M.Cur. / Please refer to full text to view abstract

A research report submitted to the Wits School of Education, Faculty of Humanities, University of the Witwatersrand in partial fulfilment of the requirements for the degree of Master of Education by combination of coursework and research. Johannesburg, 2016. / As a fulfillment to the Constitutional obligation which is to offer education as human right to everyone, Lesotho has introduced free primary education in schools. This is also a commitment to the Education For All movement. Despite the initiative the country has taken, there are some vulnerable groups of children who are deprived of their right to education. These include girls who fall pregnant while still pursuing their studies. These girls are faced with challenges which include being expelled from school when they fall pregnant. Those who are allowed to continue their studies, they experience marginalisation that may result into exclusion from school. This qualitative study has therefore investigated marginalisation that is experienced by the girls who fall pregnant while still at high school in the Maseru district of Lesotho. The study was conducted through interviews with teachers, pregnant girls, and girls who have babies and still in school, and girls who should be in school, but have been asked to leave school. The findings revealed that girls in schools and out of school are marginalised for similar and different reasons by their teachers, parents and peers. Teachers use language and labeling which humiliate these girls while parents neglect their daughters when they fall pregnant. Rejection by peers has also been revealed in this study. All these marginalisation experiences could be attributed to the silence of the Lesotho Educational Act about teenage pregnancy. Schools in the sample have different policies with regard to teenage pregnancy. As a result some schools exclude teenage mothers from education. / MT2017

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

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