The mental health of medical students is a growing concern worldwide, with studies indicating high levels of stress, anxiety, and depression among this population. In a South African context, this review aims to review the existing literature on mental health needs and challenges among medical students in South Africa. The rationale for this review is crucial to identify gaps, understand unique contextual factors, and inform the development of targeted interventions and support tailored to the specific needs of South African medical students. This review followed a scoping review framework by Arksey and O’Malley which consists of five stages. The review was initiated in December 2023. The search process was conducted on the following electronic databases: PubMed, Psych-info, Scopus, Google Scholar, and Science Direct. The search terms of this review were “Medical students” OR “Mental health”, OR “Challenges”, OR “South Africa”, OR “Universities” OR “Needs”, OR “Support systems”, OR “Mental health interventions”. This study included articles published in English between 2010 and 2023. After a thorough review of the literature, only eight articles met the inclusion criteria. This study excluded articles that were not published in English, articles published before 2010, full-text articles that could not be retrieved, and studies that did not address the mental health needs and challenges faced by medical students and risk factors contributing to mental issues among South African medical students. The review yielded only three themes utilizing Creswell’s Tesch method of data analysis. (1) Prevalence of mental health disorders, (2) risk factors contributing to poor mental health, and (3) available university support systems and interventions. Therefore, the unique aspect of our review lies in shedding light on the underexplored intersections between mental health and the unique context of medical education in South Africa. This includes examining the impact of historical, cultural, and institutional factors on the mental health and well-being of medical students, which has not been comprehensively addressed in previous literature in terms of the South African context. The findings of this review highlight the importance of implementing comprehensive mental health support programs within medical education institutions to address the needs of students and promote their well-being.

Background: The phenomenon of healthcare and social struggles among sex workers in communities of South Africa is a critical concern. Sex workers are often stigmatised, discriminated against, and violated. This study stems from the observation that sex workers experience daily healthcare and social challenges due to their line of work. This involves prejudice and stigma from the general public and medical professionals. Despite government efforts to raise the calibre of healthcare services, some healthcare systems remain problematic. Objective: The study intended to critically review the publications on public health problems and barriers faced by sex workers. Methodology: The systematic review methodology was used in the investigation. Identification of the problem, literature search, data evaluation, data analysis, and presentation were the five stages of the systematic review that were carried out. The following electronic databases were used to conduct a thorough search of the literature from 2013 to 2022: CINAHL, Medline, PubMed, JStore, and Embase. The search phrases included “sex workers,” “health problems,” “barriers,” “experiences,” “challenges,” “Mental Health,” and “systematic review”. Studies that were published prior to 2013 did not focus on the challenges, barriers, and social and health problems of sex workers and were not reported in English were excluded. Following the critical review evaluation, 30 studies were selected for this study out of a total of 85 studies. The categories were constructed using Creswell's Tesch method of data analysis. Results: The analysis yielded two themes and seven subthemes: (1) public social problems that sex workers must navigate, including violence, criminalisation of sex work, stigma, prejudice, and linguistic and cultural hurdles, (2) high rates of HIV and STIs, a lack of comprehensive knowledge of reproductive and health issues, problems with mental health, and challenging access to care are some examples of the complexity of public healthcare. Conclusion: A multipronged approach, including legal reform, destigmatisation, and increased access to healthcare and social support services, is required to address the healthcare and social struggles of sex workers.

Background: The number of children with autism spectrum disorder (ASD) is rapidly increasing globally and requires a supportive educational system to meet the needs of these children.Aim: The study assessed challenges faced by teachers of children with ASD in the public special schools of the Limpopo province, South Africa.Setting: The study was conducted in seven public special schools in the Limpopo province, South Africa.Methods: Face-to-face semistructured interviews were conducted with 12 teachers regarding the challenges they face in educating children with ASD. Tesch’s inductive, descriptive open coding technique enabled the researcher to analyse and report, subthemes that emerged from this qualitative explorative and descriptive data. Measures to ensure trustworthiness and ethical considerations were carried out throughout the study.Results: Analysis of the interviews revealed that the structure and systems of special schools do not support the educational needs of children with ASD. The strategic plans and policy framework on inclusive education are not being executed adequately. Learning for ASD children is not supported because of substandard infrastructure, curricula, lack of teaching material, health practitioners, unbalanced teacher–learner ratio, inadequate staff skills, school culture, shared beliefs and lack of management support.Conclusion: The study revealed challenges faced by special education teachers indicating the influence on the provision of high-quality education to children with ASD. The Department of Basic Education at the national level should monitor all special schools regularly, provide the necessary support and ensure that the complex needs of children with ASD are met.Contribution: The study contributes to understanding of the challenges faced by teachers of children with ASD in providing high quality of education and affirm sound basis of advance information to monitor and evaluate the education of children with ASD in special public schools, which is within the scope of the journal.

The South African university community is predominantly heterosexual, which fosters stigmatisation and discrimination against LGBTQI students despite the efforts to create conditions where LGBTQI students can succeed academically, socially, and personally. The study aimed to explore and describe the challenges experienced by LGBTQI students and their mental well-being as well as the coping behaviours adopted in a university in South Africa. This was accomplished using a descriptive phenomenological approach. A snowballing sampling method was used to select ten students who identified themselves as gay, lesbian, and bisexual (LGB). Semi-structured one-on-one interviews were conducted, and data were analysed thematically. The students perceived character defects stigma from fellow students and lecturers in and out of class. The mental health challenges experienced included a diminished sense of safety, lack of a sense of belonging, low self-esteem, and acting out of character. As a result, confrontation, passive withdrawal, and active dependent behaviour were utilised as different types of coping behaviour. The LGB students were subjected to stigma that negatively affected their mental health. Therefore, creating awareness about the rights of LGBTQI students to education, safety, and self-determination is recommended.

BACKGROUND: Most adolescents for various reasons fail to go and seek for health care regarding health risks and challenges until they are faced with the complications. The socio-cultural belief concerning the causes of illnesses and its characteristic has correlation with the treatment seeking behaviour of an individual. OBJECTIVES: The study explored and described factors contributing to delayed health-seeking behaviours amongst adolescents in Kutlwanong clinic, North West Province. METHOD: This was a qualitative study designed using a phenomenological approach. Individual semi-structured in-depth interviews were audiotaped and transcribed verbatim. 8 Steps of Tesch’s inductive, descriptive open coding technique by Creswell was used followed by independent coding. Purposive sampling recruited fourteen participants aged 15–18 years. Trustworthiness criteria adhered to were credibility, dependability, transferability, and confirmability. Ethical clearance was sought with the University of Limpopo. RESULTS: Factors that negatively impact adolescents’ health-seeking behavior include the negative attitude of nurses and community, influenced by peers, shortage of medicine, lack of services throughout weekends, long queues, waiting times, distance, and lack of knowledge. Family planning and antenatal care were the common reason for seeking health care. CONCLUSION: Being aware of factors contributing to delay health-seeking behaviours will facilitate with setting future priorities to guard the health, well-being, and dignity of adolescents. The impacts of youth programs must be monitored on a regular basis to assess the needs and capabilities of specific facilities. Clinic manager to ensure compliance with the national core standards to meet adolescent’s immediate expectations.

Background: Sex work remains a contentious and marginalized aspect of society, with sex workers facing a myriad of challenges that impact their mental health and well-being. Objective: This review explores, reviews, and examines the psychiatric challenges encountered by sex workers daily and seeks to identify key gaps in the current research and highlight areas of future intervention and support. Methodology: This study followed five stages of the integrative review suggested by Whittmore and Knafl. The identification of the problem, literature search, data evaluation, data extraction, analysis, and presentation of results were the five stages of the integrative review that were carried out. This review examined English-language publications from 2010 to 2023 that discussed the mental health issues that sex workers experienced. Furthermore, this study excluded publications that were published before 2010, articles written in languages other than English, publications whose complete texts could not be retrieved, and works that did not address the mental health problems that sex workers encounter. For their initial search, the writers employed electronic databases like PubMed, Scopus, Psych-Info, Google Scholar, Science Direct, and Medline. The search terms were as follows: ‘sex work’, ‘sex workers’, ‘prostitution’, ‘mental health’, ‘psychiatric challenges’, ‘stigma’, Risk factors’, and ‘barriers’. Results: Following the critical appraisal, out of 150 studies, only 34 studies were chosen for analysis. Using Cresswell’s Tesch method, two themes emerged from this study: (1) mental health challenges faced by sex workers and (2) primary risk factors contributing to their mental health challenges. Conclusions: Moreover, addressing the psychiatric challenges faced by sex workers requires a multifaceted approach that acknowledges the intersectionality of factors influencing sex workers’ mental health outcomes, thus also highlighting the imperative for tailored interventions and support systems to promote their well-being.