Healthcare workers’ knowledge and perceptions on the prescripts of the criminal law (sexual offences and related matters) Amendment Act 5 of 2015 in East London, South Africa

Abstract

In 2015, South Africa amended the Criminal Law (Sexual Offences and Related Matters) Amendment Act 5 of 2015 to address several disparities surrounding the issue of consensual sex among minors. The amendment Act and its prescripts were met with mixed reactions from the stakeholders, healthcare workers and community. This affected its implementation as some supported the amendment while others opposed it based on their perceptions of the prescripts. The study was conducted in clinics in East London to explore the perception of healthcare workers (HCWs) regarding the prescripts of this Act and their implications to adolescent sexual and reproductive health services. The qualitative research approach and a combination of descriptive and exploratory research design were used to conduct the study. Data were collected through key-informant interviews, in-depth interviews and focus group discussions and analysed using thematic method. There were positive and negative perceptions that influenced the HCWs’ attitudes and performance of their adolescent sexual and reproductive health duties towards minors. Those with positive perceptions regarded the Act as an enabler in the provision of adolescent sexual and reproductive health services that maintains adolescents’ privacy and confidentiality as minors do not need parental consent to access these services. Those that had negative perceptions viewed the Act as taking away parental responsibilities, overloading health workers with parental duties and encouraging minors to be sexually active. The study recommended increased awareness about the Act to all members of society including minors, schools, parents and HCWs to ensure successful implementation of the Act. (Afr J Reprod Health 2022; 26[12s]: 98-109).