Submitted by admin-user on Thu, 05/15/2014 - 10:28.
As part of the Futures Group’s Reducing Maternal and Child Mortality Through Strengthening Primary Healthcare in South Africa programme, Community Media Trust and TB HIV Care Association were tasked to develop a communications and social mobilisation strategy aimed at increasing the responsiveness of the health service to the needs of adolescents, in response to this need. In order to guide the project’s development, CADRE conducted a rapid situational assessment in the two target districts, O.R. Tambo (EC) and uMgungundlovu (KZN).
The qualitative research sought a deeper understanding of what contributes to teenage pregnancy, what influences whether adolescents seek contraception, antenatal and postnatal care at health facilities, and how the health system should adapt to the particular needs of teenagers. The focus groups and interviews involved teenage girls, boys, mothers, and fathers; youth peer educators; parents and grandparents of adolescents; traditional healers, midwives, NGO workers, educators and other relevant stakeholders.
The findings reveal significant challenges that adolescents experience accessing SRH services, in large part as a result of healthcare worker attitudes. The lack of awareness around safe termination of pregnancy services and the frequency of illegal abortions is also discussed extensively. Drivers of teen pregnancy, barriers and enablers to contraception use, health communication, and social mobilisation opportunities are explored in the report.