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Factors influencing contraceptive use and unplanned pregnancy in a South African population

MSc (Med), Epidemiology and Biostatistics, Faculty of Health Sciences, University of the Witwatersrand / Background: The knowledge of contraceptive use is high among men and women in South
Africa. However, contraceptive prevalence rate is moderate and unplanned pregnancies are
common. Understanding the determinants of contraceptive use and unplanned pregnancy will
inform future interventions that aim to maintain consistent contraceptive use and reduce
unplanned pregnancies. Aim: The study aims to describe factors associated with contraceptive
use and unplanned pregnancy in the South African population. Methods: A secondary data
analysis was carried out on data collected in a cross–sectional survey conducted in
Potchefstroom, South Africa between August 2007 and March 2008.Results: Contraceptive
prevalence was 69.5% and unplanned pregnancy was 59.7%. The risk factors for contraceptive
use included woman’s employment status at the last pregnancy, woman’s partner employment
status at the last pregnancy and number of miscarriages a woman had experienced.
The risk factors for unplanned pregnancy included race, woman’s age , education level and
employment status at last pregnancy, number of miscarriages, contraceptive use and partner’s
employment status at last pregnancy. Conclusion: If the prevalence of unplanned pregnancies is
to be reduced, policies and programmes need to address economic factors which were associated
with both contraceptive use and unplanned pregnancy. Further study needs to be carried out as to
the reasons behind why a woman with a previous history of a miscarriage is less likely to have an
unplanned pregnancy yet she is less likely to be on contraception.

Identiferoai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:wits/oai:wiredspace.wits.ac.za:10539/9284
Date30 March 2011
CreatorsBafana, Thembelihle Nonsikelelo Sinqobile
Source SetsSouth African National ETD Portal
LanguageEnglish
Detected LanguageEnglish
TypeThesis
Formatapplication/pdf

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