BACKGROUND South Africa is considered to have the highest prevalence of fetal alcohol spectrum disorder (FASD) globally. Nevertheless, the extent to which the South African government has responded to the high FASD prevalence at the policy level is unclear. Herein, we aimed to identify targeted and generic clauses that could be attributed to the prevention and management of FASD in relevant South African policy documents. METHODS We conducted a search of two search engines (PubMed and Google) and the websites of South African national and provincial departments from January to April 2018. A total of 33 policy documents were included in this review. Using content analysis, we sought documents that mention the terms 'fetal alcohol syndrome' and 'fetal alcohol spectrum disorder'. The Framework method was also used to thematically identify specific and generic clauses attributed to the prevention and management of FASD in South Africa. RESULTS The content analysis indicated that 12 policy documents contained the searched terms. Findings from the thematic analysis showed that targeted and generic clauses for FASD exist in various policy documents. Some of the generic clauses focused on the regulation of liquor outlets, enforcement of liquor laws, and the general management of persons with mental and educational challenges. Specific clauses focused on creating platforms to improve the awareness, screening, identification and support for individuals with FASD. CONCLUSIONS There is a noticeable increase in the number of policy documents that considered elements of FASD enacted in the last decade. Although this study revealed the existence of targeted and generic clauses that could be attributed to the prevention and management of FASD, the sustained high prevalence of FASD in South Africa, as reported in the literature, calls for more holistic and comprehensive approaches to tackle the FASD problem in South Africa.

中文翻译：

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南非与政策相关的文件在多大程度上考虑了胎儿酒精频谱紊乱？文件审查。

背景技术南非被认为是全球范围内胎儿酒精谱系疾病（FASD）患病率最高的国家。然而，目前尚不清楚南非政府在政策层面上对FASD流行率的反应程度。在此，我们旨在确定相关南非政策文件中可归因于FASD预防和管理的有针对性的通用条款。方法自2018年1月至2018年4月，我们对两个搜索引擎（PubMed和Google）以及南非国家和省级部门的网站进行了搜索。本次审查共纳入33份政策文件。通过内容分析，我们寻求了提及“胎儿酒精综合症”和“胎儿酒精谱系疾病”的文档。框架方法还用于主题性地确定归因于南非FASD预防和管理的特定和通用条款。结果内容分析表明，有12个政策文件包含了所搜索的术语。专题分析的结果表明，各种政策文件中都存在针对FASD的针对性条款和通用条款。一些通用条款集中于酒类出口的监管，酒类法律的执行以及对有精神和教育挑战的人们的一般管理。具体条款集中在创建平台上，以提高对FASD个人的认识，筛查，识别和支持。结论在过去十年中，考虑了FASD要素的政策文件数量显着增加。