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      Views of teenagers on termination of pregnancy at Muyexe high school in Mopani District, Limpopo Province, South Africa

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          Abstract

          Background

          Teenage pregnancy is a global social health concern especially because of the HIV and AIDS pandemic, sexually transmitted infections, high rate of termination of pregnancy (TOP), adolescents’ parenthood and decreased level of contraceptives.

          Aim

          To explore the views of teenagers on the TOP at Muyexe high school in a rural village of Mopani District, Limpopo Province.

          Setting

          Muyexe high school in a rural village of Mopani District, Limpopo Province, in South Africa.

          Methodology

          A qualitative method using explorative and descriptive designs was used to find in-depth description and understanding of teenagers’ views on TOP. The target population was girls aged 15–19 years at Muyexe high school in Mopani District. Non-probability, convenient sampling was used to select high school teenage girls who had undergone TOP for the study. Data were collected using individual self-report technique (interview). Tesch’s eight steps of qualitative data analysis were used. Measures to ensure trustworthiness and ethical considerations were observed.

          Results

          Two major themes were revealed: (1) Views of teenagers regarding TOP (poverty, relationship problems and single parenthood, negative impact on the teen’s life while attending school) and (2) teenager’s fears regarding pregnancy (stigma, fear of parents and friends, rape and incest and fear of giving birth).

          Conclusion

          Majority of participants had knowledge about TOP; some had experiences about TOP while others held inadequate knowledge. Recommendations were based on the findings by teaching dangers of TOP and various contraceptive methods to prevent unwanted pregnancies and TOP.

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          Most cited references1

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          Factors contributing to teenage pregnancy in the Capricorn District of the Limpopo Province

          Teenage pregnancy refers to pregnancy of a woman of less than 19 years. It is found commonly amongst young people who have been disadvantaged and have poor expectations with regard to either their education or job market. Adolescents may lack knowledge of access to conventional methods of preventing pregnancy, as they may be afraid to seek such information. The study purpose was to identify factors contributing to teenage pregnancy in one village in the Capricorn District of the Limpopo Province. A quantitative descriptive research approach was chosen. Population consisted of all pregnant teenagers attending antenatal care during June to August 2007 at one clinic in the Capricorn District of the Limpopo Province. Simple random probability sampling was used to include 100 pregnant teenagers who satisfied the inclusion criteria. Data were collected through structured self-administered questionnaires. Descriptive statistical data analysis was used. Ethical considerations were ensured. Findings were classified as demographic data where 24% of the respondents were aged between 15-16 years and 76% were aged between 17-19 years. Findings further revealed that 60% of the respondents started to engage in sex at 13-15 years; 48% of the teenagers' partners were 21 years and above, 44% depended on a single parents' income; 20% father's income, 16% received a social grant and 8% lived on the pension fund of the grandparents. Pregnancy prevention strategies were recommended based on the results. The strategies focused on reproductive health services, male involvement and adult-teenager communication programmes.
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            Author and article information

            Journal
            Afr J Prim Health Care Fam Med
            Afr J Prim Health Care Fam Med
            PHCFM
            African Journal of Primary Health Care & Family Medicine
            AOSIS
            2071-2928
            2071-2936
            31 May 2016
            2016
            : 8
            : 2
            : 945
            Affiliations
            [1 ]Department of Advanced Nursing Science, School of Health Sciences, University of Venda, South Africa
            [2 ]Department of English, School of Human and Social Sciences, University of Venda, South Africa
            Author notes
            Corresponding author: Nditsheni Ramakuela, nditsheniramakuela@ 123456univen.ac.za
            Article
            PHCFM-8-945
            10.4102/phcfm.v8i2.945
            4913449
            27380849
            cdf35dae-4cbb-41a8-bc44-64e7c4585755
            © 2016. The Authors

            AOSIS. This work is licensed under the Creative Commons Attribution License.

            History
            : 27 July 2015
            : 01 March 2016
            Categories
            Original Research

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