The management of risk: adolescent sexual and reproductive health in South Africa

Abstract

Scientific discourse allows for the calculation of negative outcomes attendant on conception and birth during adolescence, thereby producing a discourse of risk. The management of risk allows for the deployment of governmental apparatuses of security. Security, as outlined by Foucault, is a specific principle of political method and practice aimed at defending and securing a national population. In this paper I analyse how techniques of security are deployed in the interactions between health service providers and young women seeking contraceptive and reproductive assistance at a regional hospital in South Africa, and how racialised and gendered politics are strategically deployed within these techniques. Security combines with various governmental techniques to produce its effects. The techniques used in this instance include pastoral care, liberal humanism, the incitement to governmental self-formation, and, in the last instance, sovereign power