Knowledge and perceptions of healthcare workers of the prescripts and implications of the Sexual Offences and Related matters amendment Act 5 of 2015 as applied to adolescent sexual and Reproductive health services in the Buffalo City Municipality

Background: In 2015, South Africa amended its Sexual Offences Act to address several disparities surrounding the issue of consensual sex among minors. The amendment has been faced with mixed reactions from the stakeholders with some supporting it while others opposing it. This study was conducted in clinics in East London to explore the knowledge and perception of healthcare workers about the prescripts of the ‘Criminal Law (Sexual Offences and Related Matters) Amendment Act 5 of 2015 and their implications to adolescent sexual and reproductive health services. The purpose of the study was to explore the knowledge and perception of healthcare workers about the prescripts of the ‘Criminal Law (Sexual Offences and Related Matters) Amendment Act 5 of 2015 and their implications to adolescent sexual and reproductive health services provision in Buffalo City Municipality in the Eastern Cape, South Africa. Methodology: This study applied the qualitative research approach and used a combination of descriptive and exploratory research design. Three clinic managers and nine professional nurses participated in the in-depth interviews. Thirteen general healthcare practitioners responsible for adolescents, sexual and reproductive health participated in key-informant interviews. Data was analysed using thematic analysis. Results: The study found that although healthcare practitioners are aware of the amendment act. However, there was inadequate understanding of the precise implications of this statutory initiative. Many of the participants were not informed of the intent of this act, whilst others suggested that they were not well trained regarding this act due to lack of funding in their respective clinics. Mixed views and perceptions on the impact of this act on their duties, on minors and on the general population were identified. Some were of the view that the Act will make it difficult to control the children while other welcomed it, because it leads to less teenage pregnancies, street abortions, and other similar experiences. Conclusion: In order to overcome these differences in perceptions, the Department of Health must create awareness among staff of the Act and its purpose. Develop initiatives to create understanding of the Act by all members of society to ensure the success of these legislative frameworks.Thesis (MPH) -- Faculty of Health Sciences, 202