Original Research

Challenges faced by African Christian women with infertility issues: A challenge for pastoral care

Hundzukani P. Khosa-Nkatini, N’wa-Phaphama M.D. Mabale
Theologia Viatorum | Vol 49, No 1 | a359 | DOI: https://doi.org/10.4102/tv.v49i1.359 | © 2025 Hundzukani P. Khosa-Nkatini, N’wa-Phaphama M.D. Mabale | This work is licensed under CC Attribution 4.0
Submitted: 13 August 2025 | Published: 28 November 2025

About the author(s)

Hundzukani P. Khosa-Nkatini, Department of Human Sciences, Faculty of Humanities, Social Sciences and Education, University of Venda, Thohoyandou, South Africa
N’wa-Phaphama M.D. Mabale, Department of Human Sciences, Faculty of Humanities, Social Sciences and Education, University of Venda, Thohoyandou, South Africa

Abstract

This study explores cultural attitudes toward fertility and infertility among African Christian women, focusing on Tsonga culture. It examines the challenges Tsonga Christian women face in their daily lives, the pressures that lead some to leave churches, and the forms of oppression they experience within religious and cultural contexts. Adopting an interdisciplinary perspective rooted in theology and socio-cultural theory, the article highlights how these women navigate infertility, often without adequate pastoral care. It argues that the lack of theological response is influenced by Tsonga cultural beliefs that shape limited understanding of infertility within faith communities. The study recognises that human beings are inherently cultural and shaped by deep-seated belief systems that extend beyond religion. Using a literature review and analytical approach, it investigates how cultural and theological factors contribute to the marginalisation of infertile women in the church. The findings reveal that unaddressed infertility concerns reinforce stigma and feelings of inadequacy among women. The study calls for contextually sensitive pastoral interventions that integrate cultural awareness and spiritual care to support women experiencing infertility and to promote holistic healing within African Christian communities.
Contribution: This essay advocates for practical theology to adopt a more pragmatic approach in addressing infertility among Tsonga women. The religious and spiritual aspects of infertility have been largely overlooked, despite a growing corpus of studies addressing its medical, psychological, social, and cultural impacts. We assert that medical professionals addressing women’s fertility issues must include all facets of holistic care, as infertility is a multifaceted problem leading to various losses.


Keywords

infertility; theology; women; African; Church; culture; Tsonga

Sustainable Development Goal

Goal 5: Gender equality

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