scholarly journals Knowledge, attitudes and practices about contraception amongst schoolgirls aged 12–14 years in two schools in King Sabata Dalindyebo Municipality, Eastern Cape

Author(s):  
Pamela Mda ◽  
Don O’Mahony ◽  
Parimalarani Yogeswaran ◽  
Graham Wright

Background: In South Africa the teenage fertility rate is high. About 42% of women have their sexual debut by 18 years of age and 5% by 15. These young women are also at risk of sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) infection. Despite widespread availability of contraception, 18% of sexually active teenagers do not use any. Previous research on the knowledge of, attitudes to and practices of contraception by teenagers has focused on older adolescents.Objectives: This study explored knowledge, attitudes and practices about contraception amongst 12–14 year old unmarried schoolgirls with a view to inform planning of programmes to assist in reducing teenage pregnancies.Methods: A qualitative study design with purposive sampling was used to select participants from two government-run schools in King Sabata Dalindyebo Municipality. In-depth and focus group interviews were conducted after obtaining written consent from parents and assent from participants. Interviews were audiotaped, transcribed verbatim, translated and analysed thematically.Findings: Participants reported that young adolescents were sexually active, which included high risk sexual behaviour such as multiple partners and casual and transactional sex. Knowledge about contraceptives varied widely. Condoms were the most preferred method of contraception, but it is unknown whether they ever used condoms as they professed to talk about the behaviour of others rather than themselves. Injectable contraceptives were believed to have long-term negative effects. Common sources of contraceptive information were friends or peers, school curriculum and to a lesser extent family members.Conclusions: Findings of the study suggest that young adolescents are sexually active and have inadequate knowledge and misconceptions about contraception. These findings should inform educational programmes about risks of early sexual activity and about contraception.

2019 ◽  
Vol Volume 11 ◽  
pp. 607-615
Author(s):  
Dua' Al-Maharma ◽  
Reema Safadi ◽  
Muayyad Ahmad ◽  
Suhaila Halasa ◽  
Manar Nabolsi ◽  
...  

2016 ◽  
Vol 96 (3) ◽  
pp. 873-909 ◽  
Author(s):  
Roger J. Hart

Across the Western World there is an increasing trend to postpone childbearing. Consequently, the negative influence of age on oocyte quality may lead to a difficulty in conceiving for many couples. Furthermore, lifestyle factors may exacerbate a couple's difficulty in conceiving due mainly to the metabolic influence of obesity; however, the negative impacts of low peripheral body fat, excessive exercise, the increasing prevalence of sexually transmitted diseases, and smoking all have significant negative effects on fertility. Other factors that impede conception are the perceived increasing prevalence of the polycystic ovary syndrome, which is further exacerbated by obesity, and the presence of uterine fibroids and endometriosis (a progressive pelvic inflammatory disorder) which are more prevalent in older women. A tendency for an earlier sexual debut and to have more sexual partners has led to an increase in sexually transmitted diseases. In addition, there are several genetic influences that may limit the number of oocytes within the ovary; consequently, by postponing attempts at childbearing, a limitation of oocyte number may become evident, whereas in previous generations with earlier conception this potentially reduced reproductive life span did not manifest in infertility. Environmental influences on reproduction are under increasing scrutiny. Although firm evidence is lacking however, dioxin exposure may be linked to endometriosis, phthalate exposure may influence ovarian reserve, and bisphenol A may interfere with oocyte development and maturation. However, chemotherapy or radiotherapy is recognized to lead to ovarian damage and predispose the woman to ovarian failure.


Author(s):  
Manisha Sharma ◽  
Sri Sarana ◽  
Atul Seth

Background: Contraceptive practices are the main tool we have in controlling the ever increasing population. It also has a huge role in preventing sexually transmitted infections. The present study was undertaken to find the knowledge, attitudes and practices of husbands accompanying patient at obstetrics clinics of a tertiary care center about contraception.Methods: The study population was 100 husbands accompanying patients at obstetrics clinics of a tertiary care center. A simple questionnaire of 26 questions regarding knowledge, attitudes and practices regarding contraception was provided to the consenting husbands. The results were then analyzed.Results: Vast majority have adequate knowledge about male contraception (93%), vasectomy (85%) and sexually transmitted diseases (72%). Most of the husbands do not have adequate knowledge about female contraception (only 59%) and emergency contraception (only 27%). 70% of the husbands do not know about the free contraceptives provided by the Government of India. A staggering 74% do not participate in effective contraception. Also, 77% agreed that they would remain contended with a single child.Conclusions: This cross-sectional study clearly shows that husbands accompanying patients at obstetrics clinic of a tertiary care center have adequate knowledge about male contraception, vasectomy and sexually transmitted diseases. It is worth noting that most of the husbands do not have adequate knowledge about female contraception, emergency contraception and free contraceptives provided by the Government of India. Very few couples participate in effective contraception despite wanting to adopt a small family norm. This is a pointer towards the ineffectiveness of the family planning program of our country.


2012 ◽  
Vol 6 (4) ◽  
pp. 266-272 ◽  
Author(s):  
Manuel V. Villaran ◽  
Angela Bayer ◽  
Kelika A. Konda ◽  
Carlos Mendoza ◽  
Hilda Quijandria ◽  
...  

The aim of this study was to analyze the rates of condom use among military and police populations in Peru, focusing on differences in use by type of partner. A Knowledge Attitudes and Practices survey was conducted among 6,808 military and police personnel in 18 Peruvian cities between August–September 2006 and September–October 2007. A total of 90.2% of the survey respondents were male; mean age was 37.8 years and 77.9% were married/cohabiting. In all, 99.5% reported having had sex; 89% of the participants had their last sexual contact with their stable partner, 9.7% with a nonstable partner, and 0.8% with a sex worker. Overall, 20.4% used a condom during their most recent sexual contact. Reasons for nonuse of condoms included the following: perception that a condom was not necessary (31.3%) and using another birth control method (26.7%). Prevention efforts against sexually transmitted diseases should focus on strengthening condom use, especially among individuals with nonstable partners.


2008 ◽  
Vol 36 (8) ◽  
pp. 1023-1034 ◽  
Author(s):  
Karl Peltzer ◽  
Ayanda Nqeketo ◽  
George Petros ◽  
Xola Kanta

The aim of this study was to assess attitudes of preinitiates towards traditional Male Circumcision (MC) in the context of HIV. The sample included 350 Xhosa preinitiates recruited from 3 different recruitment sites during the preparation prior to MC in the Eastern Cape province. Results indicated that: 10% were to be circumcised before their sexual debut and reported a great deal of sexual risk behavior; 9% had been diagnosed with a sexually transmitted infection in the past 12 months; 20% reported that they had had 3 or more sex partners in their lives; and 47% had not used a condom the last time they had sex. Reasons and attitudes, including barriers, towards MC as well as risky sexual behavior found in this study need to be considered in MC programming.


2018 ◽  
Vol 60 (5) ◽  
pp. 54
Author(s):  
Charles Uchenna ◽  
Indiran Govender

Background: Sexually transmitted infections (STIs) are a public health problem globally, but especially so in sub-Saharan Africa. They contribute significantly to the burden of disease in South Africa and are recognised as major contributors to the human immunodeficiency virus (HIV) epidemic, with other potential complications when not managed properly. First-line doctors play a critical role in the management of persons suffering from STIs, and need to comply with the national guidelines for STI management.Aim: To determine the knowledge, attitudes and practices of doctors working in Jubilee District Hospital, Metsweding region, Tshwane, regarding the STI syndromic management (SM) guidelines.Setting: Jubilee District Hospital in Tshwane North, Gauteng province, South Africa.Methods: A cross-sectional, descriptive study using a self-administered questionnaire was conducted.Results: Forty-three of the 50 doctors employed at the hospital participated in the study. Fourteen (32.6%) of the doctors were in the 36–40-year age group. Most of the doctors (36 or 83.7%) had only the basic bachelor’s degree, and only 4 (9.3%) attended additional STI training. Only 2 respondents (4.6%) had correct knowledge concerning management of male urethritis syndrome and 10 (23.3%) regarding management of genital ulcer syndrome. In compliance with the national SM guidelines for STIs, 22 (52.4%) of the doctors said they made a diagnosis of STIs using history and physical examination. Only 7 (16.7%) said they asked their patients during every consultation about the number of sexual partners, 21 (51.7%) said they always counsel/ screen patients with STIs for HIV infection, and only 4 (9.5%) said they always filled in partner notification slips after attending to the index patient with STIs. This study demonstrated a relationship between doctors’ knowledge of the SM guidelines for STIs and their age.Conclusion: Overall the knowledge and practices of doctors at Jubilee District Hospital were suboptimal, and training on the SM of STIs should be made available to address this. Management should introduce regular monitoring, evaluation and supportive services for the doctors regarding their management of STIs according to the guidelines.


Sign in / Sign up

Export Citation Format

Share Document