Adolescent pregnancies are high risks obstetric occurrences. Antenatal care (ANC) provides opportunities to recognise and treat obstetric complications, enhancing the pregnancy outcomes for mothers and babies. This study investigated factors influencing pregnant adolescents' utilisation of ANC services in Bulawayo, using the Health Belief Model's major tenets. A quantitative descriptive design was used in four phases: 80 adolescents' ANC records were audited; structured interviews were conducted with 200 adolescents attending ANC and with 80 adolescents who had delivered their babies without attending ANC; and 52 midwives completed questionnaires portraying their perceptions on adolescents' utilisation of ANC services in Bulawayo. Documentation of ANC services provided to adolescents did not meet the expected standards. Poor or non utilisation of ANC services was influenced by socio demographic factors, individual perceptions of adolescents about antenatal care, perceived benefits of and perceived barriers to the utilisation of ANC. Most pregnant adolescents could not access these services because they could not pay the ANC and/or delivery fees charged at government clinics/hospitals. Midwives required more training in providing and recording adequate ANC services. Free ANC and delivery services could enhance adolescents' pregnancy outcomes in Zimbabawe. An information brochure on the importance of ANC attendance for adolescents has been compiled, based on the research results (see Annexure J). / Health Studies / D.Litt. et Phil. (Health Studies)

The problem this research seeks to address is the support educators receive in teaching HIV and AIDS topics in the classroom. The reason for the choice of topic is to contribute to the revival of HIV and AIDS education in all schools in South Africa. This exploratory study uses the empowerment theory and presents the qualitative research findings based on in-depth interviews with six educators, four school managers and two parents. Thematic content analysis is used to analyse the data. The study found out that the Department of Education had in the past two years provided training workshops for principals of schools, educators and peer educators in the last two years yet the findings from the two schools under study painted a different picture all together. Findings from the interviews show that any support from the Department of Education or any other stakeholder involved in education, such as the Teacher Unions, happened some years ago. Some of the respondents were not very comfortable on this topic as to most of them HIV and AIDS education is not really being taught as it used to years ago. Finally, the research made some recommendations to these two schools on what could be done as a way of reviving HIV and AIDS education to help children and youths to grow up better able to challenge HIV and AIDS. This is in line with the Southern and Eastern Africa Consortium for Monitoring Educational Quality (SACMEC) 2011 report that the education sector has a critical role to play in terms of the delivery of effective HIV and AIDS prevention and awareness programmes. The findings were important as they highlighted the need for the Department of Education to monitor and evaluate the implementation of HIV and AIDS policies in all public schools. They also they gave recommendations on the way forward on HIV and AIDS education in primary schools. / Health Studies / M.A. (Social Behaviour Studies in HIV and AIDS)

The problem this research seeks to address is the support educators receive in teaching HIV and AIDS topics in the classroom. The reason for the choice of topic is to contribute to the revival of HIV and AIDS education in all schools in South Africa. This exploratory study uses the empowerment theory and presents the qualitative research findings based on in-depth interviews with six educators, four school managers and two parents. Thematic content analysis is used to analyse the data. The study found out that the Department of Education had in the past two years provided training workshops for principals of schools, educators and peer educators in the last two years yet the findings from the two schools under study painted a different picture all together. Findings from the interviews show that any support from the Department of Education or any other stakeholder involved in education, such as the Teacher Unions, happened some years ago. Some of the respondents were not very comfortable on this topic as to most of them HIV and AIDS education is not really being taught as it used to years ago. Finally, the research made some recommendations to these two schools on what could be done as a way of reviving HIV and AIDS education to help children and youths to grow up better able to challenge HIV and AIDS. This is in line with the Southern and Eastern Africa Consortium for Monitoring Educational Quality (SACMEC) 2011 report that the education sector has a critical role to play in terms of the delivery of effective HIV and AIDS prevention and awareness programmes. The findings were important as they highlighted the need for the Department of Education to monitor and evaluate the implementation of HIV and AIDS policies in all public schools. They also they gave recommendations on the way forward on HIV and AIDS education in primary schools. / Health Studies / M.A. (Social Behaviour Studies in HIV and AIDS)

The problem this research seeks to address is the support educators receive in teaching HIV and AIDS topics in the classroom. The reason for the choice of topic is to contribute to the revival of HIV and AIDS education in all schools in South Africa. This exploratory study uses the empowerment theory and presents the qualitative research findings based on in-depth interviews with six educators, four school managers and two parents. Thematic content analysis is used to analyse the data. The study found out that the Department of Education had in the past two years provided training workshops for principals of schools, educators and peer educators in the last two years yet the findings from the two schools under study painted a different picture all together. Findings from the interviews show that any support from the Department of Education or any other stakeholder involved in education, such as the Teacher Unions, happened some years ago. Some of the respondents were not very comfortable on this topic as to most of them HIV and AIDS education is not really being taught as it used to years ago. Finally, the research made some recommendations to these two schools on what could be done as a way of reviving HIV and AIDS education to help children and youths to grow up better able to challenge HIV and AIDS. This is in line with the Southern and Eastern Africa Consortium for Monitoring Educational Quality (SACMEC) 2011 report that the education sector has a critical role to play in terms of the delivery of effective HIV and AIDS prevention and awareness programmes. The findings were important as they highlighted the need for the Department of Education to monitor and evaluate the implementation of HIV and AIDS policies in all public schools. They also they gave recommendations on the way forward on HIV and AIDS education in primary schools. / Health Studies / M.A. (Social Behaviour Studies in HIV and AIDS)

Adolescent pregnancies are high risks obstetric occurrences. Antenatal care (ANC) provides opportunities to recognise and treat obstetric complications, enhancing the pregnancy outcomes for mothers and babies. This study investigated factors influencing pregnant adolescents' utilisation of ANC services in Bulawayo, using the Health Belief Model's major tenets. A quantitative descriptive design was used in four phases: 80 adolescents' ANC records were audited; structured interviews were conducted with 200 adolescents attending ANC and with 80 adolescents who had delivered their babies without attending ANC; and 52 midwives completed questionnaires portraying their perceptions on adolescents' utilisation of ANC services in Bulawayo. Documentation of ANC services provided to adolescents did not meet the expected standards. Poor or non utilisation of ANC services was influenced by socio demographic factors, individual perceptions of adolescents about antenatal care, perceived benefits of and perceived barriers to the utilisation of ANC. Most pregnant adolescents could not access these services because they could not pay the ANC and/or delivery fees charged at government clinics/hospitals. Midwives required more training in providing and recording adequate ANC services. Free ANC and delivery services could enhance adolescents' pregnancy outcomes in Zimbabawe. An information brochure on the importance of ANC attendance for adolescents has been compiled, based on the research results (see Annexure J). / Health Studies / D.Litt. et Phil. (Health Studies)

This is a descriptive study with a quantitative, non-experimental and contextual design, with the objective of describing the knowledge of female adolescents with regards to the implications of pregnancy. The study took place in the Bengo Province, more specifically in the school of the suburb Bairro da Açúcareira and the sample was constituted by 100 female adolescents, within the age group 13 to 19 years. Simple random sampling was used for the selection of the sample. For the collection of data a structured questionnaire with closed questions was used. Based on the data obtained the researcher draws the following conclusion: there is a need to develop educational programmes pertaining to the consequences of pregnancy, not only for adolescents but also for the teachers and parents, as the respondents indicated that teachers and parents would be the ideal people for this type of discussion; on the other hand, and of extreme importance, there is a need for specific assistance to adolescents at health centers and hospitals of the province with regard to the lack of entertainment for adolescents in the province is also an aspect that deserves attention on the part of the government of the Province of Bengo. / Health Studies / M.A (Health Studies))

Resumé<p><p>Dans le présent travail de recherche, nous présentons un cadre d’analyse, de planification et de mise en œuvre d’une recherche-action portant sur l’apport de l’éducation sexuelle participative comme démarche de la communication stratégique, et ses effets sur le public d’adolescents en milieu scolaire. Le but ultime étant de proposer une meilleure alternative à l’amélioration de la double prévention des IST/VIH/SIDA et des grossesses non désirées chez les adolescents scolarisés de 15-19 ans à Kinshasa, RDC.<p>Les principaux objectifs fixés à la présente recherche étaient :i) d’évaluer l’ampleur de la situation épidémiologique et sociale liée à la santé de reproduction y compris la prévention du VIH/SIDA chez les jeunes adolescents (15-19 ans) ;ii) d’identifier les besoins ainsi que les préoccupations spécifiques des adolescents et jeunes notamment en terme de vie sexuelle et affective ;iii) de projeter les axes de communication stratégiques susceptibles d’influencer positivement les comportements en vue d’améliorer la prévention des IST/VIH/SIDA et des grossesses précoces des adolescents et jeunes en milieu urbain ;iv) de construire sur base des observations et analyses précédentes, une approche de communication stratégique fondée sur l’éducation sexuelle participative; iv) et mesurer au point de vue cognitif et comportemental, l’écart attribuable à l’éducation sexuelle sur l’amélioration des connaissances, des attitudes et des pratiques favorables à la double prévention des IST/VIH/SIDA et des grossesses précoces chez les adolescents de 15-19 ans en milieu urbain de la RDC.<p>Réalisée dans une perspective de la promotion de la santé, son cadre théorique chemine avec celui de l’évidence des liens entre les IST/VIH/SIDA et la santé sexuelle et de reproduction. La combinaison du modèle d’analyse PRECEDE avec l’outil de planification PROCESSUS-P, a servi de fil conducteur de ce travail.<p>Cette étude confronte également la théorie de la communication avec les modèles de changement de comportement. En effet, les messages sur la sexualité émis par un émetteur, permettent à l’individu qui les reçoit, de se persuader à amorcer le changement de comportement qui passe par différents étapes. Mais au delà de la volonté individuelle, les relations de sexualité se vivent dans une interaction sociale dont il faudra tenir compte. <p>La construction de cette recherche a fait appel aux disciplines des sciences sociales, comportementales, de l’éducation, et de l’épidémiologie.<p>Nous avons combiné quatre approches différentes pour cerner nos hypothèses de recherche :i) la revue documentaire, ii) l’approche socio-anthropologique (qualitative) par des focus groups, entretiens semi dirigés, observations directes, iii) l’approche socio-épidémiologique (quantitative) par des enquêtes transversales et iv) l’approche opérationnelle par l’introduction d’une approche innovante utilisant le téléphone et la radio comme moyen pour identifier et orienter des messages à diffuser en milieu scolaire sur la prévention des IST/VIH/SIDA et les grossesses précoces.<p>Ce travail propose deux formats de résultats :les articles publiés ou en cours de l’être et les résultats complémentaires synthétisés dans différents tableaux. <p>Les articles abordent successivement :i) le profil de risque et de vulnérabilité lié au VIH/SIDA et à la santé des adolescents ;ii) la perception des adolescents en matière de santé sexuelle et reproductive ;iii) l’ analyse de l’intégration de l’éducation sexuelle dans les médias ;iv) l’utilisation du téléphone portable et de la radio pour identifier les préoccupations sexuelles des adolescents, v) les déterminants associés à la pratique de la double prévention des IST/VIH/SIDA et des grossesses précoces et vi) les effets cognitifs et comportementaux de l’éducation sexuelle participative sur la double prévention des IST/VIH/SIDA et des grossesses précoces en milieu scolaire de Kinshasa.<p>Les données synthétisées dans différents tableaux rendent compte de l’analyse de la réponse nationale sur la santé de la reproduction des adolescents et des différents aspects du cadre théorique d’analyse et de planification d’une communication stratégique pour la prévention des IST/VIH/SIDA et des grossesses précoces.<p>L’ensemble des résultats de cette recherche peut se résumer en dix points importants ci-après :<p>1.\ / Doctorat en Sciences de la santé publique / info:eu-repo/semantics/nonPublished

Abstract in English, Venda and Sotho / Within the last decade, the level of teenage pregnancy in Southern Africa has been on the increase and as a result, is being seen as a major social problem. This study, which is a dissertation of limited scope, investigates the teaching and learning challenges of teenage mother learners at secondary schools in the Vhembe District in Limpopo. This study is classified as qualitative research within a case study design. A convenience sampling method was applied in order to select teachers and teenage mother learners for participation in the study resulting in five teachers and five teenage mother learners participating in the study Participants were interviewed using in-depth interviews. Participant observation and document analysis were other research methodologies included in the data collection process. Participant observation assisted in gathering data in relation to how mother learners interacted with teachers and other peers in class and in the school environment and document analysis was conducted by means of perusing formal records, such as attendance registers, class tests and examination results, medical records, and involvement in extramural activities. Qualitative data analysis was used in order to analyse data collected which resulted in themes and sub-themes emerging. The findings revealed that teenage pregnancy has a detrimental effect on girls’ schooling with school attendance and absenteeism affecting performance resulting in poor results and even drop out. Additional factors such as lack of financial support, physical and emotional support from family and friends as well as stigmatisation, discrimination and exclusion have a negative effect on learning. Teachers tend to lack the necessary knowledge and skills in dealing with teenage mother learners and are not supported with counselling programmes. Recommendations suggest that teachers are equipped with special skills to deal with teenage mother learners and that learners at school are made more aware of the dangers of early pregnancy and its effects on their education through various programmes. / Ngudo iyi, ya desithesheni ya tshikoupu tsho pimiwaho, i khou ṱoḓisisa nga ha khaedu dza u funza na u guda kha vhagudi vha vhana vha re vho mme zwikoloni zwa sekondari Masipalani wa Tshiṱiriki tsha Vhembe, Limpopo. Ngudo iyi yo khethekanywa sa ṱhoḓisiso ya khwaḽithathivi. Kha pulane na nzudzanyo ya ṱhoḓisiso, ngudo iyi yo itwa zwikoloni zwa sekondari kha Masipala wa Tshiṱiriki tsha Vhembe, tshine tsha wanala kha vundu ḽa Limpopo. Kuitele kwa vhukhethatsumbonanguludzwa kwo teaho kwo shumiswa u itela u nanga vhadededzi na vhagudi vha vhana vha re vho mme u itela u dzhenelela kha inthaviwu. U dzhenelela nga u tou sedza na u saukanya ḽiṅwalo o vha maṅwe maitele a ṱhoḓisiso o katelwaho kha kuitele kwa u kuvhanganya data. Vhadededzi na vhagudi vha vhana vha re vho mme vho inthaviwiwa hu tshi khou shumiswa inthaviwu dzo fhelelaho. Ṱhoḓisiso ya khwaḽithethivi kha u dzhenelela nga vhusedzi yo itwa u itela u kuvhanganya data zwi tshi elana na uri vhagudi vha vhana vha re vho mme vha shumisana hani na vhadededzi na dziṅwe thangana dza murole kiḽasini na kha vhupo ha tshikolo Tsha u fhedzisela. U saukanywa ha ḽiṅwalo ho itwa nga nḓila ya u ṱola rekhodo dza fomaḽa, dzi ngaho ridzhisiṱara ya maḓele tshikoloni, mulingo wa kiḽasini na mvelelo dza mulingo, rekhodo dza mutakalo, na u dzhenelela kha nyitelwannḓa na thandela dza mveledziso ya tshitshavha. Vhadededzi vhaṱanu na vhagudi vha vhana vha re vho mme vhaṱanu vho dzhenelela kha ngudo iyi. Musaukanyo wa data wa khwaḽithithathivi wo shumiswa u itela u saukanya data yo kuvhanganyiwaho nga tshifhinga tsha inthaviwu dzo fhelelaho na data ya u sedza ya mudzheneli / Nyakišišo ye, yeo e lego disetheišene ya sekoupu se se lekantšwego, e nyakišiša ditlhohlo tša go ruta le go ithuta tša baswa ba baithuti ba e lego bommago bana dikolong tša sekontari ka Mmasepaleng wa Selete sa Vhembe, Limpopo. Nyakišišo ye e hlophilwe bjalo ka nyakišišo ya khwalithethifi. Ka gare ga peakanyo ya kheisesetati, nyakišišo ye e dirilwe dikolong tša sekontari ka gare ga Mmasepala wa Selete sa Vhembe, wo o lego profentsheng ya Limpopo. Mokgwa wa maleba wa go dira sampole o dirišitšwe go kgetha barutiši le baswa ba baithuti ba e lego bommago bana go kgathatema dipoledišanong. Tlhokomelo ya mokgathatema le tshekatsheko ya tokomane e be e le mekgwa ye mengwe ya dinyakišišo ye e akareditšwego ka gare ga tshepetšo ya kgoboketšo ya datha. Barutiši le baswa ba baithuti ba e lego bommago bana ba boledišane ka go šomiša dipoledišano tše di tseneletšego. Nyakišišo ya khwalithethifi ka gare ga tlhokomelo ya mokgathatema e dirilwe go kgoboketša datha mabapi le ka fao baswa ba baithuti ba e lego bommago bana ba bego ba amana le barutiši le dithaka tša bona ka phapošing le ka tikologong ya sekolo. Sa mafelelo, tshekatsheko ya tokomane e dirilwe ka go šomiša direkote tša semmušo go hlahloba, go swana le diretšistara ya batlasekolong, diteko tša ka phapošing le dipoelo tša tlhahlobo, direkote tša kalafo, le kgathotema dipapading tsa sekolo le diprotšeke tša tlhabollo ya setšhaba. Barutiši ba bahlano le baswa ba baithuti ba e lego bommago bana ba bahlano ba kgathile tema ka nyakišišong ye. Tshekatsheko ya datha ya khwalithethifi e šomišitšwe go sekaseka datha ye e kgobokeditšwego nakong ya dipoledišano tše di tseneletšeng le datha ya tlhokomelo ya mokgathatema. / Curriculum and Instructional Studies / M. Ed. (Curriculum and Instructional Studies)

This study identified pregnancy-related challenges encountered by student nurses at SAMHS Nursing College, with an aim of identify factors contributing to student nurses' pregnancies as well as finding ways to deal and minimize the rate of the pregnancies amongst the student nurses. Thirty (30) structured interviews were conducted with student nurses who were pregnant and those who delivered their babies during the period 2002 to 2007. It has been revealed that ignorance is the major contributing factor for student nurses' pregnancies, 63% of the pregnancies were not planned, 52% of the respondents related their pregnancies to risk taking as they engaged in unprotected sex without the use of contraceptives, and thus it was concluded that student nurses are engaging themselves in risk behaviours and also engaging in unsafe sexual practices. The study also found that student nurses face physical, social, emotional as well as academic problems during pregnancy and after the delivery of their babies. Student nurses should be encouraged to use condoms and other methods of contraception, coupled with educating them on life skills, provision of recreational facilities; provision of counseling and support services may be the tool to minimise the unplanned pregnancies. / Health Studies / (M.A.(Public Health ))

This study seeks to describe the factors contributing to high adolescent pregnancy rate in Kinondoni Municipality, Dar-es-Salaam. Through the study we get to know the social economic characteristics of adolescents, the adolescents' general knowledge of reproductive health issues and the source of this knowledge. The major discoveries made from this study are that the educational status and knowledge of reproductive health of these adolescents is low, some are already dropouts from school, and others were deprived of the chance to continue with secondary education. They have nothing tangible to do because of their low education and coupled with their low economic status, they are at risk of being involved in sexual activities at an early age, ending in pregnancies. In addition, their parents' educational and economic status was also found to be low. It is important then, parents, teachers and the community in general to arrest the rate of adolescent pregnancies. / HEALTH STUDIES / MA (HEALTH STUDIES)