The purpose of the study was to evaluate the impact of the Termination of Pregnancy (TOP) programme in South Africa, using Mpumalanga as focal area, with the view of developing guidelines to assist service providers in the implementation of the Choice on Termination of Pregnancy (CTOP), Act 92 of 1996. The study was conducted in two phases. In phase 1, a qualitative, quantitative, contextual, explorative, descriptive and case study research design was utilised. The purpose was to explore and describe TOP service providers and facility managers’ knowledge regarding the CTOP Act, as well as their experiences and feelings regarding TOP provision, and the feelings and experiences of health care consumers utilising TOP services. Records of attendance regarding the utilisation of the services were also reviewed. Data was collected using unstructured and semi-structured interviews. Phase 2 of the study focused on the development of guidelines to assist in the translation of the CTOP Act to action at service level. The findings revealed that although the TOP programme was operating within the reproductive health for women initiative, TOP service providers and facility managers were not knowledgeable on other legislation that supports the CTOP Act to integrate its implementation. All the participants experienced emotional, physical and psychological discomfort in providing TOP services. Lack of support of the programme also posed a major challenge. These findings formed the basis for the development of the guidelines. / Health Studies / (D.Litt. et Phil. (Health Studies))

The purpose of the study was to evaluate the impact of the Termination of Pregnancy (TOP) programme in South Africa, using Mpumalanga as focal area, with the view of developing guidelines to assist service providers in the implementation of the Choice on Termination of Pregnancy (CTOP), Act 92 of 1996. The study was conducted in two phases. In phase 1, a qualitative, quantitative, contextual, explorative, descriptive and case study research design was utilised. The purpose was to explore and describe TOP service providers and facility managers’ knowledge regarding the CTOP Act, as well as their experiences and feelings regarding TOP provision, and the feelings and experiences of health care consumers utilising TOP services. Records of attendance regarding the utilisation of the services were also reviewed. Data was collected using unstructured and semi-structured interviews. Phase 2 of the study focused on the development of guidelines to assist in the translation of the CTOP Act to action at service level. The findings revealed that although the TOP programme was operating within the reproductive health for women initiative, TOP service providers and facility managers were not knowledgeable on other legislation that supports the CTOP Act to integrate its implementation. All the participants experienced emotional, physical and psychological discomfort in providing TOP services. Lack of support of the programme also posed a major challenge. These findings formed the basis for the development of the guidelines. / Health Studies / (D.Litt. et Phil. (Health Studies))

Contraceptives are available free of charge throughout South Africa. Nevertheless the number of requests for termination of pregnancy (TOP) services continues to increase. This research investigated challenges preventing women from using contraceptives effectively. Structured interviews were conducted with 47 women who requested TOP services. Gender and financial issues posed challenges for some women to access contraceptives as well as their reported inability to access contraceptives. Most (85,5%) of the respondents used contraceptives. They discontinued using contraceptives because they experienced side-effects, necessitating them to request TOPs. Knowledge about, access to, nor the actual use of contraceptive enabled these women to prevent unwanted pregnancies. More effective counselling about the side-effects of contraceptives and enhanced accessibility of contraceptives during weekends and lunch breaks could enable more women to prevent unwanted pregnancies and reduce the number of requests for TOPs in the Gert Sibande District (Mpumalanga). / Health Studies / M.A. (Health Studies)

Contraceptives are available free of charge throughout South Africa. Nevertheless the number of requests for termination of pregnancy (TOP) services continues to increase. This research investigated challenges preventing women from using contraceptives effectively. Structured interviews were conducted with 47 women who requested TOP services. Gender and financial issues posed challenges for some women to access contraceptives as well as their reported inability to access contraceptives. Most (85,5%) of the respondents used contraceptives. They discontinued using contraceptives because they experienced side-effects, necessitating them to request TOPs. Knowledge about, access to, nor the actual use of contraceptive enabled these women to prevent unwanted pregnancies. More effective counselling about the side-effects of contraceptives and enhanced accessibility of contraceptives during weekends and lunch breaks could enable more women to prevent unwanted pregnancies and reduce the number of requests for TOPs in the Gert Sibande District (Mpumalanga). / Health Studies / M.A. (Health Studies)