Contesting the Nature of Young Pregnant and Mothering Women: Critical Healthcare Nexus Research, Ethics Committees, and Healthcare Institutions
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In this chapter we describe how systemic contradictions complicate ethical site entry and data collection in critical research. We present our ethnographic research within South African antenatal and postnatal clinics as an example. Pregnant and mothering young women are subject to diverging views of minors in different state-produced policies and legislation. In addition, we encountered discrepancies between our research aims and assumptions made by the University Ethical Standards Committee, managers, healthcare providers, teenaged participants, and other service users. These complexities have implications for ethical engagement of researchers and call for nuanced means of data collection and analysis. We discuss how critical researchers can mitigate social injustice by questioning entrenched ways of thinking about participants and negotiating the contradictory positionings of self and others.
We thank the participants of our research for their time and input. This chapter is based on research supported by the South African Research Chairs initiative of the Department of Science and Technology and the National Research Foundation of South Africa (grant number: 87582), and the Andrew W Mellon Foundation (grant number: 11100695).
- Children’s Act, No. 38. (2005). Pretoria, South Africa: Government Gazette, Republic of South Africa.Google Scholar
- Choice on Termination of Pregnancy Act, No. 92. (1996). Pretoria: Government Gazette, Republic of South Africa.Google Scholar
- Christian Lawyers Association v Minister of Health and Others (Reproductive Health Alliance as amicus curiae) 2005 (1) SA 509 (T) (2004, May 24). Transvaal Provincial Division, South Africa.
- Constitution of the Republic of South Africa. (1996). Pretoria, South Africa: Government Gazette, Republic of South Africa.Google Scholar
- Department of Health. (2007). South Africa demographic and health survey 2003. Pretoria: Department of Health.Google Scholar
- Department of Health. (2015). Ethics in health research: Principles, structures and processes. Pretoria: Department of Health.Google Scholar
- Feltham-King, T. (2016). Risk and responsibility: The management of teenaged pregnant women within the antenatal healthcare nexus (Unpublished Doctoral Dissertation). Rhodes University, Grahamstown. Retrieved Jun 1, 2017, from http://encore.seals.ac.za/iii/encore_ru/record/C__Rx1064652__SFeltham-King__Orightresult__U__X4?lang=eng&suite=ru
- Macleod, C. (2011). “Adolescence”, pregnancy and abortion: Constructing a threat of degenration. London: Routledge.Google Scholar
- Macleod, C. (2013). Teenage pregnancy. In T. Teo (Ed.), Encyclopaeia of critical psychology. New York: Springer. Retrieved Jun 1, 2017, from http://www.springerreference.com/docs/html/chapterdbid/304961.html
- Macleod, C., & Bhatia, S. (2007). Postcolonialism and psychology. In C. Willig & W. Stainton-Rogers (Eds.), Handbook of qualitative research in psychology (pp. 576–589). London: Sage.Google Scholar
- McQuoid-Mason, D. (2011). Mandatory reporting of sexual abuse under the Sexual Offences Act and the “best interests of the child”. South African Journal of Bioethics and Law, 4(2), 74–78.Google Scholar
- Müller, A., Röhrs, S., Hoffman-Wanderer, Y., & Moult, K. (2016). “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, 148, 71–78. https://doi.org/10.1016/j.socscimed.2015.11.048 CrossRefPubMedGoogle Scholar
- National Health Act, No. 61. (2003). Pretoria, South Africa: Government Gazette, Republic of South Africa.Google Scholar
- Rhoda, N. R., Greenfield, D., Muller, M., Prinsloo, R., Pattinson, R. C., Kauchali, S., & Kerber, K. (2014). Experiences with perinatal death reviews in South Africa—The Perinatal Problem Identification Programme: Scaling up from programme to province to country. BJOG, 121(4), 160–166. https://doi.org/10.1111/1471-0528.12997 CrossRefPubMedGoogle Scholar
- Sexual Offences Act, No. 32. (2007). Pretoria, South Africa: Government Gazette, Republic of South Africa.Google Scholar
- Singh, J. A., Abdool Karim, S. S., Abdool Karim, Q., Milisana, K., Williamson, C., Gray, C., … Gray, A. (2006). Enrolling adolescents in research on HIV and other sensitive issues: Lessons from South Africa. PLoS Medicine, 3(7), 0984–0988. https://doi.org/10.1371/journal.pmed.0030180 CrossRefGoogle Scholar
- World Health Organization. (2011). WHO guidelines on preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries. Geneva, Switzerland: World Health Organization. Retrieved Jun 1, 2017, from http://www.who.int/immunization/hpv/target/preventing_early_pregnancy_and_poor_reproductive_outcomes_who_2006.pdf