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      Perceptions of female teenagers in the Tshwane District on the use of contraceptives in South Africa

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          Abstract

          Background

          Perceptions of female teenagers in the Tshwane District contribute to the non-use and or discontinued use of contraceptives as evidenced by increased levels of unplanned pregnancies.

          Objective

          The objective of this study was to explore and describe the perceptions of female teenagers in the Tshwane District on the use of contraceptives.

          Methods

          A qualitative, explorative, descriptive approach was followed in this study. The population comprised of pregnant female teenagers who were purposively selected. Data were collected using unstructured individual interviews on a face-to-face encounter in a natural setting. Data were analysed using the discourse method of data analysis.

          Results

          The following perceptions on the use of contraceptives emerged: Perceptions on the use of contraceptives, emotions, contraceptive effects, social pressure and education on contraceptives. Teenagers’ perceptions were predominantly negative with unfounded fears. Though the teenagers were aware of the importance of the use of contraceptives, motivation to pursue contraception was lacking. Teenagers verbalised to be uncommitted as well.

          Conclusion

          Various perceptions of female teenagers in the Tshwane District on the use of contraceptives were explored and described. It was noted that all the teenagers interviewed had great remorse and feelings of guilt regarding their behaviour of not using contraceptives. Their need for re-education was cited and seen as motivational enough to encourage the use of contraceptives at primary health care settings. Therefore, the study recommended that health education programmes should be restructured to effectively influence the female teenagers’ perceptions positively and to promote the use of contraceptives.

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          Most cited references55

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          Persistent high fertility in Uganda: young people recount obstacles and enabling factors to use of contraceptives

          Background High fertility among young people aged 15-24 years is a public health concern in Uganda. Unwanted pregnancy, unsafe induced abortions and associated high morbidity and mortality among young women may be attributed to low contraceptive use. This study aims at exploring reasons for low contraceptive use among young people. Methods In 16 focus group discussions, the views of young people about obstacles and enabling factors to contraceptive use in Mityana and Mubende districts, Uganda were explored. The groups were homogeneously composed by married and unmarried men and women, between the ages of 15-24. The data obtained was analyzed using qualitative content analysis. Results Young men and women described multiple obstacles to contraceptive use. The obstacles were categorized as misconceptions and fears related to contraception, gender power relations, socio-cultural expectations and contradictions, short term planning, and health service barriers. Additionally, young people recounted several enabling factors that included female strategies to overcome obstacles, changing perceptions to contraceptive use, and changing attitude towards a small family size. Conclusions Our findings suggest changing perceptions and behavior shift towards contraceptive use and a small family size although obstacles still exist. Personalized strategies to young women and men are needed to motivate and assist young people plan their future families, adopt and sustain use of contraceptives. Reducing obstacles and reinforcing enabling factors through education, culturally sensitive behavior change strategies have the potential to enhance contraceptives use. Alternative models of contraceptive service delivery to young people are proposed.
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            Family planning decisions, perceptions and gender dynamics among couples in Mwanza, Tanzania: a qualitative study

            Background Contraceptive use is low in developing countries which are still largely driven by male dominated culture and patriarchal values. This study explored family planning (FP) decisions, perceptions and gender dynamics among couples in Mwanza region of Tanzania. Methods Twelve focus group discussions and six in-depth interviews were used to collect information from married or cohabiting males and females aged 18–49. The participants were purposively selected. Qualitative methods were used to explore family planning decisions, perceptions and gender dynamics among couples. A guide with questions related to family planning perceptions, decisions and gender dynamics was used. The discussions and interviews were tape-recorded, transcribed verbatim and analyzed manually and subjected to content analysis. Results Four themes emerged during the study. First, “risks and costs” which refer to the side effects of FP methods and the treatment of side -effects as well as the costs inherit in being labeled as an unfaithful spouse. Second, “male involvement” as men showed little interest in participating in family planning issues. However, the same men were mentioned as key decision-makers even on the number of children a couple should have and the child spacing of these children. Third, “gender relations and communication” as participants indicated that few women participated in decision-making on family planning and the number of children to have. Fourth, “urban–rural differences”, life in rural favoring having more children than urban areas therefore, the value of children depended on the place of residence. Conclusion Family Planning programs should adapt the promotion of communication as well as joint decision-making on FP among couples as a strategy aimed at enhancing FP use.
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              Barriers of Modern Contraceptive Practices among Asian Women: A Mini Literature Review

              Family planning has been cited as essential to the achievement of Millennium Development Goals (MDG). Family planning has a direct impact on women's health and consequence of each pregnancy. The use of modern contraception among Asian women is less than global average. In Asia a majority of unintended pregnancies are due to using traditional contraceptive or no methods which lead to induced unsafe abortion. Cultural attitudes, lack of knowledge of methods and reproduction, socio demographic factors, and health service barriers are the main obstacles to modern contraceptive practice among Asian women. Culturally sensitive family planning program, reforming health system, and reproductive health education through mass media to create awareness of the benefits of planned parenthood are effective strategies to improve modern contraceptive practice among Asian women.
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                Author and article information

                Journal
                Curationis
                Curationis
                CUR
                Curationis
                AOSIS OpenJournals
                0379-8577
                2223-6279
                22 October 2015
                2015
                : 38
                : 2
                : 1528
                Affiliations
                [1 ]Ga-Rankuwa Nursing College, Ga-Rankuwa, South Africa
                [2 ]Department of Nursing Science, University of Pretoria, South Africa
                Author notes
                Correspondence to: Mmapheko Peu, Email: doriccah.peu@ 123456up.ac.za Postal address: Department of Nursing Science, Private Bag x323, Arcadia 0007, South Africa

                How to cite this article: Tabane, N.S. & Peu, M.D., 2015, ‘Perceptions of female teenagers in the Tshwane District on the use of contraceptives in South Africa’, Curationis 38(2), Art. #1528, 7 pages. http://dx.doi.org/10.4102/curationis.v38i2.1528

                Article
                CUR-38-1528
                10.4102/curationis.v38i2.1528
                6092697
                26842077
                fd4968cf-8eb7-4500-921b-2a0d4781a0f4
                © 2015. The Authors

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

                History
                : 14 April 2015
                : 13 August 2015
                Categories
                Original Research

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