n African Journal for Physical Health Education, Recreation and Dance - Contraceptive knowledge and use : views of teen mothers accessing a youth friendly clinic in a rural district of Mpumalanga Province, South Africa : adolescent sexual health and behaviour

Supplement 2
  • ISSN : 1117-4315


There is general consensus that adolescents in many parts of sub-Saharan Africa do not visit facilities providing contraceptives because they view them as unfriendly; and thus the high rates of unintended pregnancies witnessed in South Africa, despite the implementation of the youth friendly services (YFS) in many parts of the country. This study explores teen mother's reasons for non-use of contraceptives, and describes their experiences of seeking contraception services from Phola-Nsikazi, an YFS site in Mpumalanga province. This was a descriptive, qualitative study using in-depth interviews and focus groups discussions with 33 in-school and out-of-school teen mothers aged 15-19 years. Data were analyzed using thematic approach and NVivo 10, data analysis software. Teen mothers were dissatisfied with the type of service provided at the clinic, despite it being a designated YFS site. With regards to contraceptive use, 20 out of 33 teen mothers never used any contraceptive and did not know about the contraceptive services that were available in the clinic prior to falling pregnant. All teen mothers were using injectables during the post-partum period. Lack of knowledge about contraceptives and poor access to contraceptives, mainly due to negative attitudes of nurses, were barriers to obtaining and using contraception correctly and consistency. It is important that health care providers understand that for adolescents to use contraceptives correct and consistent, they need to be provided with accurate information in a friendly and non-judgmental environment. Positive provider attitude underpins the adolescent friendly clinic concept and is a key to enhancing contraceptive use among teenagers.

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