Accessing Sexual and Reproductive Health Information and Services: A Mixed Methods Study of Young Women’s Needs and Experiences in Soweto, South Africa

Naomi Lince-Deroche, Adila Hargey, Kelsey Holt, Tara Shochet

Abstract

Young women and girls in South Africa are at high risk of unintended pregnancy and HIV. Previous studies have reported barriers to contraceptive and other sexual and reproductive health (SRH) services among young women in this context. We aimed to assess young women’s SRH knowledge and experiences and to determine how they get SRH information and services in Soweto, South Africa using quantitative and qualitative methods. Young women, aged 18-24, recruited from primary health clinics and a shopping mall, reported that they have access to SRH information and know where to obtain services. However there are challenges to accessing and utilizing information and services including providers’ unsupportive attitudes, uneven power dynamics in relationships and communication issues with parents and community members. There is a need to assist young women in understanding the significance of SRH information. They need access to age-appropriate, youth-friendly services in order to have healthy sexual experiences. (Afr J Reprod Health 2015; 19[1]: 73-81).

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References

Jewkes R, Morrell R, Christofides N. Empowering teenagers to prevent pregnancy: lessons from South Africa. Cult Health Sex. 2009;11:675–688. 2. Department of Health, Republic of South Africa. The 2011 National Antenatal Sentinel HIV and Syphilis Prevalence Survey in South Africa. National Department of Health, Pretoria, 2012. 3. Pettifor AE, Rees HV, Kleinschmidt I, et al. Young people’s sexual health in South Africa: HIV prevalence and sexual behaviors from a nationally representative household survey. AIDS. 2005;19:1525-1534. 4. Department of Health, Medical Research Council, OrcMacro. South Africa Demographic and Health Survey 2003. Pretoria: Department of Health 2007. 5. Jewkes R, Vundule C, Maforah F, et al. Relationship dynamics and teenage pregnancy in South Africa. Soc Sci Med. 2001;52:733-744.

Macleod CI, Tracey T. A decade later: follow-up review of South African research on the consequences of and contributory factors in teen-aged pregnancy. S Afr J Psychol. 2010;40:18-31. 7. MacPhail C, Pettifor A, Pascoe S, et al. Predictors of dual method use for pregnancy and HIV prevention among adolescent South African women. Contraception. 2007;75:383-389. 8. Panday S, Makiwane M, Ranchod C, et al. Teenage pregnancy in South Africa: with a specific focus on school-going learners (Child, Youth, Family and Social Development, Human Sciences Research Council). Pretoria: Department of Education 2009:196. 9. Guedes, A. Addressing GBV from the Reproductive Health/HIV Sector; A Literature Review and Analysis (No. 04-164-020) (pp. i–91). Washington, DC: The Population Technical Assistance Project, 2004. Retrieved from www.poptechproject.com 10. Mosavel M, Ahmed R, Simon C. Perceptions of genderbased violence among South African youth: implications for health promotion interventions. Health Promot Int. 2012;27:323-30. 11. Dunkle KL, Jewkes RK, Brown HC, Yoshihama M, Gray G, McIntyre JA, Harlow SD. Prevalence and patterns of gender-based violence and revictimization among women attending antenatal clinics in Soweto, South Africa. Amer J Epi. 2004; 160(3). 12. Jewkes, Rachel, Levin, J., & Penn-Kekana, L. Risk factors for domestic violence: findings from a South African cross-sectional study. Social Science and Medicine. 2002;55(9), 1603–1617. 13. Department of Health, South Africa. (1996, November 22). No. 92 of 1996: Choice on Termination of Pregnancy Act, 1996. 14. Holt K., Lince N, Hargey A, Struthers H, Nkala B, McIntyre J, Gray G, Mnyani C, Blanchard K. Assessment of service availability and health care workers’ opinions about young women’s sexual and reproductive health in Soweto, South Africa. African Journal of Reproductive Health. June 2012 (Special Edition); 16(2): 283.

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