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A policy analysis: from population control to the construction of sexual and reproductive health post-apartheid, 1994-2021
Thesis (DPhil)--Stellenbosch University, 2024.
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| Format: | Thesis |
| Language: | English |
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Stellenbosch : Stellenbosch University
2024
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| _version_ | 1867614129226776576 |
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| access_status_str | Open Access |
| author | Stevens, Marion |
| author2 | Gouws, Amanda |
| author_browse | Gouws, Amanda Stevens, Marion |
| author_facet | Gouws, Amanda Stevens, Marion |
| author_sort | Stevens, Marion |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (DPhil)--Stellenbosch University, 2024. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/130234 |
| institution | Stellenbosch University (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:47:07.138Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/130234 A policy analysis: from population control to the construction of sexual and reproductive health post-apartheid, 1994-2021 Stevens, Marion Gouws, Amanda Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Political Science. Sexual health -- Women Reproductive rights Post-apartheid era -- South Africa Birth control -- South Africa Policy scientists Sexual rights UCTD Thesis (DPhil)--Stellenbosch University, 2024. ENGLISH ABSTRACT: South Africa has a rich political history of health policy, that has been reformed since apartheid. There has been legal reform with progressive law and provision of new guidelines for sexual and reproductive health. Yet the landscape is informed by interconnected structural drivers and social determinants that have embedded power inequities. Sexual and reproductive health is nuanced and has evolved over decades. This research study is a policy analysis of how policy on sexual and reproductive health has been constructed and constituted as problematic post-apartheid, and how this has led to reproductive justice or lack thereof. The research is informed by qualitative, constructionist/interpretivist orientations with document reviews of policy and legislation, and interviews with key informants, asking how the construction of sexual and reproductive health policy reform post-apartheid has been constituted and represented, and by whom. Carol Bacchi’s What is the Problem Represented to Be? and Sandra Harding’s Feminist Standpoint theory have been used as complementary research methods. The legacy of apartheid and colonialism directly informs the social and political construction of sexual and reproductive health and rights. The South African context is informed by a shadow of the legacy of inequalities and this contributes to challenges in transformative implementation to realise sexual and reproductive justice. The current context, despite some 25 years post democracy, is embedded in interlinked structural and social determinants laden and burdened with power imbalances. A paper tiger of legal reform provided for a strong footing of sexual and reproductive health and rights, with textual flow threaded through the population policy, adolescent sexual and reproductive health framework strategy and the fertility control policies. A fraught socio-political landscape facilitates the reality of uneven services and care in sexual and reproductive health. What remains is a context of poor service delivery that is informed by entangled and contested power relations and a fraught socially constructed ideological environment. Ideologies of population control persist in an untransformed and stagnant context with inadequate implementation of equitable services. The sexual and reproductive health and rights environment in South Africa is contested with a range of competing and invested stakeholders who are not always ideologically aligned. The presence of international donors informs an industry of implementation programming and research. What remains are stakeholders who are interested and invested in defending their constructed positions, and who perpetuate the status quo of sexual and reproductive health and rights in South Africa. This informs the landscape of socially constructed policies that represent ideas, assumptions and understandings. Alongside these represented notions are interwoven connected and juxtaposing dominant and marginalised framings along with silences on sexual and reproductive health and rights. AFRIKAANSE OPSOMMING: Suid-Afrika het 'n ryk politieke geskiedenis van gesondheidsbeleid wat sedert apartheid hervorm is. Daar was regshervorming met progressiewe wetgewing en riglyne vir seksuele en reproduktiewe gesondheid. Hierdie landskap is besaai met onderling verbonde strukturele drywers en sosiale determinante wat in magsongelykhede ingebed is. Seksuele en reproduktiewe gesondheid as 'n konsep is genuanseerd en het oor dekades ontwikkel. Hierdie navorsing is 'n beleidsanalise van hoe beleid oor seksuele en reproduktiewe gesondheid gekonstrueer en voorgestel is as probleme, post-apartheid, en hoe dit gelei het tot reproduktiewe geregtigheid of die gebrek daaraan. Die navorsing word geinformeer deur kwalitatiewe konstruksionistiese/interpretivistiese oriëntasies met dokumentoorsigvan beleid en wetgewing, en onderhoude met sleutelinformante, wat vra hoe die konstruksie van seksuele en reproduktiewe gesondheidsbeleidshervorming, post-apartheid, gekonstitueer en verteenwoordig is en deur wie. Carol Bacchi se “Hoe word die probleem voorgestel?” (What is the problem represented to be?) en Sandra Harding se Feministiese Standpunt-teorie (Feminist Standpoint theory) word as komplementêre navorsingsmetodes gebruik. Die nalatenskap van apartheid en kolonialisme het direk betrekking op die sosiale en politieke konstruksie van seksuele en reproduktiewe gesondheid en regte . Die Suid-Afrikaanse konteks word ingelig deur die skaduwee van die nalatenskap van ongelykhede en dit dra by tot uitdagings in transformatiewe implementering vir die verwesenliking van seksuele en reproduktiewe geregtigheid.. Die huidige konteks, sowat 25 jaar na demokrasie, is deurspek met onderling gekoppelde strukturele en sosiale determinante wat belas is met magswanbalanse. . 'n Papiertier van regshervorming het voorsiening gemaak vir 'n sterk grondslag van seksuele en reproduktiewe gesondheid en regte, met tekstuele vloei deur die bevolkingsbeleid geryg, 'n Gekompliseerde sosio-politieke landskap fasiliteer die werklikheid van ongelyke dienste en sorg in seksuele en reproduktiewe gesondheid. Wat oorbly is 'n konteks van swak dienslewering wat ingelig word deur verstrengelde en omstrede magsverhoudinge en 'n komplekse sosiaal-gekonstrueerde ideologiese omgewing. Ideologieë van bevolkingsbeheer duur voort in 'n ongetransformeerde en stagnante konteks met swak implementering van billike dienste. Die seksuele en reproduktiewe gesondheid en regte-omgewing in Suid-Afrika word betwis met 'n reeks mededingende en toegewyde belanghebbendes wat nie altyd ideologies ooreenstem nie.. 'n Groot teenwoordigheid van internasionale skenkers informeer ‘n industrie van implementeringsprogrammering en navorsing. Wat oorbly, is belanghebbendes wat geinvesteer is in die verdediging van hul gekonstrueerde posisies en uiteindelik die huidige status quo van seksuele en reproduktiewe gesondheid en regte in Suid-Afrika handhaaf. Dit lig die landskap van sosiaal gekonstrueerde beleide in wat idees, aannames en begrip verteenwoordig. Te same met hierdie voorgestelde begrippe is verweefde en gejukstaponeerde dominante en gemarginaliseerde voorstellings saam met stiltes oor seksuele en reproduktiewe gesondheid en regte. Die onsamehangendheid verskuil retrogressiewe vorme van kontemporêre bevolkingsbeheer. Populationisme duur voort met morele oordele gerig op meisies en adolessente wat geblameer word vir sosiale en omgewingsprobleme. Doctoral 2024-03-02T10:47:59Z 2024-04-26T10:11:18Z 2024-03-02T10:47:59Z 2024-04-26T10:11:18Z 2024-03 Thesis https://scholar.sun.ac.za/handle/10019.1/130234 en Stellenbosch University xiv, 237 pages application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Sexual health -- Women Reproductive rights Post-apartheid era -- South Africa Birth control -- South Africa Policy scientists Sexual rights UCTD Stevens, Marion A policy analysis: from population control to the construction of sexual and reproductive health post-apartheid, 1994-2021 |
| title | A policy analysis: from population control to the construction of sexual and reproductive health post-apartheid, 1994-2021 |
| title_full | A policy analysis: from population control to the construction of sexual and reproductive health post-apartheid, 1994-2021 |
| title_fullStr | A policy analysis: from population control to the construction of sexual and reproductive health post-apartheid, 1994-2021 |
| title_full_unstemmed | A policy analysis: from population control to the construction of sexual and reproductive health post-apartheid, 1994-2021 |
| title_short | A policy analysis: from population control to the construction of sexual and reproductive health post-apartheid, 1994-2021 |
| title_sort | policy analysis from population control to the construction of sexual and reproductive health post apartheid 1994 2021 |
| topic | Sexual health -- Women Reproductive rights Post-apartheid era -- South Africa Birth control -- South Africa Policy scientists Sexual rights UCTD |
| url | https://scholar.sun.ac.za/handle/10019.1/130234 |
| work_keys_str_mv | AT stevensmarion apolicyanalysisfrompopulationcontroltotheconstructionofsexualandreproductivehealthpostapartheid19942021 AT stevensmarion policyanalysisfrompopulationcontroltotheconstructionofsexualandreproductivehealthpostapartheid19942021 |