Adolescent motherhood is a reality amongst South African adolescent girls from all cultures. However, there is a scarcity of information available on Swazi adolescents’ experiences of early motherhood. The research consequently aimed at exploring and describing the experiences of early motherhood amongst Swazi adolescent girls. The participants were encouraged to describe their unique lived experiences as to the early period of adolescent motherhood (pregnancy included). Positive psychology provided the theoretical framework, and phenomenology was used as the methodical design for this qualitative study. Purposeful and snowball sampling was used to find the nine participants. Semistructured one-on-one interviews were conducted with Swazi girls ranging from the ages of 16 to 20 years. The interviews were conducted in English as a second language of the participants, and they all resided within the Nkomazi municipality in Mpumalanga, South Africa. The collected data were analyzed according to the interpretative phenomenological approach (IPA) and five main themes were identified: (a) The influence of emotions; (b) Social support during early adolescent motherhood; (c) Challenges experienced during early motherhood; (d) Personal growth; and (e) Resilience. The research findings indicate that early motherhood amongst Swazi adolescents comprises both positive and negative experiences and results in good and bad emotional experiences. All the participants experienced incidences in which their immediate environment (family, friends, community, neighbours, school, and boyfriends) rejected them and were unsupportive. This was especially evident in the ongoing lack of support offered by the biological father of the baby and the deterioration of original friendships. Ultimately however, it became apparent that the inherent Swazi culture and African principle of “Ubuntu” resulted in their being mostly accepted and supported. Furthermore, most participants experienced personal growth and a sense of maturity. Insights gained from motherhood resulted in participants making more responsible choices with regards to sexual behaviour, changes in their priorities, developing their characters, becoming more ambitious to achieve their personal life goals and becoming future orientated. The personal growth of most participants was clearly indicated by the mastering of several challenges related to early motherhood. A change in lifestyle was the most significant problem to overcome, and other challenges included the “burden” of being a provider, financial constraints in the present and future, interrupted education, loss of leisure time, and the experience of helplessness in times of need, for example when the baby is ill. Despite the fact that adolescent motherhood was experienced as a difficult occurrence, most participants (six of the nine) demonstrated high levels of resilience. These participants demonstrated effective coping strategies by taking responsibility and ownership of the difficulties associated with adolescent motherhood, and expressed the desire to be good mothers. Recommendations are given to enhance the well-being of Swazi adolescent mothers and the findings offer guidelines for a pregnancy prevention program as well as giving ideas on how to support adolescent girls in their journey of motherhood. / MA (Psychology), North-West University, Potchefstroom Campus, 2015

Adolescent motherhood is a reality amongst South African adolescent girls from all cultures. However, there is a scarcity of information available on Swazi adolescents’ experiences of early motherhood. The research consequently aimed at exploring and describing the experiences of early motherhood amongst Swazi adolescent girls. The participants were encouraged to describe their unique lived experiences as to the early period of adolescent motherhood (pregnancy included). Positive psychology provided the theoretical framework, and phenomenology was used as the methodical design for this qualitative study. Purposeful and snowball sampling was used to find the nine participants. Semistructured one-on-one interviews were conducted with Swazi girls ranging from the ages of 16 to 20 years. The interviews were conducted in English as a second language of the participants, and they all resided within the Nkomazi municipality in Mpumalanga, South Africa. The collected data were analyzed according to the interpretative phenomenological approach (IPA) and five main themes were identified: (a) The influence of emotions; (b) Social support during early adolescent motherhood; (c) Challenges experienced during early motherhood; (d) Personal growth; and (e) Resilience. The research findings indicate that early motherhood amongst Swazi adolescents comprises both positive and negative experiences and results in good and bad emotional experiences. All the participants experienced incidences in which their immediate environment (family, friends, community, neighbours, school, and boyfriends) rejected them and were unsupportive. This was especially evident in the ongoing lack of support offered by the biological father of the baby and the deterioration of original friendships. Ultimately however, it became apparent that the inherent Swazi culture and African principle of “Ubuntu” resulted in their being mostly accepted and supported. Furthermore, most participants experienced personal growth and a sense of maturity. Insights gained from motherhood resulted in participants making more responsible choices with regards to sexual behaviour, changes in their priorities, developing their characters, becoming more ambitious to achieve their personal life goals and becoming future orientated. The personal growth of most participants was clearly indicated by the mastering of several challenges related to early motherhood. A change in lifestyle was the most significant problem to overcome, and other challenges included the “burden” of being a provider, financial constraints in the present and future, interrupted education, loss of leisure time, and the experience of helplessness in times of need, for example when the baby is ill. Despite the fact that adolescent motherhood was experienced as a difficult occurrence, most participants (six of the nine) demonstrated high levels of resilience. These participants demonstrated effective coping strategies by taking responsibility and ownership of the difficulties associated with adolescent motherhood, and expressed the desire to be good mothers. Recommendations are given to enhance the well-being of Swazi adolescent mothers and the findings offer guidelines for a pregnancy prevention program as well as giving ideas on how to support adolescent girls in their journey of motherhood. / MA (Psychology), North-West University, Potchefstroom Campus, 2015

Unplanned adolescent pregnancy is one of the challenges that South Africa has been dealing with for years. This challenge is further complicated by the soaring HIV/AIDS infection rates, particularly among young people. The study aimed to explore adolescents’ understanding and meaning of the continuing unplanned pregnancies among adolescents in view of high HIV/AIDS prevalence. Thirteen male and female adolescents aged between 14 years and 25 years made up the participants. Three of them are mothers, four are university students and eight are high school learners. The study was undertaken in a high school, a university, and a clinic in Soweto. Unstructured interviews were used and the topics included adolescents’ knowledge on HIV/AIDS, their thoughts on the continued high levels of unplanned adolescent pregnancies, and their perceptions of the consequences thereof. The participants viewed unplanned adolescent pregnancies as a continuing problem within their communities. Unplanned adolescent pregnancy was described as a product of several factors within and beyond the control of young people. Some of the identified contributory factors are impulsivity, perceived invulnerability, financial dependence, and underdeveloped planning on the part of adolescents. Fertility is highly regarded in certain societies. The participants have a good knowledge of HIV/AIDS, which they receive from several sources such as schools, media, etc. However, HIV/AIDS is not always a deterrent to unprotected sex and the subsequent unplanned pregnancies among adolescents. Most participants do not see the relationship between unplanned pregnancies and HIV/AIDS. Instead, some young people see the prevention of pregnancy as more important than the preservation of life through the prevention of HIV infection. Knowledge about HIV/AIDS does not translate into behaviour change. A significant underestimation of personal risk to HIV/AIDS was observed. The fatality and reality of HIV/AIDS is often ignored and denied.

This study explored knowledge, perceptions and attitudes regarding contraception and contraceptive practices among secondary school learners in the Limpopo Province. Self-administered questionnaires were completed by 612 Grade 8 and 332 Grade 12 learners from 24 randomly selected secondary schools. The study found that permissive attitudes prevailed towards sex, characterised by casual sexual activities commencing at 12 years of age. The availability of contraceptive and termination of pregnancy (TOP) services did not enable learners to utilise them, because of social, cultural, financial and service barriers. Most learners were sexually active without being knowledgeable about contraceptives, emergency contraceptives and TOP services. Two workshops conducted with learners produced similar results to those obtained from the completed questionnaires. Semi-structured interviews conducted with nurses, providing contraceptive and TOP services in the Limpopo Province, also substantiated the findings from the questionnaires. Secondary school learners in the Limpopo Province require more knowledge about and ready access to contraceptives to enable them to delay child bearing until they are emotionally, financially and physically ready for these responsibilities. Nurses and teachers in this province can enhance the learners' contraceptive knowledge and utilisation to help learners make better informed decisions about their own and their future children's lives. / Health Studies / D. Litt. et Phil. (Health Studies)

This study investigated factors contributing to adolescent mothers' non-utilisation of contraceptives in the Piet Retief (Mkhondo) area. Contraceptives, emergency contraceptives and termination of pregnancy services are available free of charge. Nevertheless the number of adolescent mothers continues to increase in this area. Structured questionnaires were completed by 107 adolescent mothers. Most respondents (70,0%) received no sex education prior to their pregnancies, and were not knowledgeable about contraceptives. Subsequent to the birth of their babies, only 59,81% used contraceptives, risking further pregnancies. Adolescents, from the age of 12, should receive sex education. Availability of contraceptives during weekends could help adolescents to postpone their pregnancies. Health education should be given to the mothers in the Piet Retief (Mkhondo) area so that they can provide more effective sex education (including contraception) to their daughters. / Health Studies / M.A. (Health Studies)

This study explored knowledge, perceptions and attitudes regarding contraception and contraceptive practices among secondary school learners in the Limpopo Province. Self-administered questionnaires were completed by 612 Grade 8 and 332 Grade 12 learners from 24 randomly selected secondary schools. The study found that permissive attitudes prevailed towards sex, characterised by casual sexual activities commencing at 12 years of age. The availability of contraceptive and termination of pregnancy (TOP) services did not enable learners to utilise them, because of social, cultural, financial and service barriers. Most learners were sexually active without being knowledgeable about contraceptives, emergency contraceptives and TOP services. Two workshops conducted with learners produced similar results to those obtained from the completed questionnaires. Semi-structured interviews conducted with nurses, providing contraceptive and TOP services in the Limpopo Province, also substantiated the findings from the questionnaires. Secondary school learners in the Limpopo Province require more knowledge about and ready access to contraceptives to enable them to delay child bearing until they are emotionally, financially and physically ready for these responsibilities. Nurses and teachers in this province can enhance the learners' contraceptive knowledge and utilisation to help learners make better informed decisions about their own and their future children's lives. / Health Studies / D. Litt. et Phil. (Health Studies)

This study investigated factors contributing to adolescent mothers' non-utilisation of contraceptives in the Piet Retief (Mkhondo) area. Contraceptives, emergency contraceptives and termination of pregnancy services are available free of charge. Nevertheless the number of adolescent mothers continues to increase in this area. Structured questionnaires were completed by 107 adolescent mothers. Most respondents (70,0%) received no sex education prior to their pregnancies, and were not knowledgeable about contraceptives. Subsequent to the birth of their babies, only 59,81% used contraceptives, risking further pregnancies. Adolescents, from the age of 12, should receive sex education. Availability of contraceptives during weekends could help adolescents to postpone their pregnancies. Health education should be given to the mothers in the Piet Retief (Mkhondo) area so that they can provide more effective sex education (including contraception) to their daughters. / Health Studies / M.A. (Health Studies)

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)

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)