- Title
- Contraceptive use and Sex Education among Teenagers in Mdantsane Township, Eastern Cape
- Creator
- Ibikunle, Kehinde Olaoye
- Subject
- Sex instruction Primary Health Care
- Date
- 2020
- Type
- Thesis
- Type
- Masters
- Type
- MPH
- Identifier
- http://hdl.handle.net/10353/18411
- Identifier
- vital:42263
- Description
- Uptake of contraceptives to prevent unwanted pregnancy among sexually active teenagers in South Africa remains low as evidenced by the high prevalence of unwanted pregnancy and unsafe abortions among adolescents. This is happening despite the wide availability of contraceptives which are also offered free of charge and in a context where comprehensive sexuality education is provided from primary school level. There is limited evidence regarding contraceptive use among teenagers in South Africa, which limits the decision making on targeting for promoting use of contraceptives. To address this gap, a quantitative cross sectional study of women aged 13 and above was conducted in Mdatsane Township to investigate the factors associated with contraceptive use among teenagers and compare this with young women aged 20 and above, as well as to assess if there are any associations in the use of contraceptives between the demographic characteristics of the teenagers and their caregivers. The study findings showed that non-use of contraceptives was 53.3%. Teenagers were significantly less likely to use contraceptives, OR 0.31, 95% CI (0.18 – 0.530), more likely to use injectables OR 3.48 95% CI 1.99 – 6.08, more likely to identify partner issues being reason for not using condoms OR 10.60, 95 % CI (2.01 – 55.94). Teenager were more likely to have Termination of unwanted pregnancy on the past (TOP), OR 2.13 95% CI (1.03 – 4.38), and would likely choose Depo/Petogen even if it increases HIV transmission OR 3.65, 95% CI (1.98 – 6.73). Teenagers were more likely to have been exposed to sex education and less likely to have a close relationship with caregivers OR 0.49 95% CI (0.27 – 0.90). In view of these findings it is logical to argue that although teenagers have accessed CSE they have not been able to translate it into action. Hence the need to develop the strategies that can help facilitate behaviour change. Further in-depth studies must be conducted to establish which types of contraceptives are preferred and acceptable to teenagers. Promote self-efficacy of teenagers to be empowered to make own decisions and not put their partners’ preferences on use of contraceptives and continue promoting primary and secondary abstinence while also encouraging delayed sexual debut
- Format
- 65 leaves
- Format
- Publisher
- University of Fort Hare
- Publisher
- Faculty OF Health Science
- Language
- English
- Rights
- University of Fort Hare
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