Gillespie, B. orcid.org/0000-0003-1833-209X, Allen, H., Pritchard, M. et al. (3 more authors) (2021) Agency under constraint: adolescent accounts of pregnancy and motherhood in informal settlements in South Africa. Global Public Health, 17 (9). pp. 2125-2138. ISSN 1744-1692
Abstract
Progress in adolescent sexual and reproductive health (SRH) remains unequal: adolescent pregnancies are more likely to occur in marginalised communities, or in very poor households. This study aimed to comprehend from adolescents’ own perspectives, the circumstances of falling pregnant and coping with motherhood in informal settlements in South Africa, to better understand the SRH challenges adolescents in these settings may face. A qualitative study was carried out over a two-month period in 2019 to analyse the perceptions held by adolescents in informal settlements served by four community-level clinics in the adjacent township. We found that adolescents face overlapping barriers in seeking to avoid unintended pregnancy in informal settlements. Once they become mothers, their trajectory is limited by the resources and support available from their own parents, particularly their mothers, and to a lesser extent, their partners. We draw on the concept of agency to examine their accounts and to highlight the importance of addressing broader contextual constraints.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2021 Informa UK Limited, trading as Taylor & Francis Group. This is an author-produced version of a paper subsequently published in Global Public Health. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | adolescent pregnancy; adolescent motherhood; South Africa; informal settlements; agency |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research The University of Sheffield > Sheffield Teaching Hospitals |
Funding Information: | Funder Grant number National Institute for Health Research NIHRDH-17/63/26 |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 24 Jan 2022 07:37 |
Last Modified: | 24 Jun 2024 14:59 |
Status: | Published |
Publisher: | Taylor & Francis |
Refereed: | Yes |
Identification Number: | 10.1080/17441692.2021.1981974 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:182829 |