An Assessment of Trends in Parenting and Child Outcomes in a Rural South African Community and Consequent Intervention Design

Abstract

The high prevalence of child maltreatment requires innovative, scaleable solutions. Three community-wide surveys (2012, 2013, and 2016) in Touwsranten, South Africa, assessed parents’ positive parenting and corporal punishment; their mental health, substance misuse, parenting stress and intimate partner violence; children’s mental health; and interest in parenting support, in preparation for an intervention to support positive parenting. The first two surveys followed parents longitudinally. Focus group discussions were also held in 2017. Across surveys one and two, corporal punishment and positive parenting were reported as frequent. Child and parent mental health problems, parenting stress, intimate partner violence, and risky alcohol use increased across surveys 1 and 2 and remained steady at the third survey. Survey 3 revealed no change in corporal punishment, parent or child mental health, or intimate partner violence; reports of risky alcohol use and parenting stress increased; and there was a small increase in use of positive parenting strategies. Qualitative data suggested that corporal punishment, alcohol use, and intimate partner violence may have been under-reported. Parents indicated a desire for parenting support. The consequent intervention design included the delivery of four parenting programs alongside a social activation process intended to amplify the message of parenting programs, with the intention of increasing positive parenting and reducing corporal punishment community-wide.