Maternal and Child Health: A Mixed-Methods Study in the San Community of Platfontein, South Africa

This study presents a comprehensive analysis of maternal and child health (MCH) in Platfontein, a marginalised San community in South Africa’s Northern Cape. Using a mixed-methods approach, the research examines antenatal and postnatal care, maternal health behaviours, child immunisation, breastfeeding practices, and barriers to health service access for children aged 0–6 years. Findings reveal significant challenges, including high rates of unplanned pregnancies, food insecurity, suboptimal health behaviours, and gaps in health education. By combining household surveys with qualitative interviews, the study presents a rich, evidence-based understanding of both statistical trends and lived experiences in Platfontein. The use of Kobo Toolbox for real-time digital data collection demonstrates methodological innovation, especially in a resource-limited setting. The study also integrates cultural perspectives, such as traditional health beliefs and linguistic barriers, which influence maternal behaviours and health service uptake. Verbatim quotes from caregivers and health professionals are used to humanise the data, shedding light on community resilience and challenges. Comparative reflections with national and provincial benchmarks offer insight into disparities. The paper concludes with evidence-based recommendations to strengthen MCH outcomes and support early childhood development in similarly marginalised communities.