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Stories of mothers exposed to biopsychosocial FASD services in the Langeberg Municipal Area
Thesis (PhD)--Stellenbosch University, 2023.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2023
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| _version_ | 1867613953800011776 |
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| access_status_str | Open Access |
| author | De Vries, Maria Magdalena |
| author2 | Slabbert, Ilze |
| author_browse | De Vries, Maria Magdalena Slabbert, Ilze |
| author_facet | Slabbert, Ilze De Vries, Maria Magdalena |
| author_sort | De Vries, Maria Magdalena |
| collection | Thesis |
| description | Thesis (PhD)--Stellenbosch University, 2023. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/127030 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:44:20.637Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/127030 Stories of mothers exposed to biopsychosocial FASD services in the Langeberg Municipal Area De Vries, Maria Magdalena Slabbert, Ilze Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Social Work. Fetal alcohol spectrum disorders -- Western Cape (South Africa) -- Socioeconomic status Children of prenatal alcohol abuse -- South Africa -- Western Cape Child welfare -- South Africa -- Western Cape Fetal alcohol spectrum disorders -- Diagnosis Motherhood -- South Africa -- Western Cape UCTD Thesis (PhD)--Stellenbosch University, 2023. ENGLISH ABSTRACT: alcohol spectrum disorders (FASD) are a range of detrimental physical, psychological, behavioural, and social effects caused by prenatal alcohol exposure. South Africa, with the highest recorded prevalence of FASD worldwide, has no formal policies for FASD prevention, intervention, and support services. Although FASD research worldwide has benefitted from research done in SA, little is done to address the individual and societal factors contributing to the prevalence of FASD in SA. Social workers have an important role in the prevention of FASD, interventions with and support to high-risk drinking women. From a biopsychosocial perspective, it is important to address the biological, psychological as well as social factors contributing to FASD as well as its consequences for the affected individual. This study aimed to gain an in-depth understanding of the lives, realities and needs of women with a high risk of having a child with FASD. A qualitative study employing a combination of the exploratory and descriptive case study designs was utilised. To select study participants, purposive sampling was done. File content of women who previously participated in a case management study with high-risk drinking pregnant women in the Langeberg Municipal area was studied before interviews were conducted. A semi-structured interview guide was used in the in-depth, face-to-face interviews with six women. The seven themes identified from the data collected were: childhood, ntergenerational patterns, level of education and work circumstances, the role of partners, pregnancies and children, psychological factors and the availability of services and a need for more services. Findings from this study indicated that several childhood factors can be linked to high-risk drinking, that there is intergenerational transfer of embedded drinking patterns, such as weekend binge-drinking and that mothers and grandmothers influence young women’s drinking patterns and attitudes. It was found that none of the study participants completed their schooling and, as a result, were financially vulnerable. The role of partners in the drinking habits of pregnant women were found to be substantial. It was found that partner support or a lack thereof, partners having affairs or leaving pregnant women, and domestic violence affect women’s physical and mental health contributing to high-risk drinking. Findings showed that none of the women participating in this study planned their pregnancies, leading to late pregnancy recognition and continued drinking throughout at least the first trimester. It was shown that psychological factors such as depression, feelings of hopelessness and defaulting on psychological treatment, were common. The findings also showed that there is a need for practical interventions, social work and counselling services, physical and mental health services, and a need for the coordination of these services. The lack of collaboration and policies to guide FASD prevention on all three levels of prevention, to deliver intervention services addressing the biological, psychological, social, and educational complexities of FASD and the need to put such policies and strategies in place to construct and implement a plan of action, was clearly shown. AFRIKAANSE OPSOMMING: Fetale alkohol spektrum afwykings (FASA) is ’n reeks nadelige fisiese, psigiese, gedrags- en sosiale effekte wat deur voorgeboortelike alkoholblootstelling veroorsaak word. Suid-Afrika, die land waar navorsers die hoogste voorkoms van FASA wereldwyd gevind het, het geen formele beleid vir FASA voorkoming, intervensies of ondersteuningsdienste nie. Alhoewel FASA navorsing wereldwyd voordeel getrek het uit navorsing wat in SA gedoen word, word min in SA gedoen om die individuele en gemeenskapsfaktore wat bydra tot die hoe voorkoms van FASA, aan te spreek. Maatskaplike werkers het ’n belangrike rol in die voorkoming van FASA, intervensies met en ondersteuning aan vroue met hoe risiko drinkgewoontes. Uit ’n biopsigososiale perspektief is dit belangrik om die biologiese, psigologiese en sosiale faktore wat bydra tot die voorkoms van FASA, sowel as die gevolge daarvan vir die geaffekteerde individu, aan te spreek. Hierdie studie het ten doel gehad om ’n diepgaande begrip te ontwikkel van die lewens, realiteite en behoeftes van vroue met ’n hoë risiko om ’n kind met FASA te hê. ’n Kwalitatiewe studie wat ’n kombinasie van verkennende en beskrywende- gevallestudie-ontwerpe gebruik het, is gedoen. Om die studiedeelnemers te kies, is van doelgerigte steekproefneming gebruik gemaak. Voordat onderhoude gevoer is, is die lêers van vroue wat voorheen aan ’n gevallebestuurstudie waaraan swanger vroue met hoe risiko drinkgewoontes deelgeneem het, bestudeer. ’n Semi-gestruktureerde onderhoudskedule is gebruik om onderhoude met ses vroue in die Langeberg munisipale area te voer. Hierdie studie het ten doel gehad om ’n diepgaande begrip te ontwikkel van die lewens, realiteite en behoeftes van vroue met ’n hoe risiko om ’n kind met FASA te hê. ’n Kwalitatiewe studie wat ’n kombinasie van verkennende en beskrywendegevallestudie-ontwerpe gebruik het, is gedoen. Om die studiedeelnemers te kies, is van doelgerigte steekproefneming gebruik gemaak. Voordat onderhoude gevoer is, is die leers van vroue wat voorheen aan ’n gevallebestuurstudie waaraan swanger vroue met hoe risiko drinkgewoontes deelgeneem het, bestudeer. Die sewe temas wat uit die ingesamelde data geïdentifiseer is, is kinderjare, die oordra van gedragspatrone tussen generasies, vlak van opvoeding en werksomstandighede, die rol van lewensmaats, swangerskappe en kinders, sielkundige faktore, die beskikbaarheid van dienste en ’n behoefte aan meer dienste. Bevindinge van die studie dui aan dat verskeie faktore uit hul kinderjare verbind kan word met hoe risiko drinkgewoontes, dat daar ’n oordrag van vasgelegde drinkgewoontes soos fuifdrinkery tussen generasies is, en dat moeders en grootmoeders jong vroue se drinkpatrone en houdings teenoor alkoholgebruik beinvloed. Dit is bevind dat nie een van die studiedeelnemers hul skoolloopbane voltooi het nie en gevolglik finansieel kwesbaar is. Dit is verder gevind dat lewensmaats ’n groot rol speel in swanger vroue se drinkgewoontes. Dit is bevind dat die ondersteuning van lewensmaats of ʼn gebrek daaraan, lewensmaats wat swanger vroue verlaat of ander verhoudings het, asook gesinsgeweld, vroue se fisiese en psigiese gesondheid affekteer en bydra tot hoe risiko drankgebruik. Daar is bevind dat nie een van die vroue wat aan hierdie studie deelgeneem het, hul swangerskappe beplan het nie. Dit het daartoe gelei dat hulle laat bewus geword het van hul swangerskappe en ten minste in die eerste trimester van swangerskap gedrink het. Daar is getoon dat sielkundige faktore soos depressie, gevoelens van hopeloosheid en die onderbreking van sielkundige behandeling algemeen is. Die bevinding het ’n behoefte aan praktiese ingrypings, maatskaplike werk dienslewering, berading, fisiese en geestesgesondheidsdienste en ’n behoefte aan die koordinering van hierdie dienste getoon. Die gebrek aan samewerking en beleid om FASA-voorkoming op al drie vlakke van voorkoming te lei, ’n behoefte aan intervensies wat die komplekse biologiese, psigiese, sosiale en opvoedingsaspekte van FASA aanspreek en die behoefte om sodanige beleid en strategiee in plek te stel en ’n plan van aksie te implementeer, is aangedui. Doctoral 2023-02-27T08:10:42Z 2023-05-18T07:00:54Z 2023-02-27T08:10:42Z 2023-05-18T07:00:54Z 2023-03 Thesis http://hdl.handle.net/10019.1/127030 en_ZA xvii, 319 pages : illustrations application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Fetal alcohol spectrum disorders -- Western Cape (South Africa) -- Socioeconomic status Children of prenatal alcohol abuse -- South Africa -- Western Cape Child welfare -- South Africa -- Western Cape Fetal alcohol spectrum disorders -- Diagnosis Motherhood -- South Africa -- Western Cape UCTD De Vries, Maria Magdalena Stories of mothers exposed to biopsychosocial FASD services in the Langeberg Municipal Area |
| title | Stories of mothers exposed to biopsychosocial FASD services in the Langeberg Municipal Area |
| title_full | Stories of mothers exposed to biopsychosocial FASD services in the Langeberg Municipal Area |
| title_fullStr | Stories of mothers exposed to biopsychosocial FASD services in the Langeberg Municipal Area |
| title_full_unstemmed | Stories of mothers exposed to biopsychosocial FASD services in the Langeberg Municipal Area |
| title_short | Stories of mothers exposed to biopsychosocial FASD services in the Langeberg Municipal Area |
| title_sort | stories of mothers exposed to biopsychosocial fasd services in the langeberg municipal area |
| topic | Fetal alcohol spectrum disorders -- Western Cape (South Africa) -- Socioeconomic status Children of prenatal alcohol abuse -- South Africa -- Western Cape Child welfare -- South Africa -- Western Cape Fetal alcohol spectrum disorders -- Diagnosis Motherhood -- South Africa -- Western Cape UCTD |
| url | http://hdl.handle.net/10019.1/127030 |
| work_keys_str_mv | AT devriesmariamagdalena storiesofmothersexposedtobiopsychosocialfasdservicesinthelangebergmunicipalarea |