PMID- 33239882
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240331
IS  - 1178-2390 (Print)
IS  - 1178-2390 (Electronic)
IS  - 1178-2390 (Linking)
VI  - 13
DP  - 2020
TI  - Adolescent Pregnancy and Parenting: Perceptions of Healthcare Providers.
PG  - 1607-1628
LID - 10.2147/JMDH.S258576 [doi]
AB  - BACKGROUND: Adverse maternal and child health outcomes due to adolescent 
      pregnancy are central to public health research and practice. In addition, public 
      health has emphasised that the care rendered by healthcare providers plays a 
      pivotal role in the health and well-being of pregnant and parenting adolescents. 
      Healthcare providers may differ in the ways they interpret adolescent pregnancy 
      and parenting and consequently, this may have profound implications for 
      healthcare decision making. The aim of this study was to explore the multiple 
      perspectives of a diverse group of healthcare providers' delivering services and 
      engaging with pregnant adolescents and adolescent mothers at a district hospital 
      in Ugu, KwaZulu Natal, South Africa. METHODS: This descriptive qualitative study 
      used semi-structured interviews (n=33). Healthcare providers rendering care to 
      pregnant and parenting adolescents were recruited from the maternity, antenatal, 
      paediatrics, psychology, dietetics, physiotherapy and social work departments, as 
      well as from the HIV/AIDS, STIs and TB (HAST) programme. The data were analysed 
      using thematic analysis. RESULTS: The healthcare providers acknowledged that 
      adolescent pregnancy is a problematic issue in Ugu district. Furthermore, they 
      felt that the postpartum sexual-related and reproductive health of adolescent 
      mothers was not given priority. In the healthcare providers' view, the problems 
      experienced by pregnant and parenting adolescents were school dropout, financial 
      constraints, breakdown of relationships, abandonment, stigmatisation, parenting 
      and child rearing difficulties, and both physical and mental health problems. 
      CONCLUSION: This study highlights that the issue of sexual- and 
      reproductive-related outcomes of adolescent pregnancy and parenting is not given 
      priority. In addition, the findings also highlighted the need for a 
      multidisciplinary approach to the care of pregnant and parenting adolescents. 
      Multidisciplinary communities of practices as interventions can be used to 
      generate and share knowledge, capacitate healthcare providers and improve 
      clinical practice. The training of healthcare providers, provision of 
      non-judgemental counselling and tailored services for pregnant adolescents and 
      adolescent mothers are essential. When appropriately disseminated, the findings 
      will assist relevant healthcare providers, administrators in healthcare 
      institutions, policymakers, and officials of the Department of Health and the 
      Department of Education in South Africa to address the lack of appropriate care 
      for pregnant and parenting adolescents.
CI  - (c) 2020 Govender et al.
FAU - Govender, Desiree
AU  - Govender D
AUID- ORCID: 0000-0001-5594-4218
AD  - KwaZulu-Natal Department of Health, South Africa Developing Research Innovation 
      Localisation and Leadership (DRILL) Programme, University of KwaZulu-Natal, 
      Durban, South Africa.
AD  - School of Nursing and Public Health, Discipline of Public Health Medicine, 
      University of KwaZulu-Natal, Durban, South Africa.
FAU - Taylor, Myra
AU  - Taylor M
AUID- ORCID: 0000-0003-3087-2240
AD  - School of Nursing and Public Health, Discipline of Public Health Medicine, 
      University of KwaZulu-Natal, Durban, South Africa.
FAU - Naidoo, Saloshni
AU  - Naidoo S
AUID- ORCID: 0000-0002-8844-0160
AD  - School of Nursing and Public Health, Discipline of Public Health Medicine, 
      University of KwaZulu-Natal, Durban, South Africa.
LA  - eng
GR  - D43 TW010131/TW/FIC NIH HHS/United States
PT  - Journal Article
DEP - 20201118
PL  - New Zealand
TA  - J Multidiscip Healthc
JT  - Journal of multidisciplinary healthcare
JID - 101512691
PMC - PMC7680673
OTO - NOTNLM
OT  - South Africa
OT  - adolescent parenting
OT  - adolescent pregnancy
OT  - healthcare providers
OT  - healthcare services
OT  - sexual and reproductive health
COIS- The authors declare that they have no competing interests.
EDAT- 2020/11/27 06:00
MHDA- 2020/11/27 06:01
PMCR- 2020/11/18
CRDT- 2020/11/26 05:43
PHST- 2020/04/17 00:00 [received]
PHST- 2020/09/17 00:00 [accepted]
PHST- 2020/11/26 05:43 [entrez]
PHST- 2020/11/27 06:00 [pubmed]
PHST- 2020/11/27 06:01 [medline]
PHST- 2020/11/18 00:00 [pmc-release]
AID - 258576 [pii]
AID - 10.2147/JMDH.S258576 [doi]
PST - epublish
SO  - J Multidiscip Healthc. 2020 Nov 18;13:1607-1628. doi: 10.2147/JMDH.S258576. 
      eCollection 2020.