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11 Morality, Austerity and the Complexities of Sexual and Reproductive Health Services for Young People in South Africa

  • Kelley Moult
  • Alexandra Müller
Chapter

Abstract

Healthcare service provision for young people in South Africa is a complex landscape—balancing youth and human rights, numerous laws, legally and professionally mandated obligations, and a tenuous and resource-strained implementation context, all set against the backdrop of a highly charged and morally contested area of state-based service provision. Sexual and reproductive health services (SRH) are therefore a far-from-settled arena—either for the healthcare workers who provide services, or for the young people who need to access them. In straddling the divide between official policies and client claims, front-line service providers, so-called street-level bureaucrats, often become disdainful of the ‘ungrounded’ directives from lawmakers and politicians who are perceived as out of touch with implementation realities (Maynard-Moody and Musheno 2003). These conflicts are compounded in neo-Liberal environments of limited infrastructure and resources, such as the South African public health system.

Keywords

Service Provision Sexual Offence National Health Insurance Scheme Reproductive Health Service Statutory Offence 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© The Author(s) 2017

Authors and Affiliations

  • Kelley Moult
    • 1
  • Alexandra Müller
    • 1
  1. 1.University of Cape TownCape TownSouth Africa

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