A dissertation submitted to the School of Social Sciences, Faculty of Humanities, University of Witwatersrand in fulfilment of the requirements for the Degree of Doctor of Philosophy in Demography and Population Studies, October 2017 / Teenage pregnancy is noted as one of the key development challenges in sub-Saharan Africa and globally due to its adverse social, health and demographic consequences. An avalanche of studies has emerged to identify the predictors of teenage pregnancy in South Africa which indicate a persistently high prevalence of teenage pregnancy. This study intends to examine how social disorganisation contributes to the prevalence of teenage pregnancy in South Africa. Social disorganisation is defined here as family disruption, service delivery inaccessibility, community unemployment and residential mobility. The theoretical basis of the study is the social disorganisation theory propounded by Shaw and McKay (1942). The theory was deemed appropriate due to its ability to investigate unfavourable factors beyond the individual-level occurring within society. This theory has not been applied to any teenage pregnancy study in South Africa. The data source for the study is South Africa’s 2011 census. The target population includes females aged 12 to 19. The study uses multilevel logistic regression modelling allowing heterogeneity at the individual and community levels to test the applicability of the theory in explaining teenage pregnancy. Results indicate that teenage pregnancy remains at critical levels with 3.97% of teenage females having given birth in the preceding year yet incidence among 15-19 year olds is 15 times higher than that of 12-14 year olds. Family forms other than two-parented marriages and communities with high levels of family disruption increase the likelihood of teenage pregnancy. Similarly, increasing household service delivery inaccessibility predisposes teenage females to higher odds of pregnancy, as expected. However, higher community unemployment was negatively associated with teenage pregnancy as were higher levels of residential mobility, which is contrary to previous international research findings. To this end, the study provides empirical evidence of the social disorganisation determinants of teenage pregnancy in South Africa. Additionally, the study shows the contribution of certain household and community factors in pregnancy likelihood among young women locally. In light of these findings it becomes necessary for practitioners to create intervention strategies that target these factors to curb the levels and chances of teenage pregnancy nationally. Furthermore, it is vital that government and other stakeholders financially support investigation and prevention campaigns that intentionally address contextual factors to increase adolescent sexual and reproductive health. Consequently, this study contributes to the investigation of structural derivatives to determine pertinent factors in the quest to decrease teenage pregnancy in South Africa. / XL2018

This research project looks at the experiences of a group of pregnant teenagers in a low socio-economic area. Teenage sexuality and pregnancy has been the subject of substantial research in South Africa and the rest of the world as it is a global issue. The challenge that pregnant teenagers face are to manage schooling, pregnancy and mothering rather than dropping out of school. This study was conducted using a qualitative research method through semi-structured interviews. The participants consisted of fourteen teenagers ranging from fifteen to eighteen years of age. The teenagers were either pregnant or had delivered their babies. They attended the local high school with the exception of one participant who had dropped out of school. I interviewed one Life Orientation educator from the local high school and one ante natal nursing sister from the local municipal clinic. Teenage pregnancy produced gender inequalities as the female adolescent is unable to attend school whilst recuperating from the birth of the child; the male continues attending school regardless of fathering the child. Culturally it was inappropriate to receive sex education at home so information was gained within the formal setting of Life Orientation classes, peers or social media. Due to varying degrees of familial support, the teenagers were able to return to school after the birth of their babies. The level of family support ranged from taking over full responsibility of the child so the adolescent continued with her former life to the teenager having to care for the child when returning from school and only being able to complete homework tasks once the baby was asleep. Agency was most apparent in the decision of abortion. The teenagers would not be forced into the procedure if it was not the option of their choice despite pressure from boyfriends and family. Teenagers also showed agency in ending relationships with their partners if the partner was dating other girls concurrently. However, they did not use agency in the negotiation of condom use despite stating that they were in equal relationships with their boyfriends. This indicates how structures may constrain agency, specifically structures that are located in gendered inequalities. The teenagers were knowledgeable about the facts of condom use as protection against pregnancy and disease but these facts were not put into practice. Discourses suggest female teenagers’ fear of being rejected by their partner through the insistence of condom use and male domination over the female.

Conselho Nacional de Desenvolvimento Científico e Tecnológico / No presente trabalho analisamos a amamentação desde a óptica de um grupo de mães-nutrizes adolescentes de baixa renda, residentes no Estado do Rio de Janeiro. Objetivamos compreender como as mulheres estudadas vivenciavam o processo de amamentação de seus filhos e identificar os fatores que contribuíam para a construção de tais vivências. Partimos do pressuposto de que as mães adolescentes vivenciavam o ser nutriz como uma ação cotidiana que se consolidava ou se desfazia em função de fatores da ordem da natureza e/ou da cultura que permeavam essa prática. Constitui-se de uma pesquisa qualitativa. Participaram 12 mães adolescentes, entre 15 e 19 anos de idade, que estavam amamentando seus filhos durante o primeiro trimestre pós-parto. Os depoimentos das entrevistadas foram analisados com base na técnica de análise de conteúdo, modalidade temática e interpretados à luz do referencial teórico da Pesquisa Qualitativa em Saúde. Para estas mulheres, a essência da prática do aleitamento materno se constrói ao redor de sua preocupação em relação ao sucesso/insucesso da amamentação e do exercício de deveres inerentes ao ser mãe adolescente. Expressam sua preocupação em produzir leite em quantidade e qualidade suficiente, ter mamas aptas para amamentar e conseguir que o bebê mamasse efetivamente. Assim mesmo, manifestam sentir o dever de ser responsáveis e amamentar, vencer o cansaço e a dor, pensar no bem-estar do filho e aceitar as mudanças que a maternidade e a amamentação imprimiram nos seus corpos. Reafirmam o conceito de amamentação como prática histórico-social aprendida. Grande ênfase é dada ao papel do profissional de saúde e do meio social como mediadores da aprendizagem e rede de suporte à amamentação. A partir dos resultados deste estudo sugerimos a necessidade de refletir sobre nossa função assistencial na promoção, proteção e apoio ao aleitamento materno neste grupo etário. / Along the present study we analyze breastfeeding from the point of view of a group of low income teenage breastfeeding mothers, living in Rio de Janeiro State, Brazil. Our aim was to understand how these women experienced breastfeeding and to identify factors that contributed in the construction of such experiences. We assumed that teenage mothers felt their role as breast-feeders as an everyday activity, where persistence or preclusion depend on factors established both by culture and Nature. This qualitative research was carried out on a group of 12 teenage mothers, between 15 and 19 years old, that were breastfeeding during the first three months after delivered. The interviews were analyzed based on content analysis technique, thematic nodes and interpreted following Qualitative Health Research Theory. For these women, the essence of breastfeeding practice is built around their concerns regarding successful/failure breastfeeding and their tasks perceived as teenage mothers. They express their worries in terms of being able to produce both qualitative and quantitatively enough milk, having breasts able of breastfeed and being capable to establish an effective latch-on. In addition, they show concerns of being responsible and breastfeed even when tired or harmed, always thinking about their sons well-being and accepting the changes on their bodies perceived due to motherhood and breastfeeding. Teenage women reassure breastfeeding as a socio-historical practice. The health care provider and the teenagers significant others were emphasized as breastfeeding counsellors and main breastfeeding support network. The outcome of this study raises some question regarding our role as breastfeeding promoters for teenage mothers.

Thesis (M.ED.) --University of Limpopo, 2007 / This report describes the research carried out in the Limpopo Province of South Africa, with Bohlabela District being used as a site of this study. The aim of the study was to investigate problems affecting young mothers in attending ABET classes in Bohlabela District in Limpopo Province. In order to achieve the aim outlined above, I formulated the following main research question: • What are the problems affecting the attendance of ABET classes by young mothers in Bohlabela District in the Limpopo Province? In trying to answer the question outlined above, I decided to undertake an explorative study in order to investigate problems affecting the attendance of ABET classes by young mothers in Bohlabela District in the Limpopo Province. In chapter 1 I further gave a description of South Africa in the apartheid era and the post-apartheid South Africa in terms of its geographical setup and education. The aim and objectives of the study and the research questions are indicated. The scope of the study is explained. In chapter 2 the theoretical foundation for the investigations of problems affecting the attendance of ABET classes by young mothers in Bohlabela District in the Limpopo Province is indicated. Factors such as time, curriculum, environment, family pressures and ignorance were discussed in this chapter. The chapter is starting with the definition of key concepts. In chapter 3 the research design of the study has been outlined. The data collection paths of the study have been discussed. The chapter explains how the data which had been collected from various places were analysed using qualitative data analysis methods. It concludes by discussing what I call ‘reflections’, a section that was about my main learning experiences and difficulties that I encountered during the process of this research. In chapter 4 I presented the findings of the study according to the views and perceptions of the interviewees. This section prepared the study for the next stage of the investigation where I established whether or not the findings provide answers to the research question. Chapter 5 is the concluding section where conclusions were made based on the findings of the investigation. Recommendations coming out of the study were made and finally recommendations for further study have been outlined.

Thesis (M.S.)--Eastern Illinois University, 2001. / Includes bibliographical references (leaves 65-72).

Thesis (Ph. D.)--University of Oregon, 2000. / Typescript. Includes vita and abstract. Includes bibliographical references (leaves 171-183). Also available for download via the World Wide Web; free to University of Oregon users.

published_or_final_version / Nursing Studies / Master / Master of Nursing in Advanced Practice

Not available / text

This thesis explores the use of feminist participatory action research (FPAR) within women-only youth and community work settings. The project investigated possibilities for flexible sports participation with non-sporty young women. Underpinned by poststructural feminism, the research considers the complex ways that gendered subjectivities are contested and constructed in relation to sporting embodiment and broader power relations. FPAR's, explicit aim is to affect positive social change. It is: participatory; defined by the need for action; and creates knowledge but not for the sake of knowledge alone. FPAR combines the sharing of common experiences of oppression with collective action. By using FPAR within youth and community settings over the course of 12 months, a group of young mums and a group of young women were encouraged to examine their relationship with physical activity and develop physical activity projects that suited their own needs. Research proceeded through three broad phases: interactive group discussion activities; planning of and participating in needs-led physical activity projects; and project evaluations. This project sought to find new ways of understanding young women’s engagement in physical activity and open up safe spaces for them to consider and experiment with new subjectivities and physically active subject positions. The thesis illuminates the highlights and challenges of implementing physical activity through participatory action research in youth work settings. Findings from the study outline the ways in which young women’s ‘non-sporty’ subjectivities are constructed in relation to discursive practices of gender. Young women’s critical reflections of previous experiences of physical activity revealed the workings of conflicting perceptions of valued emotional capital. The participatory projects provided opportunities for cross-field experiences, which shifted the social field of physical activity, and readdressed relations of power.

This study is an exploration of participants' experiences of being pregnant as young women. The study attempts to respond to the following set of questions: What are the issues that surround young women's pregnancy in general? How has history shaped the construction of womanhood, family, sexuality, motherhood and young women's pregnancy? What are the beliefs, perceptions and policies surrounding young women's pregnancy and that underlie responses to it and how might they (beliefs, perceptions and policies) be changed? How do issues of sexually transmitted infections and HIV/AIDS among young women interact with issues of pregnancy? What are the ways in which schools, students and pregnant young women handle the issue of pregnancy, the continuation of pregnancy while schooling, and the implications or impact on the women's career trajectories? What are the experiences of women who have been pregnant at young ages with regard to their education (including the implications for it)? The study utilized a feminist research methodology to interact with women who have been pregnant while schooling. In addition, the study employed feminist research to establish the way in which the Basotho construct young women's pregnancy and to decipher the basis for the way this is constructed. A survey questionnaire was used to generate baseline data on the current interactions of school and young women's pregnancy. The storied lives of pregnant women have been shared in the study in their Lesotho context, a small mountain Kingdom completely land locked by South Africa. In-depth interviews were conducted with eight previously pregnant women while some past pregnant women were accessed by the use of focus group interviews. Additional interviews were conducted with principals, parents, siblings, proprietors, and partners of past pregnant young women. The researcher’s autobiography as a previously pregnant young woman was also used. The data in the study was analyzed at different levels. The first level was a narrative analysis of the eight stories, including the autobiography, which have been presented as their stories. Data from the focus group interviews was analyzed by picking up themes from the interviews and presented by discussing the themes together with some of the direct words of the participants to reinforce the discussion. A cross sectional narrative analysis was done for principals, parents, siblings, proprietors and partners. A narrative analysis was also done for a separate principals ' survey. At the final stage the study brings together information that relates to the research questions. The analysis of the experiences of young woman's pregnancy has been illuminated by the interrogation of who constructs these experiences, what the constructions are and what they are based upon. Each story in the study is unique and not dependent on another however, it is interesting to note that the way young women's pregnancy interacts with the family, partner, school and religion has much to do with the social construction. The sudden altering of context of "good girl" to "bad girl" causes a sharp shift of the pregnant young woman's experiences, thus the fluid nature of social construction is observable. The negotiations that occur as individuals struggle to handle pregnancy are brought forward. The study has not gone without observations on the challenges faced. The study has also moved from the context based possibilities to the way forward. / Theses (Ph.D.) - University of KwaZulu-Natal, 2005.