'In fact, that's when I stopped using contraception': a qualitative study exploring women's experiences of using contraceptive methods in KwaZulu-Natal, South Africa.

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Tytuł:: 'In fact, that's when I stopped using contraception': a qualitative study exploring women's experiences of using contraceptive methods in KwaZulu-Natal, South Africa.
Autorzy:: Hlongwa M; School of Nursing and Public Health Medicine, University of KwaZulu-Natal, Durban, South Africa .; Public Health, Societies and Belonging programme, Human Sciences Research Council, Pretoria, South Africa.
Mutambo C; School of Nursing and Public Health Medicine, University of KwaZulu-Natal, Durban, South Africa.
Hlongwana K; School of Nursing and Public Health Medicine, University of KwaZulu-Natal, Durban, South Africa.; Cancer & Infectious Diseases Epidemiology Research Unit, University of KwaZulu-Natal, Durban, South Africa.
Źródło:: BMJ open [BMJ Open] 2023 Apr 20; Vol. 13 (4), pp. e063034. Date of Electronic Publication: 2023 Apr 20.
Typ publikacji:: Journal Article; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
MeSH Terms:: Contraception*/methods
Counseling*
Humans ; Female ; Adolescent ; Young Adult ; Adult ; South Africa ; Contraceptive Agents ; Qualitative Research ; Contraception Behavior
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Contributed Indexing:: Keywords: Public health; REPRODUCTIVE MEDICINE; Sexual and gender disorders
Substance Nomenclature:: 0 (Contraceptive Agents)
Entry Date(s):: Date Created: 20230420 Date Completed: 20230424 Latest Revision: 20230426
Update Code:: 20240105
PubMed Central ID:: PMC10124203
DOI:: 10.1136/bmjopen-2022-063034
PMID:: 37080630
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Objectives: This study explored women's experiences of using contraceptive methods in KwaZulu-Natal, South Africa.
Setting: In October 2021, we conducted a qualitative study at Umlazi Township in KwaZulu-Natal province, South Africa, through face-to-face in-depth interviews.
Participants: Women from four primary healthcare facilities were recruited through a criterion-based sampling strategy. Using NVivo V.11, two skilled researchers independently conducted thematic data analysis, as a mechanism for quality assurance, before the results were collated and reconciled.
Results: The study included 15 female participants, aged between 18 and 35 years, of whom two-thirds were aged 18-24 years. We found that women were concerned about unpleasant contraceptive methods side effects such as prolonged or irregular menstrual periods, bleeding, weight gain and/or severe pains, resulting in discontinuation of their use. In addition to contraceptive stockouts, women indicated that healthcare providers did not appropriately counsel or inform them about the available contraceptive methods, including how to use them. Key themes included the following: negative effects of contraceptive methods; stockouts of preferred contraceptive methods; inconsistent or incorrect use of contraceptive methods; lack of counselling regarding contracepive methods; and misconceptions about contraception.
Conclusions: Interventions aimed at reducing contraceptive stockouts are required to ensure that women are empowered to choose contraception based on their own preference, convenience and/or experience. It is imperative that counselling on contraceptive methods' side effects be improved, to ensure that women have freedom to make informed decisions about their preferred method, proper management of side effects and to assist them with method switching as needed, instead of discontinuation.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.)

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