"You have to make a judgment call". - Morals, judgments and the provision of quality sexual and reproductive health services for adolescents in South Africa

Social Science and Medicine

Volumn 148, Issue , 2016, Pages 71-78

  Müller, Alexandra ^a   Röhrs, Stefanie ^a   Hoffman Wanderer, Yonina ^a   Moult, Kelley ^a  

^a UNIVERSITY OF CAPE TOWN   (South Africa)

Author keywords

Adolescents; Legislative frameworks; Nurses; Sexual and reproductive health; South Africa; Street level bureaucracy

Indexed keywords

ADOLESCENCE; BUREAUCRACY; ETHICS; HEALTH SERVICES; LEGISLATION; MORALITY; REPRODUCTIVE HEALTH; SEXUAL BEHAVIOR;

ADOLESCENT; CHILD; CONCEPTUAL FRAMEWORK; DECISION MAKING; DOCTOR NURSE RELATION; DOCTOR PATIENT RELATION; HEALTH CARE FACILITY; HUMAN; HUMAN EXPERIMENT; INTERVIEW; MORALITY; PATIENT CARE; REPRODUCTIVE HEALTH; SOUTH AFRICA; CONFLICT; FEMALE; HEALTH CARE QUALITY; HEALTH SERVICE; LEGISLATION AND JURISPRUDENCE; MANDATORY REPORTING; NURSE; PATIENT RIGHT; PREGNANCY; PSYCHOLOGY; QUALITATIVE RESEARCH; SEXUAL CRIME;

SOUTH AFRICA;

ADOLESCENT; CONFLICT (PSYCHOLOGY); FEMALE; HUMANS; JUDGMENT; MANDATORY REPORTING; MORALS; NURSES; PATIENT RIGHTS; PREGNANCY; QUALITATIVE RESEARCH; QUALITY OF HEALTH CARE; REPRODUCTIVE HEALTH SERVICES; SEX OFFENSES; SOUTH AFRICA;

EID: 84949309350     PISSN: 02779536     EISSN: 18735347     Source Type: Journal    
DOI: 10.1016/j.socscimed.2015.11.048     Document Type: Article

References (38)

1. Abdool Karim Q., Preston-Whyte E., Abdool Karim S.S. Teenagers seeking condoms at family planning services. Part I. A user's perspective. South Afr. Med. J. 1992, 82(5):356-359.
2. Cooper D., Mantell J.E., Moodley J., Mall S. The HIV epidemic and sexual and reproductive health policy integration: views of South African policymakers. BMC Public Health 2015, 15(1):217. 10.1186/s12889-015-1577-9.
3. Coovadia H., Jewkes R., Barron P., Sanders D., McIntyre D. The health and health system of South Africa: historical roots of current public health challenges. Lancet 2009, 374(9692):817-834. 10.1016/S0140-6736(09)60951-X.
4. Department of Health. (n.d.). Human Resources for Health, South Africa: HRH Strategy for the Health Sector: 2012/13 - 2016/17. Pretoria: Department of Health.
5. Department of Health Sexual and Reproductive Health and Rights: Fulfilling Our Commitments 2011-2021 and Beyond 2011, Department of Health, Pretoria.
6. Department of Health National Contraception and Fertility Planning Policy and Service Delivery Guidelines 2012, Department of Health, Pretoria.
7. Ehlers V.J. Adolescent mothers' utilization of contraceptive services in South Africa. Int. Nurs. Rev. 2003, 50(4):229-241.
8. Elmore R. Backward mapping: implementation research and policy decisions. Studying Implementation: Methodological and Administrative Issues 1982, Chatham House Publishers, Inc, Chatham, NJ. W. Williams (Ed.).
9. Engelbrecht M.C. Termination of Pregnancy Policy and Services: An Appraisal of the Implementation of the Choice on Termination of Pregnancy Act (92 of 1996) 2005, University of the Free State, Bloemfontein.
10. Gelsthorpe L., Padfield N. Introduction. Exercising Discretion': Decision Making in the Criminal Justice System and beyond 2003, Willan Publishing, Portland, OR. L. Gelsthorpe, N. Padfield (Eds.).
11. Government of South Africa Health Professions Act 1974, Government of South Africa.
12. Harries J., Stinson K., Orner P. Health care providers' attitudes towards termination of pregnancy: a qualitative study in South Africa. BMC Public Health 2009, 9:296. 10.1186/1471-2458-9-296.
13. Holt K., Lince N., Hargey A., Struthers H., Nkala B., Mclntyre J., Blanchard K. Assessment of service availability and health care workers' opinions about young women's sexual and reproductive health in Soweto, South Africa. Afr. J. Reprod. Health 2012, 16(2):283-293.
14. HPCSA. General Ethical Guidelines for the Health Care Professions 2008, Health Professions Council of South Africa, Pretoria.
15. Hudson J., Lowe S. Understanding Policy Process: Analysing Welfare Policy and Practice 2004, The Policy Press, Bristol.
16. Jewkes R., Abrahams N., Mvo Z. Why do nurses abuse patients? reflections from South African obstetric services. Soc. Sci. Med. 1998, 47(11):1781-1795.
17. Kautzky K., Tollman S.M. A perspective on primary health care in South Africa. South African Health Review 2008, 17-30. HST, Cape Town.
18. Kowen D., Davis J. Opaque young lives: experiences of lesbian youth. Agenda Empower. Women Gend. Equity 2006, 20(67):80-92.
19. Lipsky M. Street-level Bureaucracy: Dilemmas of the Individual in Public Service 1980, Russell Sage Foundation, New York.
20. Marks S. Divided Sisterhood 1994, Witwatersrand University Press, Johannesburg.
21. Maynard-Moody S., Musheno M. Cops, Teachers, Counselors: Stories from the Front Lines of Public Service 2003, University of Michigan Press, Ann Arbor.
22. McIntyre D., Klugman B. The human face of decentralisation and integration of health services: experience from South Africa. Reprod. Health Mat. 2003, 11(21):108-119.
23. McIntyre P., Williams G., Peattie S. Adolescent Friendly Health Services - an Agenda for Change 2002, World Health Organization, Geneva.
24. McQuoid-Mason D. Mandatory reporting of sexual abuse under the sexual offences act and the "best interests of the child.". South Afr. J. Bioeth. Law 2011, 4(2):74.
25. Mfono Z. Teenage contraceptive needs in urban South Africa: a case study. Int. Fam. Plan. Perspect. 1998, 24(4):180-183.
26. Monasterio E., Combs C., Warner L., Larsen-Fleming M., St Andrews A. Sexual Health: An Adolescent Provider Toolkit 2010, Adolescent Health Working Group, San Francisco, CA.
27. Moult K. Gatekeepers or Rights Keepers? Domestic Violence and the Administration of Justice in South Africa 2010, American University, Washington D.C.
28. Müller A., MacGregor H. Sexual and Reproductive Health Rights of Women Living with HIV in South Africa 2013, IDS, Brighton.
29. Onyango-Ouma W., Laisser R., Mbilima M., Araoye M., Pittman P., Agyepong I., Vlassoff C. An evaluation of health workers for change in seven settings: a useful management and health system development tool. Health Policy Plan. 2001, 16(1):24-32.
30. Panday S., Makiwane M., Ranchod C., Letsoalo T. Teenage Pregnancy in South Africa-With a Specific Focus on School-going Learners 2009, Pretoria.
31. Regulations Relating to the Scope of Practice of Persons Who are Registered or Enrolled under the Nursing Act. (1991). Pretoria: Department of Health.
32. Republic of South Africa Constitution of the Republic of South Africa 1996, Pretoria.
33. Shisana O., Rehle T., Simbayi L.C., Zuma K., Jooste S., Zungu N., Onoya D. South African National HIV Prevalence, Incidence and Behaviour Survey 2012 2014, HSRC, Cape Town.
34. South African Nursing Council. (n.d.). Nursing Education and Training Standards. Pretoria: SANC.
35. Vlassoff C., Fonn S. Health workers for change as a health systems management and development tool. Health Policy Plan. 2001, 16(1):47-52.
36. Walker L., Gilson L. "We are bitter but we are satisfied": nurses as street-level bureaucrats in South Africa. Soc. Sci. Med. 2004, 59(6):1251-1261. 10.1016/j.socscimed.2003.12.020.
37. Wood K., Jewkes R. Blood blockages and scolding nurses: barriers to adolescent contraceptive use in South Africa. Reprod. Health Mat. 2006, 14(27):109-118. 10.1016/S0968-8080(06)27231-8.
38. World Health Organization Making Health Services Adolescent Friendly: Developing National Quality Standards for Adolescent Friendly Health Services 2012, WHO, Geneva.