“They Will Wonder What Kind of a Girl I Am”: Adolescent Perceptions towards Contraceptive Use in Nairobi

Kinaro, Joyce

doi:10.4236/asm.2013.31001

Cited by 8 publications

(16 citation statements)

References 18 publications

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“…Although some were positive, the predominant perceptions were negative, showing some ignorance and a tendency to blame others. Syed et al ( 2012 :2–5), Appiah-Agyekum and Kayi ( 2013 :41–42) and Kinaro ( 2013 :7) are in agreement with the findings that contributed to the non-use and the discontinued use of contraceptives.…”

Section: Discussionsupporting

confidence: 77%

Perceptions of female teenagers in the Tshwane District on the use of contraceptives in South Africa

Tabane

Peu

2015

curationis

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BackgroundPerceptions of female teenagers in the Tshwane District contribute to the non-use and or discontinued use of contraceptives as evidenced by increased levels of unplanned pregnancies.ObjectiveThe objective of this study was to explore and describe the perceptions of female teenagers in the Tshwane District on the use of contraceptives.MethodsA qualitative, explorative, descriptive approach was followed in this study. The population comprised of pregnant female teenagers who were purposively selected. Data were collected using unstructured individual interviews on a face-to-face encounter in a natural setting. Data were analysed using the discourse method of data analysis.ResultsThe following perceptions on the use of contraceptives emerged: Perceptions on the use of contraceptives, emotions, contraceptive effects, social pressure and education on contraceptives. Teenagers’ perceptions were predominantly negative with unfounded fears. Though the teenagers were aware of the importance of the use of contraceptives, motivation to pursue contraception was lacking. Teenagers verbalised to be uncommitted as well.ConclusionVarious perceptions of female teenagers in the Tshwane District on the use of contraceptives were explored and described. It was noted that all the teenagers interviewed had great remorse and feelings of guilt regarding their behaviour of not using contraceptives. Their need for re-education was cited and seen as motivational enough to encourage the use of contraceptives at primary health care settings. Therefore, the study recommended that health education programmes should be restructured to effectively influence the female teenagers’ perceptions positively and to promote the use of contraceptives.

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Section: Discussionsupporting

confidence: 77%

Perceptions of female teenagers in the Tshwane District on the use of contraceptives in South Africa

Tabane

Peu

2015

curationis

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“…Further, the youth believed in having unprotected sex when they were still young. These findings are consistent with theory of perception formation on barriers to contraceptive use [30] [31]. These myths influence contraceptives use and expose youth to unprotected sex hence risk to sexually transmitted diseases including unwanted pregnancies.…”

Section: Discussionsupporting

confidence: 89%

“…There is need to develop behavior change communication materials that encourage partner communication on SRH issues for the community.One of the key needs mentioned by adolescents and youth was to know how condoms are used. Studies show that contraceptive use increases with the level of knowledge of how they are used[29] [30]. A study in Kenya found that use of contraception was significantly higher among adolescents 15 -19 years who…”

mentioning

confidence: 99%

Socio-Cultural Barriers Influencing Utilization of Sexual and Reproductive Health (SRH) Information and Services among Adolescents and Youth 10 - 24 Years in Pastoral Communities in Kenya

Kinaro¹,

Wangalwa²,

Karanja³

et al. 2019

ASM

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Background: As in other developing countries, sexual and reproductive ill-health continues to mostly affect adolescents and youths. Samburu and Turkana counties in Kenya have some of the highest levels of total fertility rates (TFR) at 6.3 and 6.9 respectively placing them well above the national TFR of 3.9. Establishing factors that influence utilization of SRH services among adolescent and youth aged 10-24 years is critical in developing an effective program. Method: We used primary data from qualitative and purposeful study design. Data collection used Focus group discussions (FGD), In-depth interviews (IDIs) and Key informant interviews (IDIs). The target groups were adolescents and youth aged 10-24 years, health care providers, community health volunteers (CHVs), chemist assistants, parents of adolescents and youth, teachers, spiritual leaders and traditional activists. Findings and Conclusion: Socio-cultural factors were found to influence utilization of SRH services and information. Early marriage, being youth, male only decisions on sexuality matters and fear of family contribute to unprotected sex while myths and misconceptions on contraceptives affected utilization. The findings revealed that youth needs to know sources, how contraceptives work and how to use them. The findings suggest capacity building of health care

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“…In addition, unmarried adolescents are less likely to use modern hormonal contraceptives than their older female counterparts [ 4 ]. This has led to a high fertility rate among adolescents in Kenya, ranging from 2% at age 15 to 36% at age 19 [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…Among adolescents living with HIV, avoiding unintended pregnancy reduces vertical transmission of HIV and maternal mortality associated with HIV infection [ 10 ]. Increasing contraception use among all adolescent females has also been associated with greater female empowerment and enhanced educational and economic opportunities, and adolescent females living with HIV using contraception may garner similar benefits [ 8 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Barriers and facilitators adolescent females living with HIV face in accessing contraceptive services: a qualitative assessment of providers’ perceptions in western Kenya

Hagey¹,

Akama²,

Ayieko³

et al. 2015

Journal of the International AIDS Society

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IntroductionAvoiding unintended pregnancies is important for the health of adolescents living with HIV and has the additional benefit of preventing potential vertical HIV transmission. Health facility providers represent an untapped resource in understanding the barriers and facilitators adolescents living with HIV face when accessing contraception. By understanding these barriers and facilitators to contraceptive use among adolescent females living with HIV, this study aimed to understand how best to promote contraception within this marginalized population.MethodsWe conducted structured in-depth interviews with 40 providers at 21 Family AIDS Care & Education Services - supported clinics in Homabay, Kisumu and Migori counties in western Kenya from July to August 2014. Our interview guide explored the providers’ perspectives on contraceptive service provision to adolescent females living with HIV with the following specific domains: contraception screening and counselling, service provision, commodity security and clinic structure. Transcripts from the interviews were analyzed using inductive content analysis.ResultsAccording to providers, interpersonal factors dominated the barriers adolescent females living with HIV face in accessing contraception. Providers felt that adolescent females fear disclosing their sexual activity to parents, peers and providers, because of repercussions of perceived promiscuity. Furthermore, providers mentioned that adolescents find seeking contraceptive services without a male partner challenging, because some providers and community members view adolescents unaccompanied by their partners as not being serious about their relationships or having multiple concurrent relationships. On the other hand, providers noted that institutional factors best facilitated contraception for these adolescents. Integration of contraception and HIV care allows easier access to contraceptives by removing the stigma of coming to a clinic solely for contraceptive services. Youth-friendly services, including serving youth on days separate from adults, also create a more comfortable setting for adolescents seeking contraceptive services.ConclusionsProviders at these facilities identified attitudes of equating seeking contraceptive services with promiscuity by parents, peers and providers as barriers preventing adolescent females living with HIV from accessing contraceptive services. Health facilities should provide services for adolescent females in a youth-friendly manner and integrate HIV and contraceptive services.

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“They Will Wonder What Kind of a Girl I Am”: Adolescent Perceptions towards Contraceptive Use in Nairobi

Cited by 8 publications

References 18 publications

Perceptions of female teenagers in the Tshwane District on the use of contraceptives in South Africa

Perceptions of female teenagers in the Tshwane District on the use of contraceptives in South Africa

Socio-Cultural Barriers Influencing Utilization of Sexual and Reproductive Health (SRH) Information and Services among Adolescents and Youth 10 - 24 Years in Pastoral Communities in Kenya

Barriers and facilitators adolescent females living with HIV face in accessing contraceptive services: a qualitative assessment of providers’ perceptions in western Kenya

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