. In terms of initiation, the problem needs to be more actively managed within communities. This needs to be a collaborative effort between the Department of Health in terms of education, and the Department of Co-operative Governance and Traditional Affairs and communities. There is a need for more support and outreach to families in the communities and the initiatives of the department in this regard. . The department furthermore needs to play a more active role particularly in terms of education to the youth about family planning, the prevention of HIV/AIDS and sex education. This needs to be done collaboratively with the Department of Education. . Further support in the communities in terms of training for women that can assist with various aspects of prenatal and antenatal care to pregnant mothers. . The need for local clinics to be more accessible. . The need for greater decentralisation of services that will facilitate greater accessibility of services and a responsive department to the needs of rural communities. . In terms of staff retention, the department needs to create more incentives to lure doctors to the rural areas. It needs to be done through addressing infrastructural challenges in the province in terms of appropriate accommodation in rural areas.