Return to search

Determinants of the choice of type of contraceptive methods used by young women in KwaZulu Natal, South Africa, 2001

This research report is submitted to the School of Social Sciences at the University of the Witwatersrand, Johannesburg in partial fulfilment of the requirements for the degree of Master of Arts in the field of Demography and Population Studies for the year 2016, September 2017 / Background: South Africa has some of the most progressive legislation when it comes to sexual and reproductive health rights. However, contraceptive use amongst this segment of the population group remains distorted. From a public health perspective, investing in the sexual and reproductive health needs of young people translates into an improvement in the sexual health status of the population at large. As such this paper makes use of the Health Belief Model to investigate the factors associated with the choice of type of contraceptive methods used by sexually active young women to prevent a pregnancy.
Methodology: Data for this study was obtained from Wave 2 of the Transitions to Adulthood survey. The weighted sample size is 464. Analysis on the weighted data was conducted in STATA 13.1 in survey mode in order to achieve the objectives of this study. Descriptive statistics were used to analyse the data at the univariate level. The Chi-squared test was conducted to examine the relationship between the variables under investigation and the outcome, contraceptive use. The multinomial logistic regression model was used to analyse the data at the multivariate level. The results of which were provided in terms of relative risk ratios.
Findings: Approximately 41% of sexually active young women in KwaZulu Natal did not use contraception to prevent a pregnancy with their most recent sexual partner. Results from the multinomial logistic regression model revealed that sexually active young women who were single were 77% less likely to make use of hormonal and other contraceptive methods to prevent a pregnancy compared to their who were counterparts in a relationship (p-value= 0.00001). Young women who have been pregnant at least once were approximately 60% less likely to utilise hormonal and other contraceptive methods to prevent a pregnancy with their most recent sexual partner.
Conclusion: By using the Health Belief Model as a theoretical basis this study highlighted the complex non-linear relationships between the variables selected to constitute the health beliefs as well as the health-related behaviour of contraceptive use. The findings of this study demonstrate two key realities related to contraceptive use of sexually active young women in KwaZulu Natal. Firstly, relatively low rates of contraceptive uptake. Secondly, amongst sexually active young women who utilised contraception, there are even lower usage rates of long-acting reversible contraceptive methods. As such, it is important for healthcare facilities in KwaZulu Natal and South Africa at large to support young women in their decision to protect themselves from unintended pregnancies and from infections of HIV and others STIs. / XL2018

Identiferoai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:wits/oai:wiredspace.wits.ac.za:10539/24458
Date January 2017
CreatorsNkumanda, Vuyelwa
Source SetsSouth African National ETD Portal
LanguageEnglish
Detected LanguageEnglish
TypeThesis
FormatOnline resource (viii, 100 leaves), application/pdf, application/pdf, application/pdf

Page generated in 0.0019 seconds