Who is to blame for the ‘problem’ of teenage pregnancy? Narratives of blame in two South African communities

Policies, interventions and programmes focusing on adolescents' sexual and reproductive health need to carefully consider the framing and narratives of blame and responsibility. There is an urgent need to shift away from the individualised moralistic shaming of pregnant AGYW, towards a recognition of a complex interplay of multilevel factors that enable or constrain AGYW's agency. Policies and programmes should focus on both providing sufficient support to AGYW, while also addressing structural factors and harmful narratives and thus create the conditions necessary to enable AGYW to enact safe, informed, agentic and responsible decisions and behaviours about their own sexual and reproductive health.

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Publication Details

Journal
Reproductive Health
Published
2025-02-04
DOI
https://doi.org/10.1186/s12978-025-01958-7
Citations
6
Primary Topic
Adolescent Sexual and Reproductive Health
Type
article
Field-Weighted Citation Impact
16.89

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article

Who is to blame for the ‘problem’ of teenage pregnancy? Narratives of blame in two South African communities

Brittany Bunce, Nevilene Slingers, Kim Jonas, Fareed Abdullah et al.
6 citations
Reproductive Health
Adolescent Sexual and Reproductive Health
16.89
article

Who is to blame for the ‘problem’ of teenage pregnancy? Narratives of blame in two South African communities

Brittany Bunce, Nevilene Slingers, Kim Jonas, Fareed Abdullah, Chantal Fowler, Catherine Mathews, Zoe Duby, Kate Bergh
article en
6 citations

Abstract

Policies, interventions and programmes focusing on adolescents' sexual and reproductive health need to carefully consider the framing and narratives of blame and responsibility. There is an urgent need to shift away from the individualised moralistic shaming of pregnant AGYW, towards a recognition of a complex interplay of multilevel factors that enable or constrain AGYW's agency. Policies and programmes should focus on both providing sufficient support to AGYW, while also addressing structural factors and harmful narratives and thus create the conditions necessary to enable AGYW to enact safe, informed, agentic and responsible decisions and behaviours about their own sexual and reproductive health.

Reproductive HealthVol. 22(1)
South African Medical Research Council (ZA), Universitat Autònoma de Barcelona (ES), University of Cape Town (ZA), University of Pretoria (ZA)
Global Fund to Fight AIDS, Tuberculosis and Malaria
Gender equality
Openalex Percentile: Top 1%
Adolescent Sexual and Reproductive Health
16.89
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Who is to blame for the ‘problem’ of teenage pregnancy? Narratives of blame in two South African communities — Brittany Bunce, Nevilene Slingers, et al. · Reproductive Health (2025) | TGRS Research Map | TGRS