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Views of professional nurses working at a primary health care facility on their role in distribution of condoms to young adolescents in secondary schools in a district in Cape Town
Author(s)
Maregele, Sherilee Jessica
Date Issued
2019
Type
Thesis
Publisher
Cape Peninsula University of Technology
Abstract
The National Department of Education made provision in the new Youth and
Adolescent policy for the distribution of condoms at schools. Professional nurses (PN)
do not feel comfortable and are reluctant to distribute condoms to young adolescents.
This is due to the fact that they face challenges with reaching out to schools, as the
governing bodies refuses sexual reproductive health services (SRH) through
distribution of condoms at schools. It was unclear how a policy on a district level could
assist them to distribute condoms at secondary schools.
The study investigated the views of the PN working in a Primary Health Care (PHC)
facility on their role to distribute condoms amongst young adolescents at secondary
schools. This led to the development of a health care policy on district level to support
PN’s in a PHC facility in distributing condoms to young adolescents at secondary
schools.
An exploratory, descriptive, and contextual qualitative design was used, Data was
collected through nine semi-structured individual interviews and who were purposively
collected. Data was analysed through open coding. Trustworthiness was obtained
through credibility of member checking throughout the research analysis process
where data seem to be unclear. Ethical principles of, confidentiality, written informed
consent, withdrawal, privacy, and beneficence was applied.
Six themes transpired from the data analysis. The results indicated that participants
agreed that they have a pivotal role in health education when distributing condoms.
The participants verbalised that they were willing to distribute condoms at secondary
schools, but experience resistance from stakeholders. The stakeholders, which is the
parents, teachers, principals, and community members, where who should be informed
to understand and gain knowledge the reasons for condom distribution to young
adolescents. The internal environment is the school environment and the external
environment the community environment, and both of their roles should be evaluated
as they posed a possible limitation to access condoms for young adolescents. The
conclusion was that a policy was needed to support nurses to distribute condoms at
secondary schools. The policy should focus on the role of the PN to provide
preventative care to young adolescents, which include provision of condoms to prevent
unwanted pregnancies, STIs and human immunodeficiency virus (HIV) transmission.
Support should be offered to the PN at a PHC facility to fulfil their duty to the diverse
society.
Adolescent policy for the distribution of condoms at schools. Professional nurses (PN)
do not feel comfortable and are reluctant to distribute condoms to young adolescents.
This is due to the fact that they face challenges with reaching out to schools, as the
governing bodies refuses sexual reproductive health services (SRH) through
distribution of condoms at schools. It was unclear how a policy on a district level could
assist them to distribute condoms at secondary schools.
The study investigated the views of the PN working in a Primary Health Care (PHC)
facility on their role to distribute condoms amongst young adolescents at secondary
schools. This led to the development of a health care policy on district level to support
PN’s in a PHC facility in distributing condoms to young adolescents at secondary
schools.
An exploratory, descriptive, and contextual qualitative design was used, Data was
collected through nine semi-structured individual interviews and who were purposively
collected. Data was analysed through open coding. Trustworthiness was obtained
through credibility of member checking throughout the research analysis process
where data seem to be unclear. Ethical principles of, confidentiality, written informed
consent, withdrawal, privacy, and beneficence was applied.
Six themes transpired from the data analysis. The results indicated that participants
agreed that they have a pivotal role in health education when distributing condoms.
The participants verbalised that they were willing to distribute condoms at secondary
schools, but experience resistance from stakeholders. The stakeholders, which is the
parents, teachers, principals, and community members, where who should be informed
to understand and gain knowledge the reasons for condom distribution to young
adolescents. The internal environment is the school environment and the external
environment the community environment, and both of their roles should be evaluated
as they posed a possible limitation to access condoms for young adolescents. The
conclusion was that a policy was needed to support nurses to distribute condoms at
secondary schools. The policy should focus on the role of the PN to provide
preventative care to young adolescents, which include provision of condoms to prevent
unwanted pregnancies, STIs and human immunodeficiency virus (HIV) transmission.
Support should be offered to the PN at a PHC facility to fulfil their duty to the diverse
society.
Additional information
Thesis (Master of Nursing)--Cape Peninsula University of Technology, 2019
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