“Without a mother”: caregivers and community members’ views about the impacts of maternal mortality on families in KwaZulu-Natal, South Africa
Identifieur interne : 003094 ( Ncbi/Merge ); précédent : 003093; suivant : 003095“Without a mother”: caregivers and community members’ views about the impacts of maternal mortality on families in KwaZulu-Natal, South Africa
Auteurs : Lucia Knight [Afrique du Sud] ; Alicia Ely Yamin [États-Unis]Source :
- Reproductive Health [ 1742-4755 ] ; 2015.
Abstract
Maternal mortality in South Africa is high and a cause for concern especially because the bulk of deaths from maternal causes are preventable. One of the proposed reasons for persistently high maternal mortality is HIV which causes death both indirectly and directly. While there is some evidence for the impact of maternal death on children and families in South Africa, few studies have explored the impacts of maternal mortality on the well-being of the surviving infants, older children and family. This study provides qualitative insight into the consequences of maternal mortality for child and family well-being throughout the life-course.
This qualitative study was conducted in rural and peri-urban communities in Vulindlela, KwaZulu-Natal. The sample included 22 families directly affected by maternal mortality, 15 community stakeholders and 7 community focus group discussions. These provided unique and diverse perspectives about the causes, experiences and impacts of maternal mortality.
Children left behind were primarily cared for by female family members, even where a father was alive and involved. The financial burden for care and children’s basic needs were largely met through government grants (direct and indirectly targeted at children) and/or through an obligation for the father or his family to assist. The repercussions of losing a mother were felt more by older children for whom it was harder for caregivers to provide educational supervision and emotional or psychological support. Respondents expressed concerns about adolescent’s educational attainment, general behaviour and particularly girl’s sexual risk.
These results illuminate the high costs to surviving children and their families of failing to reduce maternal mortality in South Africa. Ensuring social protection and community support is important for remaining children and families. Additional qualitative evidence is needed to explore differential effects for children by gender and to guide future research and inform policies and programs aimed at supporting maternal orphans and other vulnerable children throughout their development.
Url:
DOI: 10.1186/1742-4755-12-S1-S5
PubMed: 26001160
PubMed Central: 4423579
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en"><italic>“Without a mother”</italic>: caregivers and community members’ views about the impacts of maternal mortality on families in KwaZulu-Natal, South Africa</title><author><name sortKey="Knight, Lucia" sort="Knight, Lucia" uniqKey="Knight L" first="Lucia" last="Knight">Lucia Knight</name><affiliation wicri:level="1"><nlm:aff id="I1">School of Public Health, University of the Western Cape, Bellville, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>School of Public Health, University of the Western Cape, Bellville</wicri:regionArea><wicri:noRegion>Bellville</wicri:noRegion></affiliation></author><author><name sortKey="Yamin, Alicia Ely" sort="Yamin, Alicia Ely" uniqKey="Yamin A" first="Alicia Ely" last="Yamin">Alicia Ely Yamin</name><affiliation wicri:level="4"><nlm:aff id="I2">Harvard University, Health Rights of Women and Children Program, François-Xavier Bagnoud Center for Health and Human Rights, Boston, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Harvard University, Health Rights of Women and Children Program, François-Xavier Bagnoud Center for Health and Human Rights, Boston</wicri:regionArea><placeName><settlement type="city">Boston</settlement><region type="state">Massachusetts</region><settlement type="city">Cambridge (Massachusetts)</settlement></placeName><orgName type="university">Université Harvard</orgName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26001160</idno><idno type="pmc">4423579</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4423579</idno><idno type="RBID">PMC:4423579</idno><idno type="doi">10.1186/1742-4755-12-S1-S5</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">001463</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001463</idno><idno type="wicri:Area/Pmc/Curation">001462</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001462</idno><idno type="wicri:Area/Pmc/Checkpoint">000F48</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000F48</idno><idno type="wicri:Area/Ncbi/Merge">003094</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main"><italic>“Without a mother”</italic>: caregivers and community members’ views about the impacts of maternal mortality on families in KwaZulu-Natal, South Africa</title><author><name sortKey="Knight, Lucia" sort="Knight, Lucia" uniqKey="Knight L" first="Lucia" last="Knight">Lucia Knight</name><affiliation wicri:level="1"><nlm:aff id="I1">School of Public Health, University of the Western Cape, Bellville, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>School of Public Health, University of the Western Cape, Bellville</wicri:regionArea><wicri:noRegion>Bellville</wicri:noRegion></affiliation></author><author><name sortKey="Yamin, Alicia Ely" sort="Yamin, Alicia Ely" uniqKey="Yamin A" first="Alicia Ely" last="Yamin">Alicia Ely Yamin</name><affiliation wicri:level="4"><nlm:aff id="I2">Harvard University, Health Rights of Women and Children Program, François-Xavier Bagnoud Center for Health and Human Rights, Boston, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Harvard University, Health Rights of Women and Children Program, François-Xavier Bagnoud Center for Health and Human Rights, Boston</wicri:regionArea><placeName><settlement type="city">Boston</settlement><region type="state">Massachusetts</region><settlement type="city">Cambridge (Massachusetts)</settlement></placeName><orgName type="university">Université Harvard</orgName></affiliation></author></analytic><series><title level="j">Reproductive Health</title><idno type="eISSN">1742-4755</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Maternal mortality in South Africa is high and a cause for concern especially because the bulk of deaths from maternal causes are preventable. One of the proposed reasons for persistently high maternal mortality is HIV which causes death both indirectly and directly. While there is some evidence for the impact of maternal death on children and families in South Africa, few studies have explored the impacts of maternal mortality on the well-being of the surviving infants, older children and family. This study provides qualitative insight into the consequences of maternal mortality for child and family well-being throughout the life-course.</p></sec><sec><title>Methods</title><p>This qualitative study was conducted in rural and peri-urban communities in Vulindlela, KwaZulu-Natal. The sample included 22 families directly affected by maternal mortality, 15 community stakeholders and 7 community focus group discussions. These provided unique and diverse perspectives about the causes, experiences and impacts of maternal mortality.</p></sec><sec><title>Results and discussion</title><p>Children left behind were primarily cared for by female family members, even where a father was alive and involved. The financial burden for care and children’s basic needs were largely met through government grants (direct and indirectly targeted at children) and/or through an obligation for the father or his family to assist. The repercussions of losing a mother were felt more by older children for whom it was harder for caregivers to provide educational supervision and emotional or psychological support. Respondents expressed concerns about adolescent’s educational attainment, general behaviour and particularly girl’s sexual risk.</p></sec><sec><title>Conclusion</title><p>These results illuminate the high costs to surviving children and their families of failing to reduce maternal mortality in South Africa. Ensuring social protection and community support is important for remaining children and families. Additional qualitative evidence is needed to explore differential effects for children by gender and to guide future research and inform policies and programs aimed at supporting maternal orphans and other vulnerable children throughout their development.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Moszynski, P" uniqKey="Moszynski P">P Moszynski</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Garenne, M" uniqKey="Garenne M">M Garenne</name></author><author><name sortKey="Mccaa, R" uniqKey="Mccaa R">R McCaa</name></author><author><name sortKey="Nacro, K" uniqKey="Nacro K">K Nacro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Udjo, Eo" uniqKey="Udjo E">EO Udjo</name></author><author><name sortKey="Lalthapersad Pillay, P" uniqKey="Lalthapersad Pillay P">P 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Reprod Health</journal-id><journal-id journal-id-type="iso-abbrev">Reprod Health</journal-id><journal-title-group><journal-title>Reproductive Health</journal-title></journal-title-group><issn pub-type="epub">1742-4755</issn><publisher><publisher-name>BioMed Central</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26001160</article-id><article-id pub-id-type="pmc">4423579</article-id><article-id pub-id-type="publisher-id">1742-4755-12-S1-S5</article-id><article-id pub-id-type="doi">10.1186/1742-4755-12-S1-S5</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research</subject></subj-group></article-categories><title-group><article-title><italic>“Without a mother”</italic>: caregivers and community members’ views about the impacts of maternal mortality on families in KwaZulu-Natal, South Africa</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Knight</surname><given-names>Lucia</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>lknight@uwc.ac.za</email></contrib><contrib contrib-type="author" id="A2"><name><surname>Yamin</surname><given-names>Alicia Ely</given-names></name><xref ref-type="aff" rid="I2">2</xref><email>ayamin@hsph.harvard.edu</email></contrib></contrib-group><aff id="I1"><label>1</label>School of Public Health, University of the Western Cape, Bellville, South Africa</aff><aff id="I2"><label>2</label>Harvard University, Health Rights of Women and Children Program, François-Xavier Bagnoud Center for Health and Human Rights, Boston, USA</aff><pub-date pub-type="collection"><year>2015</year></pub-date><pub-date pub-type="epub"><day>6</day><month>5</month><year>2015</year></pub-date><volume>12</volume><issue>Suppl 1</issue><supplement><named-content content-type="supplement-title">True costs of maternal death</named-content><named-content content-type="supplement-editor">Jose Belizan and Suellen Miller</named-content><named-content content-type="supplement-sponsor">Publication charges for this supplement were funded by Family Care International and the FXB Center for Health and Human Rights. The articles have been through the journal's standard peer review process for supplements. The Supplement Editors declare that they have no competing interests.</named-content></supplement><fpage>S5</fpage><lpage>S5</lpage><permissions><copyright-statement>Copyright © 2015 Knight and Yamin; licensee BioMed Central Ltd.</copyright-statement><copyright-year>2015</copyright-year><copyright-holder>Knight and Yamin; licensee BioMed Central Ltd.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0">http://creativecommons.org/licenses/by/4.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><self-uri xlink:href="http://www.reproductive-health-journal.com/content/12/S1/S5"></self-uri><abstract><sec><title>Background</title><p>Maternal mortality in South Africa is high and a cause for concern especially because the bulk of deaths from maternal causes are preventable. One of the proposed reasons for persistently high maternal mortality is HIV which causes death both indirectly and directly. While there is some evidence for the impact of maternal death on children and families in South Africa, few studies have explored the impacts of maternal mortality on the well-being of the surviving infants, older children and family. This study provides qualitative insight into the consequences of maternal mortality for child and family well-being throughout the life-course.</p></sec><sec><title>Methods</title><p>This qualitative study was conducted in rural and peri-urban communities in Vulindlela, KwaZulu-Natal. The sample included 22 families directly affected by maternal mortality, 15 community stakeholders and 7 community focus group discussions. These provided unique and diverse perspectives about the causes, experiences and impacts of maternal mortality.</p></sec><sec><title>Results and discussion</title><p>Children left behind were primarily cared for by female family members, even where a father was alive and involved. The financial burden for care and children’s basic needs were largely met through government grants (direct and indirectly targeted at children) and/or through an obligation for the father or his family to assist. The repercussions of losing a mother were felt more by older children for whom it was harder for caregivers to provide educational supervision and emotional or psychological support. Respondents expressed concerns about adolescent’s educational attainment, general behaviour and particularly girl’s sexual risk.</p></sec><sec><title>Conclusion</title><p>These results illuminate the high costs to surviving children and their families of failing to reduce maternal mortality in South Africa. Ensuring social protection and community support is important for remaining children and families. Additional qualitative evidence is needed to explore differential effects for children by gender and to guide future research and inform policies and programs aimed at supporting maternal orphans and other vulnerable children throughout their development.</p></sec></abstract><kwd-group><kwd>maternal mortality</kwd><kwd>orphaned children</kwd><kwd>family impact</kwd><kwd>South Africa</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Afrique du Sud</li><li>États-Unis</li></country><region><li>Massachusetts</li></region><settlement><li>Boston</li><li>Cambridge (Massachusetts)</li></settlement><orgName><li>Université Harvard</li></orgName></list><tree><country name="Afrique du Sud"><noRegion><name sortKey="Knight, Lucia" sort="Knight, Lucia" uniqKey="Knight L" first="Lucia" last="Knight">Lucia Knight</name></noRegion></country><country name="États-Unis"><region name="Massachusetts"><name sortKey="Yamin, Alicia Ely" sort="Yamin, Alicia Ely" uniqKey="Yamin A" first="Alicia Ely" last="Yamin">Alicia Ely Yamin</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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