The study is titled 'Determinants of contraceptive use among young women in Lesotho'. Caldwell and Caldwell (2002:80) assert, "The most serious problem with existing subSaharan family planning programs is their neglect at adolescents' needs". The main objective of the study is to investigate factors influencing the use of modern contraceptives among young women (15-24 years old) in Lesotho and to contribute towards improvements in health care services for adolescents. The study will examine the levels of contraceptive use among young people in Lesotho, and explore social and demographic factors that promote contraceptive use. The study is based on the data from 2004 Lesotho Demographic and Health Survey which is a representative sample. The study showed that young people have high knowledge of modern methods of contraceptive (knowledge ranked up to 91 percent) however use of methods is lower (ranked up to 44 percent). Traditional methods were the least known except for withdrawal which had a plausible percentage (64.7 percent). Most of sexually active young people have ever used contraceptives and injectables were the leading method while condoms were the most generally known. The study also showed that contraceptive use increases with age, level of education, wealth and discussion of family planning with partner. Results of the logistic regression analysis, however, showed unexpected results where adolescents' from the rural areas had a higher likelihood of using contraceptives than those from urban areas. Married young women had a high level of contraceptive use than those never married. Socio-cultural context hinders the establishment of reproductive programs on adolescents as their sexuality is attached to marriage and childbearing. It was recommended that intensive programs informing young people about their reproductive decision-making is needed. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2010.

There is a belief that economic resources are growing at a slow pace such that they fail to meet the demands made by an increase in population. Because of the critical contribution fertility makes to the high growth rates of a nation it is important to understand factors behind its change. This study seeks to contribute to such an understanding by providing an assessment of fertility and its proximate determinants in Lesotho. It utilises data from the 2001 Lesotho Demographic Survey and the 2002 Lesotho Demographic Survey Supplementary Enquiry. The study reveals a moderate decline in fertility between 1977 and 2002 (from 5.8 to 4.5). This decline in fertility is attributable to a rise in contraceptive prevalence and an increase in non-marriage. The index of marriage declined by 27.5 percent between 1977 and 2002, from 0.69 to 0.50 and the singulate mean at marriage increased from 20 years to 24 years among females. Thus making non-marriage the greatest fertility- reducing factor in 2002. While, the index of contraception decline by 30.1 percent from 0.93 to 0.65 and the national CPR increased from 23.2 percent in 1991/92 to 43.9 percent in 2002. As a result contraception became the second greatest inhibitor of fertility. Though the actual effect of postpartum infecundability could not be determined due to non-availability of data, the study shows that in 1977 and 1991/92 the index of postpartum infecundability had the highest fertility-reducing effect in Lesotho. Moreover, the effect of sterility and abortion on fertility decline in Lesotho was found to be small. However, further research needs to address these factors as their effect could be masked by non-availability of data. It seems that further decline in fertility in Lesotho will be a result of an increase in contraceptive use and age at marriage. To promote these two the government should: 1) show a strong commitment both politically and financially, to limiting population growth through family planning 2) expand women's educational and economic opportunities. / Thesis (M.A.)-University of Natal, Durban, 2003.

Unintended pregnancy has been the subject of considerable research in Lesotho. Lack of priority placed on young people’s sexuality and reproductive health was found to be a major factor exacerbating the rate of unintended pregnancy in the country. The study draws on qualitative data collected from in-depth interviews with university students in Lesotho. In total, 15 in-depth interviews were conducted with 10 women and 5 men. The findings of the study show that unsafe sex coupled with low contraceptive use are the leading causes of unintended pregnancy among young women in Lesotho. Evidence suggests that even though contraceptive prevalence is noticeably low, modern contraceptive methods have a greater potential than other means for reducing the prevalence of unintended pregnancy. The findings of the study also suggest that there is a considerable gender differences in sexual behaviour; males are more likely than females to experience earlier sexual onset, have more sexual partners and to practise unsafe sex. This study recommends that increasing contraceptive prevalence among young people will lead to better reproductive health outcomes. The study also suggests that family planning services should be more male friendly because men play a major role in decision making, and have a great influence on their partners’ decisions to use contraceptives. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2011.