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There is global recognition that competent and willing health care providers remain the most important determinant of safe abortion or termination of pregnancy services. The psychosocial well-being of providers is critical to the provision of responsive termination of pregnancy services. In light of the dearth of scholarly attention on termination of pregnancy providers' coping strategies in low- and middle-income countries, this paper explores coping strategies among these providers in the urban Gauteng and the mixed rural-urban North West provinces of South Africa. During 2015, in-depth interviews were conducted with 30 termination of pregnancy providers working at abortion facilities in these provinces. Questions focused on providers' lived experiences of abortion service provision, the meanings they attached to their work and their reported coping strategies. Interpretative phenomenological analysis was used to analyse the interviews. Interviewees' mean age was 45.8 years, all were professional nurses and the majority were female (82%), working for an average of 3.6 years in abortion services. Four overlapping themes emerged in relation to reported coping strategies: silence and concealing emotions; seeking support; detachment or disengagement; and belief systems. Study findings point to the need for effective, sustainable employee wellness programmes, within an overall context of positive practice environments. [ABSTRACT FROM AUTHOR]

This paper analyses data from a recent study of ex-prisoners and prisoners in Gauteng Province, South Africa, to consider the moral economy established by hegemonic inmate culture in which sexual interactions are negotiated. It argues that while this system is based on outside norms of heterosexism, ruptures with these norms occur. Male prison populations are rearranged into gendered categories through intricate inmate rituals, causing dramatic breaks in the ways that some prisoners are understood by others and themselves. The rituals and rules involved in the constructions appear to be unfamiliar from an ‘outside’ perspective, but have roots beyond prison walls. Similarly, the gendered positions generated are distinct from those they imitate, but also emerge in relation to them, beyond mere imitation. Even as new structures of identity emerge then, breaks with the outside are never total. Neither is the hold of the moral economy that inmate culture works so hard to create. Another order of rupture happens when prisoners transgress the rules of this economy, and subvert the meanings on which both the oppressive gender-sex status quo of the inside and that of the outside, rely. [ABSTRACT FROM AUTHOR]