa, Choja Oduaran, and Nopasika Maforah. "Factors Influencing HIV/AIDS and Risky Sexual Behaviour Among Learners in South Africa." Global Journal of Health Science 10, no. 5 (May 1, 2018): 197. http://dx.doi.org/10.5539/gjhs.v10n5p197.

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HIV/AIDS is a global health concern and young people are more at risk of being infected. The explored factors that contribute to HIV/AIDS and risky sexual behaviour among learners aged 12-18 years in Vuyolwethu High School. The study focused on learners who were in Grade 10-12. This study employed a mixed method research. Quantitative phase was limited to learners while the qualitative phase focused on life-orientation teachers. The total study sample is 150, and the gender distribution is equally distributed at 50% for both males and females. The dominating age and grade among respondents is age 17-18 years and grade 11. Quantitative data were subjected to descriptive analyses while thematic analysis is employed for analysis of qualitative data. Overall, about 51.3% of the respondents strongly agreed that engaging in sexual intercourse without protection is risky, and that unprotected sexual activity can lead to unwanted sexual encounters, unwanted teenage pregnancy and HIV/AIDS. Similarly, substance abuse is found to be a key factor that influences risky sexual behaviour among adolescents, thus resulting to unwanted pregnancies and HIV/AIDS infection. The main conclusion drawn from the findings is that while adolescents seem to be knowledgeable on the factors that contribute to risky sexual behaviour, this knowledge does not lead to attitude change. It is therefore recommended, based on the study’s findings, that there should be more focused training programmes directed not only at knowledge but also attitude and behaviour change.

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Hoque, M., and M. E. Hoque. "Knowledge of Danger Signs for Major Obstetric Complications Among Pregnant KwaZulu-Natal Women." Asia Pacific Journal of Public Health 23, no. 6 (November 2011): 946–56. http://dx.doi.org/10.1177/1010539511428698.

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Objectives. The explicit objectives of the present study were to assess the level of knowledge on pregnancy “danger signs” and HIV status, estimate the proportion of pregnant women uses health care facilities, and identify sociodemographic predictors. Methods. A cross-sectional community-based study was conducted by means of a questionnaire survey among 340 black pregnant women from the province of KwaZulu-Natal. Results. The mean age of the pregnant women was 26 years where teenage pregnancy rate was 13%. Most of the pregnant women were single (78%), less educated (60%), and unemployed (92%). Though most of the study population (92%) attended health care facilities, only half (52%) of them knew about some of the “danger signs” of pregnancy, and 39% of them knew about their HIV status. Known HIV status was related to the knowledge of pregnancy complication ( P = .018). Knowledge of “danger signs” of pregnancy was significantly ( P = .012) associated with the age of the expectant mother. Conclusion. Low level of knowledge on “danger signs” of pregnancy and their HIV status are observed among pregnant women. This warrants an urgent attempt to introduce health education strategies to rural population of South Africa.

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Ntsimane, Radikobo. "PLACES HAVE MEANING: THREE STREETS, THREE HOURS AND THREE STORIES OF SURVIVAL IN ONE CITY." Oral History Journal of South Africa 3, no. 2 (October 11, 2016): 32–43. http://dx.doi.org/10.25159/2309-5792/330.

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The socio-economic conditions in South Africa have forced new identities and new responsibilities on individuals who migrate to urban centres in the hope of finding a decent livelihood. Broken family structures, unemployment, poverty, divorce and teenage pregnancy are some of the circumstances that drove three interviewees to form relationships with certain spots on the streets of the city of Pietermaritzburg in order to eke out a living. This article looks at the conditions that brought three interviewees to the city and the streets, and transformed them to adopt new â€˜familiesâ€™ and identify with geographical location for survival. While keeping some ties with their biological relatives, the three interviewees are largely de-traditionalised and find meaning from the streets through innovative and sometimes banal means such as begging and commercial sex work.

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Ngubane, Londeka. "Traditional Practices and Human Rights: An Insight on a Traditional Practice in Inchanga Village of Kwazulu-Natal, South Africa." Oriental Anthropologist: A Bi-annual International Journal of the Science of Man 20, no. 2 (September 30, 2020): 315–31. http://dx.doi.org/10.1177/0972558x20952969.

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After falling into absolute dereliction in the Zulu community, the traditional practice of virginity inspection made a retaliation some 10 years ago, after the country’s first democratic elections. This study investigates the perceptions and experiences of virginity inspection of female adolescents in Inchanga village, KwaZulu-Natal, South Africa. A focus group interview was conducted with 10 Zulu maidens for qualitative data collection. Proponents of virginity inspection believe that virginity inspection is a traditional practice that can assist in reducing HIV infection and teenage pregnancy among the youth, and in the detection of children who are sexually abused by adults. Opponents of virginity testing, such as several human rights groups in South Africa, as well as the South African Human Rights Commission of virginity inspection, strongly believe that the practice of virginity inspection interferes with human rights and constitutional prescripts that protect the rights to equality, privacy, bodily integrity, and sexual autonomy of young women. The study found that the participants have only positive experiences of the practice of virginity inspection, and the only negative experiences they encounter are negative responses from community members who do not support the practice. The findings also confirmed that virginity inspection is being done irrespective of different opinions from different scholars and experts on the subject, and most of the time, the age of the children is not considered.

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Shaikh, Najma, Ashraf Grimwood, Brian Eley, Geoffrey Fatti, Catherine Mathews, Carl Lombard, and Sandro Galea. "Delivering an integrated sexual reproductive health and rights and HIV programme to high-school adolescents in a resource-constrained setting." Health Education Research 36, no. 3 (June 1, 2021): 349–61. http://dx.doi.org/10.1093/her/cyab013.

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Abstract Southern Africa remains the epicentre of the human immunodeficiency virus (HIV) epidemic with AIDS the leading cause of death amongst adolescents. Poor policy translation, inadequate programme implementation and fragmentation of services contribute to adolescents’ poor access to sexual and reproductive health and rights (SRHR) services. This study assessed an integrated, school-based SRHR and HIV programme, modelled on the South African Integrated School Health Policy in a rural, high HIV-prevalence district. A retrospective cohort study of 1260 high-school learners was undertaken to assess programme uptake, change in HIV knowledge and behaviour and the determinants of barrier-methods use at last sexual intercourse. Programme uptake increased (2%–89%; P�<�0.001) over a 16-month period, teenage-pregnancy rates declined (14%–3%; P�<�0.050) and accurate knowledge about HIV transmission through infected blood improved (78.3%–93.8%; P�<�0.050), a year later. Post-intervention, attending a clinic perceived as adolescent-friendly increased the odds of barrier-methods use during the last sexual encounter (aOR=1.85; 95% CI: 1.31–2.60), whilst being female (aOR=0.69; 95% CI: 0.48–0.99), <15 years (aOR=0.44; 95% CI: 0.24–0.80), or having >5 sexual partners in the last year (aOR=0.59; 95% CI: 0.38–0.91) reduced the odds. This study shows that the unmet SRHR needs of under-served adolescents can be addressed through integrated, school-based SRHR programmes.

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Susuman, Sathiya A. "Contraceptive Use and Teenage Pregnancy among Child-Headed Households in South Africa." Journal of Clinical Case Reports 05, no. 04 (2015). http://dx.doi.org/10.4172/2165-7920.1000517.

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Hoque, Monjurul, and Shahnaz Hoque. "A comparison of obstetrics and perinatal outcomes of teenagers and older women: Experiences from rural South Africa." African Journal of Primary Health Care & Family Medicine 2, no. 1 (March 4, 2010). http://dx.doi.org/10.4102/phcfm.v2i1.171.

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Background: Teenage pregnancy is a known risk factor for a negative pregnancy outcome and poses a health risk to teenagers; it is thus considered a public health problem. It is also an indicator of problems with the sexual and reproductive health of a country’s young population. In South Africa, most of the adolescent pregnancies are to be found within the context of unstable relationships with the father of the baby and are unplanned or unwanted.Objectives: This study estimates and compares the incidence of adverse obstetric and perinatal outcomes of teenage women with older women, to identify specific health needs of teenage mothers during pregnancy and delivery.Methods:A retrospective cohort study targeted pregnant women who delivered at Empangeni Hospital from April to December 2005, whilst comparing the obstetric and perinatal outcomes of all teenage (ages < 19 years) pregnant women with those of older pregnant women (ages ≥ 19 years) for this study period. Data were collected from the labour ward delivery registry. Pearson’s chi-square test was performed to measure the level of significance (alpha = 0.05) for association amongst variables. The student t-test was used to find the significance difference between two proportions and the binary logistic regression method was employed to find the significant predictor for outcome variables.Results:There were 7836 deliveries over the study period, of which 1236 (16%) were teenage mothers.The rate of gestational age at delivery (e.g. pre-term delivery of 12%), vaginal and forceps deliveries,foetal presentation at birth, multiple pregnancies, low birth-weight and live births deliveries and mean Apgar scores were similar for both groups. The caesarean delivery rate (20%) and macerated stillbirth rate (1.1%) were significantly lower (p < 0.05) for teenagers than for older women.Conclusion: Although there was a higher rate of teenage pregnancy, it did not appear that it was associated with extra perinatal negative outcome such as preterm delivery, low birth-weight delivery and stillbirth. However, strategies are urgently needed to delay conception and improve the socio-economic development of teenage girls.

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Madlala, Siphiwe T., Maureen N. Sibiya, and Thembelihle S. P. Ngxongo. "Perceptions of young men at the Free State School of Nursing with regards to teenage pregnancy." African Journal of Primary Health Care & Family Medicine 10, no. 1 (June 14, 2018). http://dx.doi.org/10.4102/phcfm.v10i1.1358.

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Background: Teenage pregnancy is a socio-economic challenge and a serious public health problem for communities in South Africa. It is, therefore, imperative that effective interventions and programmes be implemented to address this problem. A number of research studies have been conducted on teenage pregnancy in South Africa, but their focus was mainly on teenage girls excluding young men’s involvement in teenage pregnancy.Aim: The aim of the study was to determine the perceptions of young men between the ages of 18 and 23 years towards teenage pregnancy.Methods: A qualitative, explorative semi-structured interview descriptive design was used toconduct the study. The study was guided by the Johnson’s Behavioral System Model. Purposive sampling was used to select 10 participants with whom semi-structured interviews were conducted. Thematic analysis of data were performed.Setting: The study was conducted in Free State School of Nursing’s two main campuses.Results: The findings of this study revealed that young men were not involved in reproductive health programmes aiming to prevent teenage pregnancies. Father and son’s poor communication on issues related to sex and teenage pregnancy contributes to unprotected sexual intercourse resulting in teenage pregnancy. Cultural and traditional practices such as the withdrawal method, not using contraceptives, and misleading teachings at the initiation schools contribute to risk factors of teenage pregnancy.Conclusion: There is still a gap in reproductive health that needs to be filled by involving young men to reduce teenage pregnancies. Involving young men in reproductive health programmes could lead to a decreased number of teenage pregnancies. Factors, such as cultural and traditional practices, and father and son sexual health education, need to be taken into consideration to prevent teenage pregnancies.

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Thobejane, Tsoaledi Daniel. "Factors Contributing to Teenage Pregnancy in South Africa: The Case of Matjitjileng Village." JOURNAL OF SOCIOLOGY AND SOCIAL ANTHROPOLOGY 06, no. 02 (April 8, 2015). http://dx.doi.org/10.31901/24566764.2015/06.02.12.

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Markram, J. "Emergency contraception for the South African healthcare professional." South African General Practitioner, October 8, 2020, 155–59. http://dx.doi.org/10.36303/sagp.2020.1.4.0039.

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Unintended pregnancies are very common and it is estimated that almost 45% of all pregnancies in 2011 in the USA were not planned. In South Africa the situation could even be worse as it is common knowledge that we have a very high teenage pregnancy rate. It puts the already overburdened health system under enormous pressure.

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Sehularo, Leepile Alfred, Kebitsamang Elizabeth Medupe, and Omphemetse Meno. "Factors that Contribute to the High Rate of Teenage Pregnancy and its Reduction in a High-Risk Area in North West, South Africa." Africa Journal of Nursing and Midwifery 22, no. 2 (November 25, 2020). http://dx.doi.org/10.25159/2520-5293/6382.

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Teenage pregnancy is a global concern, and is associated with high levels of sociomedical morbidity. However, no studies have been conducted on this topic at a high-risk area in the North West province of South Africa. The aim of this study was to explore and describe the factors that contribute to the high rate of teenage pregnancy and its reduction in a high-risk area in North West. A qualitative, exploratory, descriptive and contextual research design was used to achieve the aim of the study. A non-probability purposive sampling method was used to select 15 teenage girls aged between 13 and 19 years. A total of 15 semi-structured individual interviews were used to collect data from the teenagers. Tech’s open-coding method of qualitative data analysis was used separately by the researcher and the co-coder to analyse the data. Two themes emerged, namely, contributory factors of teenage pregnancies and factors that could help to reduce teenage pregnancies. The findings of the study indicate that to effectively reduce teenage pregnancies in the high-risk area in North West, the teenagers, friends, parents, families, tavern owners and health professionals must adopt a collaborative approach to work together to fight this problem. Recommendations were made to reduce teenage pregnancies in the high-risk area in North West.

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Masemola-Yende, J. P. F., and Sanah M. Mataboge. "Access to information and decision making on teenage pregnancy prevention by females in Tshwane." Curationis 38, no. 2 (July 23, 2015). http://dx.doi.org/10.4102/curationis.v38i2.1540.

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Background: The increase in the number of teenage pregnancies and its negative consequences has encouraged various researchers to explore the possible causes of teenage pregnancy. Findings from previously-conducted research have indicated different preventable factors that predispose female teenagers to pregnancy, such as staff attitudes and the lack of information resulting from poor access to health facilities.Objective: To explore and describe access to information and decision making on teenage pregnancy prevention by females using a primary healthcare clinic in Tshwane, South Africa.Method: In this study, the researchers used a descriptive qualitative and exploratory research design to explore and describe the verbal reports regarding prevention of teenage pregnancy by females using a primary healthcare clinic in Tshwane, South Africa. Face-to-face semistructured interviews were conducted with 15 female participants aged between 15 and 26, who had been pregnant once or more during their teens.Results: Two themes emerged, namely, access to information and decision making by female teenagers. Five categories that emerged were: access to information on pregnancy prevention; ignoring of provided information; the use of alternative medicine with hormonal contraception; personal reasons for use and non-use of contraception; and decisions made by teenagers to not fall pregnant. Females in this study fell pregnant in their teens, even though they had access to information.Conclusion: Given the complexity of this problem, female teenagers should use their families as primary sources of information for reproductive health promotion and educational institutions should build on this to aid the prevention of teenage pregnancy.

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Khoza, Nondumiso, Phindile Zulu, and Maylene Shung-King. "Acceptability and feasibility of a school-based contraceptive clinic in a low-income community in South Africa." Primary Health Care Research & Development 20 (2019). http://dx.doi.org/10.1017/s1463423618000762.

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AbstractAimTo investigate how acceptable and feasible a school-based contraceptive clinic (SBCC) would be in a low-income South African community.BackgroundTeenage pregnancy is an important issue in South Africa, with significant health and social consequences. Issues regarding lack of confidentiality in an intimate community, unwelcoming health workers, long distances to clinics and perceptions of contraceptive side effects may all inhibit contraceptive use by adolescents. Although SBCC has been initiated and investigated in other countries, this approach is inadequately researched in South Africa.MethodsA mixed method study was conducted to assess the attitudes of one community towards establishment of an SBCC in their area. Methods of data collection included: focus group discussions (FGDs) with teenage girls from a local high school; a key informant interview with the school principal; a structured survey, including open-ended questionnaires with randomly selected parents of teenage girls from the same community; and a documentary analysis to explore relevant legal and policy considerations.FindingsTeenage girls, the school principal and parents with teenage daughters largely supported the idea of an SBCC, but with concerns about confidentiality, the possibility of increased promiscuity and contraceptive side effects. While legal statutes and policies in South Africa do not pose any barriers to the establishment of an SBCC, some logistical barriers remain.

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Mhlongo, T. "Parasuicide among youth in a general hospital in South Africa." Curationis 22, no. 2 (September 27, 1999). http://dx.doi.org/10.4102/curationis.v22i2.735.

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Parasuicide cases among youth (15-24 years) referred to the clinical psychology section of a regional hospital from 1995 to 1998 were reviewed. In all 100 cases (37 males and 63 females) were identified being about 10% of the caseload. As part of the clinical psychological assessment sociodemographic, clinical characteristics, trigger factors, employed methods and suicide intentions were analysed. Most patients were students (79%) or unemployed (16%). The major method employed to attempt suicide was ingestion of harmful substances (like paraffin, pesticides or battery acid)(73%). Acute social conflicts (38%), socio-economic deprivation (17%), AIDS phobia (17%), academic failure (14%), teenage pregnancy (10%) and mental illness (5%) triggered suicide attempts. Fifty-eight percent of the attempts were categorised as demonstrative and 27% as genuine. The psychodynamics of parasuicides are discussed in case studies and with reference to other studies.

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Ramakuela, Nditsheni J., Tsakani R. Lebese, Sonto M. Maputle, and Lindiwe Mulaudzi. "Views of teenagers on termination of pregnancy at Muyexe high school in Mopani District, Limpopo Province, South Africa." African Journal of Primary Health Care & Family Medicine 8, no. 2 (May 31, 2016). http://dx.doi.org/10.4102/phcfm.v8i2.945.

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Background: Teenage pregnancy is a global social health concern especially because of the HIV and AIDS pandemic, sexually transmitted infections, high rate of termination of pregnancy (TOP), adolescents’ parenthood and decreased level of contraceptives.Aim: To explore the views of teenagers on the TOP at Muyexe high school in a rural village of Mopani District, Limpopo Province.Setting: Muyexe high school in a rural village of Mopani District, Limpopo Province, in South Africa.Methodology: A qualitative method using explorative and descriptive designs was used to find in-depth description and understanding of teenagers’ views on TOP. The target population was girls aged 15–19 years at Muyexe high school in Mopani District. Non-probability, convenient sampling was used to select high school teenage girls who had undergone TOP for the study. Data were collected using individual self-report technique (interview). Tesch’s eight steps of qualitative data analysis were used. Measures to ensure trustworthiness and ethical considerations were observed.Results: Two major themes were revealed: (1) Views of teenagers regarding TOP (poverty, relationship problems and single parenthood, negative impact on the teen’s life while attending school) and (2) teenager’s fears regarding pregnancy (stigma, fear of parents and friends, rape and incest and fear of giving birth).Conclusion: Majority of participants had knowledge about TOP; some had experiences about TOP while others held inadequate knowledge. Recommendations were based on the findings by teaching dangers of TOP and various contraceptive methods to prevent unwanted pregnancies and TOP.Keywords: Views, teenagers and termination of pregnancy

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Ajayi, Anthony Idowu, and Henrietta Chinelo Ezegbe. "Association between sexual violence and unintended pregnancy among adolescent girls and young women in South Africa." BMC Public Health 20, no. 1 (September 7, 2020). http://dx.doi.org/10.1186/s12889-020-09488-6.

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Abstract Background Unintended pregnancy has dire consequences on the health and socioeconomic wellbeing of adolescent girls and young women (AGYW) (aged 15–24 years). While most studies tend to focus on lack of access to contraceptive information and services, and poverty as the main contributing factor to early-unintended pregnancies, the influence of sexual violence has received limited attention. Understanding the link between sexual violence and unintended pregnancy is critical towards developing a multifaceted intervention to reduce unintended pregnancies among AGYW in South Africa, a country with high teenage pregnancy rate. Thus, we estimated the magnitude of unintended pregnancy among AGYW and also examined the effect of sexual violence on unintended pregnancy. Methods Our study adopted a cross-sectional design, and data were obtained from AGYW in a South African university between June and November 2018. A final sample of 451 girls aged 17–24 years, selected using stratified sampling, were included in the analysis. We used adjusted and unadjusted logistic regression analysis to examine the effect of sexual violence on unintended pregnancy. Results The analysis shows that 41.9% of all respondents had experienced an unintended pregnancy, and 26.3% of those unintended pregnancies ended in abortions. Unintended pregnancy was higher among survivors of sexual violence (54.4%) compared to those who never experienced sexual abuse (34.3%). In the multivariable analysis, sexual violence was consistently and robustly associated with increased odds of having an unintended pregnancy (AOR:1.70; 95% CI: 1.08–2.68). Conclusion Our study found a huge magnitude of unintended pregnancy among AGYW. Sexual violence is an important predictor of unintended pregnancy in this age cohort. Thus, addressing unintended pregnancies among AGYW in South Africa requires interventions that not only increase access to contraceptive information and services but also reduce sexual violence and cater for survivors.

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Temin, Miriam, Cecilia Milford, Mags Beksinska, Debbie Van Zyl, and Jonathan Cockburn. "Inclusive HIV Prevention in South Africa: Reaching Foreign Migrant Adolescent Girls." Frontiers in Reproductive Health 3 (May 20, 2021). http://dx.doi.org/10.3389/frph.2021.629246.

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Within South Africa's HIV epidemic, foreign migrant adolescent girls and young women (AGYW) face unique challenges in an environment typified by xenophobia and structural inequity. The intersection of age, gender, and migrant-related factors creates threats that may exacerbate their HIV risk, including discrimination, limited social capital, and economic dependency. This paper explores HIV-related determinants of risk from the perspective of foreign migrant AGYW who participated in a Girls' Club project implemented by Community Media Trust. Within clubs, foreign migrant AGYW met weekly with a female mentor to discuss HIV, safety planning, financial literacy, and other topics. Focus group discussions (FGDs) were conducted with club members and parents to learn about pressing challenges in a context characterized by early sexual debut, high rates of teenage pregnancy, and relationships typified by material exchange. FGDs addressed HIV risk factors such as social isolation and limited access to services, exacerbated by migrant-related stigma and discrimination and lack of identity documents. The foreign migrant AGYW appreciated the role of the Girls' Clubs and mentors in helping them overcome barriers to school and health services as well as building their social and other assets. FGD results indicate that HIV prevention in South Africa should prioritize action to address the specific determinants of foreign migrant AGYW's HIV risk, as well as inclusive policies that recognize migrants' heterogeneity based on gender and age.

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Ramathuba, Dorah U., Lunic B. Khoza, and Mutshinyalo L. Netshikweta. "Knowledge, attitudes and practice of secondary school girls towards contraception in Limpopo Province." Curationis 35, no. 1 (May 9, 2012). http://dx.doi.org/10.4102/curationis.v35i1.45.

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Unplanned teenage pregnancy constitutes an important health problem, whilst contraceptive services are free throughout South Africa and the number of Termination of Pregnancy (TOP) services is increasing. The purpose of this study was to assess the knowledge, attitudes and practices of secondary school girls towards contraception in Thulamela Municipality of Limpopo Province, South Africa. A quantitative descriptive study design was used and respondents were selected by convenience sampling from a population of secondary school girls, the sample consisting of 273 girls in Grades 10–12. A self-administered questionnaire was used to collect data and analysed by computing frequencies and percentages using the Statistical Package for Social Sciences. Findings showed that respondents were aware of different contraceptive methods that can prevent pregnancy. However, most did not have knowledge of the emergency contraceptive, intra-uterine device and female condom. Pressure from male partners, fear of parental reaction to the use of contraceptives, reluctance to use contraceptives, poor contraceptive education and lack of counselling were seen as the main causes of ineffective contraceptive use and non-utilisation. Possible modalities of intervention deal with providing contraceptive counselling and care to empower these school girls to make informed choices on reproductive health.

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Wilson, Patricia, and Azwihangwisi Helen Mavhandu-Mudzusi. "Working in partnership with communities to improve health and research outcomes. Comparisons and commonalities between the UK and South Africa." Primary Health Care Research & Development 20 (2019). http://dx.doi.org/10.1017/s1463423619000677.

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Abstract Community and public participation and involvement is an underpinning principle of primary health care, an essential component of a social justice-orientated approach to health care and a vehicle to improving health outcomes for patients, public and communities. However, influenced by history and context, there are intrinsic issues surrounding power imbalance and other barriers to partnerships between communities, public, policy makers and researchers. It is important to acknowledge these issues, and through doing so share experiences and learn from those working within very different settings. In South Africa, community participation is seen as a route to decolonisation. It is also integral to the core functions of South African Higher Education Institutes, alongside teaching and research. In the UK, there has also been a history of participation and involvement as part of a social rights movement, but notably public involvement has become embedded in publicly funded health research as a policy imperative. In this paper, we draw on our respective programmes of work in public and community participation and involvement. These include a South African community engagement project to reduce teenage pregnancy and HIV infection working through a partnership between teachers, students and university academics, and a national evaluation in England of public involvement in applied health research. We begin by highlighting the lack of clarity and terms used interchangeably to describe participation, engagement and involvement. Frameworks for partnership working with relevance to South Africa and the UK are then analysed, suggesting key themes of relationships, working together, and evaluation and monitoring. The South African project and examples of public involvement in English primary and community care research are examined through these themes. We conclude the paper by mapping out common enablers and barriers to partnership working within these very different contexts.

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Hoque, Monjurul, and Shahnaz Hoque. "A comparative study of pregnancy complications and outcomes for the years 1999 and 2004 at a rural hospital in South Africa: Implications for antenatal care." African Journal of Primary Health Care & Family Medicine 2, no. 1 (March 4, 2010). http://dx.doi.org/10.4102/phcfm.v2i1.107.

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Background: Detection and management of high-risk pregnancies, all the way through antenatal care, have been advocated as a high-quality mean of reducing maternal and perinatal morbidity and mortality.Objectives: This study reviewed the demographic variables, pregnancy and obstetric complications and perinatal outcomes for the years 1999 and 2004 in a rural hospital in KwaZulu-Natal Province, South Africa, with the aim of evaluating trends and gaps that may enhance appropriate strategies for improvement of antenatal care.Method: A retrospective comparative study, with representative samples of pregnant women, were randomly selected for the respective years 1999 and 2004. Descriptive statistics were calculated depending on measurement scale. A Z-test was carried out to assess the significant difference (p < 0.05) in proportions between pregnancy complications and outcomes of the groups. Multivariate logistic regression analysis was undertaken to determine the significant predictors for outcome variables.Results: The numbers of pregnancies among young women (< 25 years) increased significantly by 8% (p < 0.05) in the year 2004. Compared with 1999, the reduction in the numbers of pregnancies (1%) among higher parity (parity 5 or more) women in 2004 was remarkable. There were significant reductions of eclampsia, anaemia and post partum haemorrhage. Women with breech presentation were 3.75 times more likely to deliver preterm, and 5.45 times more likely to deliver low birth-weight babies. Similarly, women with pregnancy-induced hypertension were more likely to have preterm (OR = 3.50, 95% CI 2.83; 4.35) and low birth-weight babies (OR = 2.09, 95% CI 1.62; 2.71). Eclampsia was also a risk factor associated with preterm deliveries (OR = 6.14, 95% CI 3.74; 10.09) and low birth-weight babies (OR = 3.40, 95% CI 1.83; 6.28).Conclusion: This study suggests that further research is needed to find the causes of higher rate of teenage pregnancies and an increase in quality of antenatal care is more important in improving maternal and perinatal health. Training of staff to standard protocol and guidelines on antenatal care and care during delivery, and adherence to it, should be encouraged to improve maternal and child health in South Africa.

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Maluleke, Thelmah X. "Sexual risk behaviour amongst young people in the Vhembe district of the Limpopo province, South Africa." Health SA Gesondheid 15, no. 1 (November 8, 2010). http://dx.doi.org/10.4102/hsag.v15i1.505.

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This study entailed a quantitative, cross-sectional survey amongst young people in four villages of the Vhembe district of the Limpopo province. The purpose of the research was to determine the sexual health risk behaviour indicators prevalent amongst young people that could contribute to the spread of HIV and AIDS in this district. The objectives of this study were (1) to identify sexual risk behaviour, (2) to establish the prevalence of substance use before sexual intercourse, (3) to determine the prevalence of coerced sexual intercourse and (4) to determine the prevalence of forced sexual intercourse amongst young people in the Vhembe district.Purposive sampling was used to select the four villages that participated in the study and simple,random sampling was used to select the respondents. A total of 400 respondents participated in the study, 227 of which were female and 173 were male. The following sexual risk behaviour indicators were identified (1) early sexual debut, (2) teenage pregnancy and (3) early marriage. It was found that young people expose themselves to sexual intercourse without condoms, and that they are likely to have sexual intercourse without a condom in return for reward, and to have sexual intercourse with a famous person. Approximately 20% of the sexually active respondents had used substances before sexual intercourse. Alcohol and marijuana (‘dagga’) were most commonly used amongst those respondents taking substances before sexual intercourse, and these were used predominantly in coerced and forced sexual intercourse.OpsommingDie studie was ’n kwantitatiewe, deursnee-opname wat onder jongmense in vier dorpies in die Vhembe-distrik van die Limpopo-provinsie uitgevoer is. Die doel van die navorsing was om vas te stel watter aanwysers van risikogedrag ten opsigte van seksuele gesondheid onder die jongmense voorkom wat moontlik tot die verspreiding van MIV en vigs in hierdie distrik bydra. Die doelstellings van hierdie studie was om (1) seksuele risikogedrag te identifiseer, (2) die voorkoms van middelgebruik voor seksuele omgang te bepaal, (3) die voorkoms van gedwonge seksuele omgang en (4) die voorkoms van geforseerde seksuele omgang onder jongmense in die Vhembedistrik te bepaal.Doelgerigte steekproefneming is gebruik om die vier dorpies wat aan die studie deelgeneem het, te selekteer en eenvoudige ewekansige steekproefneming is gebruik om die respondente te selekteer.’n Totaal van 400 respondente het aan die studie deelgeneem, waarvan 227 vroulik en 173 manlik was. Die volgende aanwysers van seksuele risikogedrag is geïdentifiseer (1) vroeë seksuele debuut,(2) tienerswangerskap en (3) vroeë huwelik. Daar is gevind dat jongmense hulself aan seksuele omgang sonder kondome blootstel, en dat hulle waarskynlik seksuele omgang sonder ’n kondoom sal hê in ruil vir vergoeding en seksuele omgang met ’n bekende persoon sal hê. Ongeveer 20% van die seksueel aktiewe respondente het middels voor seksuele omgang gebruik. Alkohol en marijuana(‘dagga’) was die algemeenste middels onder diegene wat middels voor seksuele omgang gebruikhet, en dit is meestal in gedwonge en geforseerde seksuele omgang gebruik.

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Odeyemi, Akinwumi Sunday. "Knowledge and Practice of Contraceptives among High School Learners in Raymond Mhlaba Municipality." JOURNAL OF HUMAN ECOLOGY 72, no. 1-3 (October 25, 2020). http://dx.doi.org/10.31901/24566608.2020/72.1-3.3288.

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ABSTRACT Three in every ten teenagers fall pregnant before they reach the age of twenty. Unplanned pregnancy is a major concern in South Africa. Unplanned pregnancies are due to non-use/utilization of contraceptives. Early parenthood leads to teenage mothers dropping out of school and fifty percent of them do not graduate from high school. The knowledge and awareness of contraceptive use are known to be moderate, and as a result unplanned pregnancies have become the norm. Understanding the reasons behind the discontinuation and non-utilization of contraceptives may assist in future interventions, aimed at maintaining and curbing the unabated rise in prevalence rate of unplanned pregnancies. Objectives of the study are: to analyze the knowledge, attitude, and practice of contraceptives among high school learners in some selected schools in Raymond Mhlaba municipality, and additionally test the statistical association between some risk factors (gender, grade, religion, relationship status, knowledge of contraception, sexually active, friends practice contraception, father educational status, mother educational status, who learner stays with) and contraception. The study adopted a cross-sectional, descriptive, quantitative study design. A sample size of 144 high school learners participated in the study through a self-administered questionnaire. Purposive sampling was used to select participants. Respondents were selected from two high schools within Raymond Mhlaba municipality. Chi-square test of association was used to test the relationship between contraception and some selected risk factors using SPSS. The findings of the study revealed that about 64.58 percent learners were sexually active, and 54.86 percent reported using contraceptives. The most commonly used methods of contraception were oral contraceptives at 1.39 percent, and 33.33 percent for male condoms. Female learners mostly used condoms at eighty-four percent (84%), and injectable at 20.14 percent as methods of contraception. The knowledge of contraceptive use (65.28%) enhanced learners in preventing sexually transmitted diseases and unplanned pregnancy. Chi-square test of independence showed that mother’s level of education, being sexual active, having friends who use contraceptives, and being in a relationship have a strong association with contraceptive use. Conclusively, the study’s findings show that knowledge of contraceptive use among high school learners is high, and use and practice of the knowledge is high with only fifteen percent (15%) of the sexual active learners declining to use contraceptives. From this study, effect of knowledge on contraceptives use is poor. Interventions from the parents and health care workers should stress the importance of consistent use of contraceptives, especially condoms, as they do not prevent not only pregnancy but also sexually transmitted diseases.

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Seekoe, E. "Reproductive health needs and the reproductive health behaviour of the youth in Mangaung in the Free State province: a feasibility study." Curationis 28, no. 3 (September 28, 2005). http://dx.doi.org/10.4102/curationis.v28i3.969.

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From the community profiles conducted by nursing students in Mangaung, the following observation was prevalent: an increase in the prevalence of teenage pregnancy together with a high prevalence of HIV infection was demonstrated. The relationship between young people’s reproductive behavior and the prevalence of HIV is well documented. To address this problem, a community -based education programme is required. Developing a successful community-based educational programme that addresses the needs of youth requires that such a programme be based on the needs of such a group. The research question is applicable: How do youth in Mangaung in the Free State province in South Africa perceive their reproductive health needs and their reproductive health behavior? The aim of this article is to explore and describe the reproductive health needs and the reproductive health behaviour of the youth in Mangaung. A quantitative research design that is descriptive and explorative in nature was conducted. The reproductive health needs and the reproductive health behaviour of the youth were collected by means of a structured questionnaire with open-ended and closed questions. A purposive non - probability sampling method was utilized and (n=250) drawn from the youth. The justification of the sample was further enhanced by collecting data from youth aged 13-25 at three high schools in Mangaung and at the health centre of MUCPP. Qualitative data obtained from open-ended questionnaires was coded and analyzed by using Tech’s (1990) content analysis approach. A descriptive statistical analysis was performed on the quantitative data from closed questions. A descriptive analysis of the participant’s ages and their perceived reproductive health needs and reproductive health behaviour was done. The mean age of the participants was 18.6, which could be because all the respondents were of school- going age. The results indicated that the youth received insufficient reproductive health information to be able to prevent pregnancy and HIV/AIDS. The special needs of youth were indicated by 92% who requested that the clinic should accommodate both boys and girls and 96% of the respondents requested sessions for discussions facilitated by a professional person. A total of 95% of the youth requested that a special programme of activities be conducted during school holidays. The risk behaviours practised by the youth were: having sex with a stranger, many partners, drinking alcohol, and using drugs and dagga. The researcher recommends that such a programme be supported by different university departments and rolled out to different districts in the Free State province.

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Journal articles on the topic 'Teenage pregnancy – South Africa – Vredendal'

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