Indigenous sexual and reproductive health practices by girls in Makhado Municipality: A qualitative study

Ndivhuwo H. Bopape, Moreoagae B. Randa, Selina T. Mudau

Abstract

Cultural practices are passed from one generation to the other. There has been limited evidence of willingness to use indigenous practices to enhance sexual and reproductive health among the youth in resource-constrained settings. This study aimed to explore the possibilities of reintroducing indigenous practices to enhance sexual and reproductive health education among girls. The study adopted a qualitative approach through participatory action research. Non-probability, purposive sampling was used to recruit girls aged 9-18. Data were generated through focus group discussions and key informant interviews. The study findings revealed that indigenous practices were beneficial in delaying sexual debut and nurturing self and peer respect. Additionally, girls appreciated indigenous knowledge and preferred introducing innovative approaches to promoting it. Youth involvement in indigenous knowledge and practices on sexual and reproductive health practices is paramount. The need to introduce critical dialogue to introduce innovative approaches to promoting indigenous practices to enhance sexual and reproductive health is imperative. (Afr J Reprod Health 2024; 28 [1]: 65-74).

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References

Shabani OO. The utilization of sexual and reproductive

healthcare services by male adolescents in South

Africa. African Journal of Reproductive Health.

; 25(5):84-92.

World Health Organization. Critical considerations and

actions for achieving universal access to sexual and

reproductive health in the context of universal health

coverage through a primary health care approach. In

critical considerations and actions for achieving

universal access to sexual and reproductive health in

the context of universal health coverage through a

primary health care approach. 2022.

DeMaria LM, Smith KV and Berhane Y. Sexual and

reproductive health in Ethiopia: gains and reflections

over the past two decades. Reproductive Health.

Jun;19(1):1-6.

Finlay JE, Assefa N, Mwanyika‐Sando M, Dessie Y, Harling

G, Njau T, Chukwu A, Oduola A, Shah I, Adanu R

and Bukenya J. Sexual and reproductive health

knowledge among adolescents in eight sites across

sub‐Saharan Africa. Tropical Medicine &

International Health. 2020 Jan;25(1):44-53.

Geary RS, Gómez-Olivé FX, Kahn K, Tollman S and Norris

SA. Barriers to and facilitators of the provision of a

youth-friendly health services programme in rural

South Africa. BMC Health Services Research. 2014

Dec;14(1):1-8.

UNFPA. A guidance note on alternative rites of passage and

cultural practices for adolescents and young people

in East and Southern Africa, Johannesburg, UNFPA

ESARO,1-30.

Kyilleh JM, Tabong PT and Konlaan BB. Adolescents’

reproductive health knowledge, choices and factors

affecting reproductive health choices: A qualitative

study in the West Gonja District in Northern region, Ghana. BMC International Health and Human rights.

Dec;18(1):1-2.

Kioli, Ngunzo, Allan Rosh Were, and Kennedy Onkware.

Traditional Perspectives and Control

Mechanisms of Adolescent Sexual Behavior in

Kenya. International Journal of Sociology and

Anthropology 4 (1): 1–7.

Pillay N, Manderson L and Mkhwanazi N. Conflict and care

in sexual and reproductive health services for young

mothers in urban South Africa. Culture, Health &

Sexuality. 2020 Apr 2;22(4):459-73.

Ravindran TS and Govender V. Sexual and reproductive

health services in universal health coverage. Sexual

and Reproductive Health Matters. 2020 May

;28(2):106-27.

Nkhoma DE, Lin CP, Katengeza HL, Soko CJ, Estinfort W,

Wang YC, Juan SH, Jian WS, and Iqbal U. Girls’

empowerment and adolescent pregnancy: A

systematic review. International journal of

environmental research and public health. 2020

Mar;17(5):1664.

Jamieson L, Richter L, and Cavoukian R. Striving for the

Sustainable Development Goals: What do children

need to thrive? ChildGauge. 2017: 201733.

Morris JL and Rushwan H. Adolescent sexual and

reproductive health: The global challenges.

International Journal of Gynecology & Obstetrics.

Oct;131: S40-2.

Ninsiima LR, Chiumia IK and Ndejjo R. Factors

influencing access to and utilisation of youthfriendly sexual and reproductive health services in

sub-Saharan Africa: A systematic review.

Reproductive Health. 2021 Dec;18(1):1-7.

Muchabaiwa L and Mbonigaba J. Impact of the adolescent

and youth sexual and reproductive health strategy on

service utilisation and health outcomes in Zimbabwe.

PloS one. 2019 Jun 25;14(6): e0218588.

Buller AM ,and Schulte MC. Aligning human rights and

social norms for adolescent sexual and reproductive

health and rights. Reproductive Health Matters. 2018

Jan 1;26(52):38-45.

Chandra-Mouli V, Ferguson BJ, Plesons M, Paul M,

Chalasani S, Amin A, Pallitto C, Sommers M, Avila

R, Biaukula KV and Husain S. The political,

research, programmatic, and social responses to

adolescent sexual and reproductive health and rights

in the 25 years since the International Conference on

Population and Development. Journal of Adolescent

Health. 2019 Dec 1;65(6):S16-40.

Grosso A, Bowring A, Njindam IM, Decker M, Lyons C,

Rao A, Tamoufe U, Fako GH, Fouda G, Levitt D and

Turpin G. Sexually transmitted infection risks and

symptoms among women who started selling sex

before the age of 18 in five cities in Cameroon.

medRxiv. 2022:2022-05.

Pichon M, Howard‐Merrill L, Wamoyi J, Buller AM and

Kyegombe N. A qualitative study exploring parent–

daughter approaches for communicating about sex

and transactional sex in Central Uganda:

Implications for comprehensive sexuality education

interventions. Journal of Adolescence.

;94(6):880-91.

Anyanwu FC. The influence of family dynamics on

adolescent’s deviant and sexual risk behavior in a

migration affected community in South Africa:

Evidence for public health intervention. Doctoral

Thesis. University of Venda. 2018.

https://univendspace.univen.ac.za.

Muchali MB. The appropriateness of the girl-child

initiation training in the Zambezi region of Namibia.

Doctoral dissertation. University of Namibia. 2022.

Penxa-Matholeni and Nobuntu. Kwantonjane: The

indigenous rites of passage amongst amaXhosa in

relation to prejudiced spaces. 2020;

18820/9781928480730.

Mpondo F, Ruiter RA, Schaafsma D, Van den Borne B and

Reddy PS. Understanding the role played by parents,

culture and the school curriculum in socializing

young women on sexual health issues in rural South

African communities. SAHARA-J: Journal of Social

Aspects of HIV/AIDS. 2018;15(1):42-9.

Daswa TJ. Rethinking the role of mahundwane as an

educational game for Vhavenda speaking youth,

South Africa. Gender and Behaviour.2018;16(2): 1-

Tshikukuvhe LD, Netshandama VO and Matshidze PE.

The role played by initiation schools in relation to

females among the Venda speaking people in

Thohoyandou, Thulamela Municipality in Limpopo

Province. Gender and Behaviour. 2019;17(4):14592-

Tshifhumulo R. Depicting the Vhavenda women initiation

schools and their cultural practices in Limpopo

Province. In Handbook of research on protecting and

managing global indigenous knowledge systems. IGI

Global. 2022; 341-364.

Abuosi AA, and Anaba EA. Barriers on access to and use

of adolescent health services in Ghana. Journal of

Health Research. 2019 Apr 25;33(3):197-207.

Van der Berg J. Thesis of intergenerational knowledge

transfer in the Vhavenda communities in South

Africa. Master’s Thesis. University of Amsterdam.

Essilfie B. Women in Traditional Leadership: The Status

and Roles of Female Chiefs and Queenmothers in the

Asebu Traditional Area (Doctoral dissertation,

University of Cape Coast)

Markwei U and Tetteh PM. Unpacking the ethics of

access and safety of participants and researchers of

child sexual abuse in Ghana. Children's Geographies.

; 19(4):379-89.

Muhula S, Mveyange A, Oti SO, Bande M, Kayiaa H,

Leshore C, Kawai D, Opanga Y, Marita E, Karanja

S, and Smet E. The impact of community led

alternative rite of passage on eradication of female

genital mutilation/cutting in Kajiado County, Kenya:

A quasi-experimental study. PloS one. 2021 Apr

;16(4): e0249662.

Daly D, Hannon S and Brady V. Motivators and

challenges to research recruitment–A qualitative

study with midwives. Midwifery. 2019; 74:14-20.

Ngidi PT. Teachers' understanding of inclusion in urban

primary schools in Pinetown District. Doctoral

Dissertation. University of Kwa Zulu Natal. 2020.

Reñosa MD, Mwamba C, Meghani A, West NS, Hariyani

S, Ddaaki W, Sharma A, Beres LK and McMahon

S. Selfie consents, remote rapport, and Zoom

debriefings: Collecting qualitative data amid a

pandemic in four resource-constrained settings. BMJ

Global Health. 2021 ;6(1): e004193.

Rutakumwa R, Mugisha JO, Bernays S, Kabunga E,

Tumwekwase G, Mbonye M and Seeley J.

Conducting in-depth interviews with and without

voice recorders: A comparative analysis. Qualitative

Research. 2020;20(5):565-81.

Creswell, J. 2014. Research design: Qualitative,

quantitative, and mixed methods approaches. 4th

Edition. Los Angeles, CA: Sage

Rathnayake N, Abhayasinghe K, De Silva J and Guruge

GN. A health promotion intervention to address

youth violence among students in a technical college

in Sri Lanka guided by the participatory action

research approach: A study protocol. Research

involvement and engagement. 2022;8(1):1-5.

Mutekwe E. Using a Vygotskian sociocultural approach to

pedagogy: Insights from some teachers in South

Africa. Journal of Education no. 2018; 71:58-72.

http://dx.org/10.17159/2520-9868/i71a04.

Pulerwitz J, Blum R, Cislaghi B, Costenbader E, Harper C,

Heise L, Kohli A and Lundgren R. Proposing a

Conceptual Framework to Address Social Norms

That Influence Adolescent Sexual and Reproductive

Health. J Adolesc Health. 2019 Apr;64(4S): S7-S9.

doi: 10.1016.

Roostin E. Family influence on the development of

children. PrimaryEdu: Journal of Primary Education.

; ;2(1):1-2.

Murovhi A , Matshidze P , Netshandama V

and Klu E . Traditional child rearing practices

in Vhavenda families South Africa. Journal of

Gender, Information and Development in Africa.

; 7. 10.31920/TCR_7_1_18.

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