“…These included: religious requirements [20, 26, 31, 34, 37, 40–43] and religion and culture [5, 18, 20, 26, 43–46]. Following the factors were, commitments within family [20, 24, 27, 31, 39, 40, 47, 48] and modesty [5, 23, 26, 27, 31, 38, 40, 49]. Other factors related to gender, family, religious and cultural issues were: women as caregiver/mother [5, 26, 27, 40, 42, 46, 48], ideals of behaviour [18, 24, 27–29, 34, 39], family [18, 23, 26, 28, 50–52] and shame [5, 23, 26, 27, 31, 38, 40].…”