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Global Public Health
An International Journal for Research, Policy and Practice
Volume 17, 2022 - Issue 9
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Articles

A mixed-methods study of resilience and return to school among adolescent mothers in South Africa

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Pages 2111-2124 | Received 10 Dec 2020, Accepted 06 Aug 2021, Published online: 25 Aug 2021
 

ABSTRACT

Up to two-thirds of South African adolescent mothers drop out of school, which increases their HIV risk and other poor health outcomes. Despite variability in adolescent mothers’ schooling trajectories, we have a limited understanding of their re-enrollment in school following the life-changing circumstance of childbirth. In this paper, we draw on qualitative interviews (n = 16) and quantitative surveys (n = 109) with adolescent mothers (aged 14–19) who had recently given birth to describe how access to individual and social resources contributes to their resilience following childbirth and thus affects their ability to re-enroll in school. Nearly all the adolescent mothers in our study expressed a desire to return to school, and most of their families also emotionally supported adolescent mothers in these goals. Despite mothers’ high hopes and familial emotional support, only half of the adolescent mothers re-enrolled in the first six months following childbirth. Adolescent mothers’ re-entry trajectories were strongly affected by institutional support and by family members’ provision of instrumental support. To a lesser extent, support from partners and peers also played a role in re-enrollment. Multilevel interventions to maximise resilience following the onset of early motherhood may facilitate return to school and positively influence adolescent mothers’ health and well-being.

Acknowledgements

First and foremost, we wholeheartedly thank the adolescent mothers who participated in our study. Second, we thank our research staff who helped to collect the data so that we can better understand and address the needs of adolescent mothers in South Africa. Third, we appreciate the thoughtful feedback that we received from peer reviewers and Patrick Smith.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This work was supported by U.S Department of State [grant number S-LMAQM-16-CA-1103].

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