MGS / Institute for Gender and Youth Studies / See the attached abstract below

MA (Psychology) / Department of Psychology / In South Africa, today, teenage pregnancy is on the increase, resulting in social and public health problems. The Department of Health (2002) indicates that, nationally 16.4% of the teenagers become pregnant every month. The Department also states that 26.4% of Grade 8 learners, 13.4% Grade 9 learners, 12.6% Grade 12 and 13.3% Grade 11 learners, fall pregnant every month. Many of these teenage mothers are confronted with various health problem, for example, HIV/AIDS, psychological (for example, high stress) and social problems (for example, lack of parenting skills, neglect, poverty, and low educational attainment). These problems have far-reaching consequences on the mothers. For example, many teenage mothers drop-out of school, attempt to commit suicide, as well as take part in prostitution and robbery. Many are unemployed and this puts the welfare of their children at risk. This research study was qualitative in nature. The exploratory phenomenological design was used in this study to explore the experiences or challenges of teenage mothers on social support as pregnancy interferes with all aspects of their lives. For example, it jeopardises teenage mothers’ relationships with their parents who are the main source of support for the young mothers. If this relationship is broken, it reduces the chances of the young mother’s success. These factors contribute to an inadequate parent-child interaction and diminish the infant’s development. Support during pregnancy and after birth is vital for a teenage mother. If her future and mental health are to be bright, then she needs to have strong social support. Non- probability sampling methods were used, namely purposive and snowball sampling. Pre-testing was done with four teenage mothers who had the same background as those in the main study. Data were collected from six teenage mothers through semistructured face to face interviews which required teenage mothers to answer a set of predetermined questions. The question asked allowed probing and clarification of answers. A tape recorder was used and the language used was Tshivenda. All ethical issues were adhered to throughout the study. Interpretative Phenomenological Analysis (IPA) was used to analyse the collected data. The findings from the interviews were integrated to avoid repetition. From the analysed v data, the following themes emerged: Challenges experienced by teenage mothers; Support system for teenage mothers; and Coping strategies for teenage mothers. Analysis of data revealed that lack of social support for teenage mothers was a major problem and this was collaborated by literature. These findings revealed that teenage mothers experience many challenges compared to the support they get from significant others. In this study, the researcher found that doing field work with teenage mothers with low educational backgrounds is very challenging because they do not understand what research is all about. The researcher realised that there is more that South African needs to do to encourage people to support teenage mothers. Whilst the work done at Tshikuwi is appreciated, the researcher feels it is too little too late considering the number of teenage mothers who continue to lack support. The researcher recommends that teenage mothers who experience challenges should take the initiatives to start projects that will boost their confidence. Teachers who teach life science orientations should, in the meantime, focus on teaching learners about the consequences of not having support either from family or partners and communities.

MSCPNT / Department of Nutrition / Introduction: In the year 2012, South Africa had a prevalence rate of stunting in children aged 1- 3, 4 - 6 and 7 – 9 years at 26.5%, 11.9% and 9.4%, respectively (Shisana et al. (2013). The Greater Sekhukhune District Municipality (GSDM) also showed a high rate of stunting (36%) in children aged 13 to 215 months of age (FIVIMS, 2006). The GSDM had a high unemployment rate of 69% to 82.4% (Statistics SA, 2006; Department of Social Development, 2008).). South Africa has adequate food supplies to feed the entire population at the national level (Labadarios et al., 2011; du Toit et al., 2011); however, there is evidence of under-nutrition caused by lack of purchasing power, and not a shortage of food (Rose and Charlton, 2001). Aim: The aim of the study was to determine the relationship between the employment status of the mother, household hunger and the nutritional status of children aged one to twelve years (1-12 years) in households of Sekhukhune District in Limpopo Province. Objectives : The objectives of the study were to determine the socio-economic status of the household; to assess the nutritional status of children using anthropometric measurements; to assess dietary patterns of children in households; to determine household food security using food inventories; to determine the prevalence of household hunger using the standardized hunger scale; to determine the coping strategies to food deprivation used in each household and to determine the association between employment status of the mother, nutritional status of children and household hunger. Methodology: The study design was a cross sectional, exploratory and correlational study. The study used both quantitative and qualitative methods of data collection. A simple random sampling method was used to select nine villages from Makhuduthamaga local municipality and twenty households per village were selected using the systematic random sampling. Data was collected in households and a sample size of 180 children was selected based on the availability of a child within the selected age group. If there were more than one child within the 1-12 years, each child was then allocated a number and the one with the least number was selected. Biological mothers were the preferred participants, however if the mother was unavailable, the primary caregiver was selected and180 mothers or caregivers Results: The majority (92.2%) of mothers were unemployed and 91% of them had an income of less than R500.00 per month, whereas 33.9% of households had total income of less than R1000.00 About 64.4% and 28.4% borrowed food from neighbours/family/friends and bought food on credit from the local shop. The anthropometric status of children indicated a high prevalence of stunting, a medium prevalence of underweight and a low prevalence of wasting. Most caregivers were overweight or obese. About 66% of children ate three meals per day. Almost 44% of households were food insecure, whereas 33.9% were at risk of hunger and only 21.7% were food secure. There was no association between employment status of the mother, household hunger and anthropometric status indicators. Conclusion: Greater Sekhukhune District Municipality has a high rate of unemployment, poor household income and purchasing power and high level of food insecurity. The employment status of the mother was not associated with the level of wasting, stunting and underweight. Furthermore, employment status was also not associated with the level of hunger. Caregivers employed various strategies to cope with periods of food deprivation

MCur / Department of Advanced Nursing Science / Background: Globally, malnutrition among children is one of the most challenging and critical public health problem, and it remains one of the most common causes of morbidity and mortality among children under the age of 5 years. There is no exception for the Vhembe District. Purpose: The study determined the perceptions of young mothers regarding causes of malnutrition in children under the age of 5 years in the Vhembe District, of the Limpopo Province. Methodology: This study used qualitative, exploratory, descriptive and contextual design to collect data among young mothers regarding causes of malnutrition in children under 5 years. Twelve young mothers were sampled using probability, simple random sampling at selected hospitals population. In-depth individual interviews were used to collect data and analysed using Tesch’s steps. Measures to ensure trustworthiness and ethical consideration were adhered to throughout the study. Results: Three themes emerged from the analysed data, namely: Young mothers’ perceived causes of malnutrition, young mother’s beliefs about malnutrition, and health care seeking actions for a malnourished child. Recommendations: This study recommend a strategies to integrate young mothers into the health promotion regarding their understanding and experiences about malnutrition. Policies on child nutrition should be reviewed regularly in the Vhembe District for prevention and management of malnutrition in children under 5. / NRF

MCur / Department of Advanced Nursing Science / The Department of Education has stated that parents and guardians may not be absolved from their responsibilities regarding their pregnant child, and they should take the lead in working with the school to support and monitor their child’s health and progress. The purpose of this study was to explore and describe the role of parents regarding teenage pregnancy and school attendance in the rural village of Thomo in Mopani District Limpopo Province. The study is qualitative, explorative, descriptive and contextual in nature. The population comprised of the selected parents and caregivers residing at Thomo village of Mopani District. Purposive sampling was used to select 10 parents and 5 caregivers. Sampling size was determined by data saturation. Data was collected through in-depth individual interviews, guided by unstructured questions, data analysis was through open coding. Trustworthiness was ensured through credibility, dependability, conformability and transferability and ethical issues were adhered to. One main theme with four sub - themes emerged from the raw data; namely, parents /caregivers skills and personal factors that affect behaviour change; parents / caregivers intention to change the teenagers’ behaviour; environmental and cultural factors as facilitators/ barriers to pregnancy prevention and parent-school partnerships. Recommendations were made that included the following: awareness campaigns regarding prevention of teenage pregnancy; establishment of the compulsory education subject; review of existing teenage pregnancy policies; engaging parents on youth programs; using churches to strengthen youth education on the dangers of sex before marriage; as well as capacitating parents on effective communication with their children. / NRF

MPM / Oliver Tambo Institute of Governance and Policy Studies

MPM / Oliver Tambo Institute of Governance and Policy Studies

PhD (Health Sciences) / Department of Advanced Nursing Science / Disability is the most painful experience for the mother and relatives when a child is born. This is because every parent expects a normal child once a woman conceives. For a mother to be able to cope with their children they need to be supported emotionally, psychologically and physically by the family members, community, and health care professionals and other support service providers.The overall purpose of the study was to develop a model to support mothers of children with intellectual disabilities in selected institutions of Limpopo Province.An exploratory sequential mixed method was employed which includes both qualitative and quantitative approaches to guide the study.Population was all mothers of children with intellectual disabilitiesand health care professionals from the selected institutions where the research was conducted. Health care professionals were purposively selected whereas mothers were conveniently selected. The study was carried out in two phases i.e Phase1(a & b) and Phase 2. Qualitative results were used to build a subsequent quantitative phase. In Phase 1a,a qualitative approach was employed using descriptive and exploratory designs. Qualitative data was collected through individual interviews.Data analyses were done utilising Tesch’s open coding method.In Phase 1b was quantitative approach wherein a cross-sectional descriptive design was used.Questionnaireswere developed and data were collected from the health care professionals in the selected study areas.Data analyses were done using the Statistical Package for the Social Sciences (SPSS) version 24 and the level of statistical difference being set at p<0,05.In Phase 2, concept analysis, model development and validation of the model were performed. Themes and sub- themes were identified from the analysed data. Current study revealed that some mothers were fully supported and some were not supported at all by both the family, friends, relatives, community members and health care professionals. Hence continuous support was seen to be very crucial to them.The study recommendations include: open communication, social, psychological and emotional support, combined available support services, access to special schools and formulation of support groups. / NRF

MCur / Department of Advanced Nursing Science / Each year, an estimated 3.6 million infants die worldwide in the first four weeks of life due to complications of premature birth. One-third of Low Birth Weight (LBW) babies die within the first 12 hours after delivery. The main reasons premature babies are at greater risk of illness and death is that they lack the ability to control their body temperature meaning that they get cold or hypothermic very quickly. Kangaroo Mother Care reduces mortality and if widely applied it could reduce deaths in premature newborn babies. The purpose of this study is to explore and describe the lived experiences of mothers when providing Kangaroo Mother Care at the hospitals in Vhembe District of Limpopo province. Qualitative approach with explorative descriptive, contextual and phenomenological designs were employed to explore the experiences of mothers when providing Kangaroo Mother Care. The study population consisted of all mothers who were providing Kangaroo Mother Care. A non-probability convenience sampling method was used to determine the sample of the study. The size of the sample was determined by data saturation. In-depth individual interviews were conducted using a central question. The Tesch’s eight steps of open-coding model guided the process to analyse data. Trustworthiness was ensured throughout by employing the principles of credibility, dependability, conformability, and transferability. Ethical considerations were followed to protect the participants. Recommendations were made based on the research findings. The findings of the study revealed that mothers who provide Kangaroo Mother Care experience challenges. They received inconsistent information about the practice of Kangaroo Mother Care from nurses. The relationship between mothers and nurses was good. Recomendations were made based on the findings and relevant structures in order to ensure that mothers challenges are addressed. The study revealed ineffective support provided to mothers by nurses and family members. / NRF

PhD (Sociology) / Department of Sociology / The purpose of this study was to critically determine the impact of communal child-rearing approach on the prevalence of teenage pregnancy in Vhembe District, in order to develop facilitation tools from which the parents can be empowered on the constructive parenting approaches, specifically for a girl-child and teenage girls against the prevalence of teenage pregnancy. This study further empowers the teenage girls in particular growing-up in Vhembe District with the chance of healthy development and future favourable womanhood. A combination of quantitative and qualitative approaches was used to conduct the study, with a quantitative description and exploratory study design. A total of 400 participants, mainly teenage girls, participated in a quantitative approach. Then 16 pregnant teenage girls, 19 teenage mothers, 6 key informants and 23 parents of pregnant teenage girls and mothers participated in a qualitative approach. The participants for the quantitative approach were sampled using the stratified random sampling technique because of the age-specific (13-19 years). Close-ended questionnaires were administered to them. The participants for in-depth interviews were sampled using the purposive and snowball non-random sampling technique. They were high school principals, teachers, and community leaders, pregnant teenage girls and teenage mothers, and their parents. Data collected through close-ended questionnaires were analyzed using the Statistical Package for Social Sciences (SPSS) programme. Frequencies tables were created to categorize variables and cross-sectional frequencies tables were further created to show associations between the variables. The data collected through structured interviews, matrices were created using content thematic analysis. The responses were grouped thematically and, with the emergence of subthemes, broad categories were generated to differentiate and explain the thoughts expressed by the participants. The study findings suggest that the prevalence of teenage pregnancy is purely a social behavioral problem develop through critical parenting practices and approaches. The study concluded that the total blame for the prevalence of teenage pregnancy is in the way parents raise the teenage girls, whether influenced by their socio-economic status, cultural values, availability or absence of the other parent, etc. the primary lack of sensitive parenting recognition of the prevalence of teenage pregnancy, critically placed the teenage girls in Vhembe District in the prevalence of teenage pregnancy. / NRF